Factors that influence evidence-informed meso-level regional primary health care planning: a qualitative examination and conceptual framework

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dc.contributor.authorWindle, A.
dc.contributor.authorJavanparast, S.
dc.contributor.authorFreeman, T.
dc.contributor.authorBaum, F.
dc.date.issued2023
dc.description.abstractBackground: Evidence-informed primary health care (PHC) planning in decentralised, meso-level regional organisations has received little research attention. In this paper we examine the factors that infuence planning within this environment, and present a conceptual framework. Methods: We employed mixed methods: case studies of fve Australian Primary Health Networks (PHNs), involving 29 primary interviews and secondary analysis of 38 prior interviews; and analysis of planning documents from all 31 PHNs. The analysis was informed by a WHO framework of evidence-informed policy-making, and institutional theory. Results: Infuential actors included federal and state/territory governments, Local Health Networks, Aboriginal Community Controlled Health Organisations, local councils, public hospitals, community health services, and providers of allied health, mental health and aged care services. The federal government was most infuential, constraining PHNs’ planning scope, time and funding. Other external factors included: the health service landscape; local sociodemographic and geographic characteristics; (neoliberal) ideology; interests and politics; national policy settings and reforms; and system reorganisation. Internal factors included: organisational structure; culture, values and ideology; various capacity factors; planning processes; transition history; and experience. The additional regional layer of context adds to the complexity of planning. Conclusions: Like national health policy-making, meso-level PHC planning occurs in a complex environment, but with additional regional factors and infuences. We have developed a conceptual framework of the meso-level PHC planning environment, which can be employed by similar regional organisations to elucidate infuential factors, and develop strategies and tools to promote transparent, evidence-informed PHC planning for better health outcomes.
dc.description.statementofresponsibilityAlice Windle, Sara Javanparast, Toby Freeman, and Fran Baum
dc.identifier.citationHealth Research Policy and Systems, 2023; 21(1):1-13
dc.identifier.doi10.1186/s12961-023-01049-8
dc.identifier.issn1478-4505
dc.identifier.issn1478-4505
dc.identifier.orcidFreeman, T. [0000-0002-2787-8580]
dc.identifier.orcidBaum, F. [0000-0002-2294-1368]
dc.identifier.urihttps://hdl.handle.net/2440/139644
dc.language.isoen
dc.publisherBioMed Central
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/GN1064194
dc.rights© The Author(s) 2023. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
dc.source.urihttps://doi.org/10.1186/s12961-023-01049-8
dc.subjectEvidence-informed
dc.subjectFramework
dc.subjectHealth planning
dc.subjectPolicy-making
dc.subjectPrimary health care
dc.subjectRegional
dc.titleFactors that influence evidence-informed meso-level regional primary health care planning: a qualitative examination and conceptual framework
dc.typeJournal article
pubs.publication-statusPublished

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