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Healthcare Reform and Interest Groups

Catalysts and Barriers in Rural Australia

Frank Evans

Rural Australia has faced many economic and demographic disadvantages. Advances in medical technology and economic reforms have led to the closure or near closure of many rural hospitals. Since the late 1980s, the Australian government has increased their focus on the quality and functionality of rural health. Most notable was the development of a rural health strategy and the introduction of flexibly funded, integrated health services, otherwise known as Multipurpose Services (MPS). Healthcare Reform and Interests Groups explores the resistance that the MPSs encountered from rural health professionals and rural communities in Australia.

The MPS program in Victoria provided an opportunity to review the response of structural interest groups when the status quo is challenged. Healthcare Reform and Interest Groups analyzes the development of the MPS program in Victoria, in particular the processes and outcomes associated with the development of an MPS in Corryong, a small town in Victoria. The study led to the testing of findings in other Victorian communities. The goal of the study was to understand why the Victorian MPS program, developed to help improve the distribution of rural health services, was met with such resistance. With interesting analysis of the power and conflict issues between rural general practictioners, the government, and healt bureaucrats, Healthcare Reform and Interest Groups examines the critical role of the community in Australia's healthcare reform.
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University Press of America
Pages: 222 • Trim: 6⅜ x 9
978-0-7618-3301-7 • Paperback • March 2006 • $52.99 • (£41.00)
Subjects: Social Science / Sociology / Rural
Frank Evans is Chief Executive and Director of Nursing at Upper Murray Health & Community Services and the Chief Executive of UMHCS Learning Services where he teaches business management. Dr Evans has managed rural health services in NSW and Victoria since 1992. Gil-Soo Han is an Associate Professor and Deputy Head of the School of Arts and Sciences at Monash University Malaysia. Dr Han is a sociologist and has previously taught at the University of New England and Monash University, Australia. His past publications include Social Sources of Church Growth (1994) and Health and Medicine under Capitalism (2000). Jeanne Madison is the Head of School of Health at the University of New England, Australia. Dr Madison's research interests are in the areas of health management, nursing, equity, diversity, leadership and human resource management.
Chapter 1 Preface
Chapter 2 Maps and Tables
Chapter 3 Abbreviations
Chapter 4 Introduction
Chapter 5 Literature Review
Chapter 6 Research Strategy and Theoretical Framework
Chapter 7 Research Design and Methodology
Chapter 8 The MPS Program in Context: The Rural Health Movement
Chapter 9 Challenging Interests: Corporate Rationalists
Chapter 10 Medical Monopolists: Dominant Interests
Chapter 11 Community: Repressed Interests
Chapter 12 Conclusion: Community Disadvantage
Chapter 13 Implications for Rural Health Care Reform: A Community Empowerment Model for the Future
Chapter 14 References

Healthcare Reform and Interest Groups

Catalysts and Barriers in Rural Australia

Cover Image
Paperback
Summary
Summary
  • Rural Australia has faced many economic and demographic disadvantages. Advances in medical technology and economic reforms have led to the closure or near closure of many rural hospitals. Since the late 1980s, the Australian government has increased their focus on the quality and functionality of rural health. Most notable was the development of a rural health strategy and the introduction of flexibly funded, integrated health services, otherwise known as Multipurpose Services (MPS). Healthcare Reform and Interests Groups explores the resistance that the MPSs encountered from rural health professionals and rural communities in Australia.

    The MPS program in Victoria provided an opportunity to review the response of structural interest groups when the status quo is challenged. Healthcare Reform and Interest Groups analyzes the development of the MPS program in Victoria, in particular the processes and outcomes associated with the development of an MPS in Corryong, a small town in Victoria. The study led to the testing of findings in other Victorian communities. The goal of the study was to understand why the Victorian MPS program, developed to help improve the distribution of rural health services, was met with such resistance. With interesting analysis of the power and conflict issues between rural general practictioners, the government, and healt bureaucrats, Healthcare Reform and Interest Groups examines the critical role of the community in Australia's healthcare reform.
Details
Details
  • University Press of America
    Pages: 222 • Trim: 6⅜ x 9
    978-0-7618-3301-7 • Paperback • March 2006 • $52.99 • (£41.00)
    Subjects: Social Science / Sociology / Rural
Author
Author
  • Frank Evans is Chief Executive and Director of Nursing at Upper Murray Health & Community Services and the Chief Executive of UMHCS Learning Services where he teaches business management. Dr Evans has managed rural health services in NSW and Victoria since 1992. Gil-Soo Han is an Associate Professor and Deputy Head of the School of Arts and Sciences at Monash University Malaysia. Dr Han is a sociologist and has previously taught at the University of New England and Monash University, Australia. His past publications include Social Sources of Church Growth (1994) and Health and Medicine under Capitalism (2000). Jeanne Madison is the Head of School of Health at the University of New England, Australia. Dr Madison's research interests are in the areas of health management, nursing, equity, diversity, leadership and human resource management.
Table of Contents
Table of Contents
  • Chapter 1 Preface
    Chapter 2 Maps and Tables
    Chapter 3 Abbreviations
    Chapter 4 Introduction
    Chapter 5 Literature Review
    Chapter 6 Research Strategy and Theoretical Framework
    Chapter 7 Research Design and Methodology
    Chapter 8 The MPS Program in Context: The Rural Health Movement
    Chapter 9 Challenging Interests: Corporate Rationalists
    Chapter 10 Medical Monopolists: Dominant Interests
    Chapter 11 Community: Repressed Interests
    Chapter 12 Conclusion: Community Disadvantage
    Chapter 13 Implications for Rural Health Care Reform: A Community Empowerment Model for the Future
    Chapter 14 References

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