Are There Lessons From the Past? Australian National Health Policy Making in the 1970s": AHPC Policy RoundtableDiscussion Paper (original) (raw)

A comparative analysis of Australian health policy in the 1970s

Social Science & Medicine, 1984

In the decade of the 1970s there were some slgmficant changes to the Austrahan health system while the health systems of most other countries remained stable. By comparing the Austrahan health system with that of a number of other countries in the 1970s. the paper examines both the causes and consequences of these changes. The substance of the vartous Austrahan health system nutlatlves was a change from a voluntary to a mandatory health Insurance system and then. after a short period of 'catastrophic' health Insurance. a return to a voluntary system Most of these changes appeared to be motivated by political and ideological preferences rather than by a rational assessment of their likely efficiency or effectiveness. In any event. and despite claims to the contrary, these changes were minor when vlewed m the broad context of international systems of health care The conclusrons of the analvsls. while tentative. suggest that the health system changes had Me, If any, direct impact on health costs. service use and indicators of health outcomes.

Structural interests and Australian health policy

Social science & medicine (1982), 1984

Health policy has been a matter of public discussion in Australia since the late 1960s. Mirroring the United States experience, much of the debate initially centred around the introduction of a universal national health insurance scheme but since the mid 1970s economic conditions have changed and contemporary decisions are often accompanied by rhetoric about the need to constrain costs which are portrayed as increasing out of control. These changes have been associated with changes in the relative influence of the dominant and challenging structural interests within the health sector. This article analyses the influence of those interests in Australian health policy since the mid 1960s.

Daring to dream : the future of Australian health care

2001

The circulation of this paper was very limited, mainly because we did not consider it suitable for academic publication. A more fully developed and argued article was published in the Australian Economic Review, 4th quarter 1968. By this time, the appointment of the Commonwealth Committee of Inquiry into Health Insurance, headed by Mr Justice J.A. Nimmo and Whitlam's public formulation of his "Alternative National Health Programme" had been instrumental in bringing health insurance policy to the forefront of national political policy issues. In view of its seminal importance-both for national health policy and John Deeble's long career in health service research and policy formulation it seems quite appropriate to bring the original paper from archival obscurity by publishing it in this volume. A third of a century has elapsed since it was written, and a great number of pragmatic and not-so-pragmatic changes have been made over that time. Nevertheless (apart from the numbers!), the proposal was widely regarded as very radical at the time yet bears an uncanny resemblance to the present structure of Medicare and the associated arrangements covering public hospital services.

Policy challenges for the Australian health care system

Australian Health Review, 1999

In contrast to the regular media reports decrying the so-called crisis in the health system, a number of academic commentators have identified areas in which the Australian health care system could improve. George Palmer has been one of those, and over the years has published a body of work identifying areas for improvement. This paper reviews the performance of the Australian health care system against the criteria of equity, efficiency and acceptability, and explicates the contemporary problem areas associated with each criterion.

Australian health services: too complex to navigate: a review of the national reviews of Australia's health service arrangements

2019

The Mitchell Institute's mission is to strengthen the relationship between evidence and policy, and, to improve equity of opportunity and success in both health and education. The Australian Health Policy Collaboration (AHPC) is a health policy think within the Mitchell Institute. We have built a collaborative approach with Australian health experts, academics, researchers and policymakers to translate the best evidence into effective policy development and implementation centred on the current and future impacts of chronic diseases in Australia.

The AHA?s ideas on health policies for Australia

Australian Health Review, 1998

In late 1997 the Australian Healthcare Association (AHA) began a process ofreviewing and updating its ideas on health care in Australia. One importantactivity comprised a strategic planning workshop in February 1998, which wasattended by members of the National Council. Experts from government andother health associations also participated, and their support was greatlyappreciated.Preliminary ideas arising from the deliberations are summarised in a discussionpaper which has been widely distributed for comment (AHA 1998). Thefollowing is a condensed version, although the scope is hardly affected.

Australian health services: too complex to navigate

2019

The Mitchell Institute's mission is to strengthen the relationship between evidence and policy, and, to improve equity of opportunity and success in both health and education. The Australian Health Policy Collaboration (AHPC) is a health policy think within the Mitchell Institute. We have built a collaborative approach with Australian health experts, academics, researchers and policymakers to translate the best evidence into effective policy development and implementation centred on the current and future impacts of chronic diseases in Australia.

The Australian health care system: reform, repair or replace?

Australian Health Review, 2008

A Festshrift gives us the opportunity to look both backwards and forwards. Ken Donald's career stretches back to his intern days in 1963 and has encompassed clinical and population health, academe, clinical settings and the bureaucracy, and playing sport at state and national levels. There has been considerable change in the health care system over the period of Ken's involvement in the sector with more change to come -where have those changes left us? This paper discusses Aust Health Rev 2008: 32(2): 322-329 these changes in relation to performance criteria.