New primary healthcare organisations: recognising opportunities to transition to transformative healthcare organisations?

Article


O'Shea, Eidin and Palmer, Victoria. 2014. "New primary healthcare organisations: recognising opportunities to transition to transformative healthcare organisations?" Journal of Organisational Transformation and Social Change. 11 (2), pp. 125-140. https://doi.org/10.1179/1477963313Z.00000000021
Article Title

New primary healthcare organisations: recognising opportunities to transition to transformative healthcare organisations?

ERA Journal ID11022
Article CategoryArticle
AuthorsO'Shea, Eidin (Author) and Palmer, Victoria (Author)
Journal TitleJournal of Organisational Transformation and Social Change
Journal Citation11 (2), pp. 125-140
Number of Pages16
Year2014
Place of PublicationLeeds, WYorks. United Kingdom
ISSN1477-9633
2040-056X
Digital Object Identifier (DOI)https://doi.org/10.1179/1477963313Z.00000000021
Abstract

Like many governments across the globe, the Australian Government has embarked on major healthcare reforms. Part of this reform agenda included the establishment of sixty-two primary healthcare organisations (PHOs) originally called Medicare Locals (MLs), currently to be re-structured as primary healthcare networks. Primary health organisations were tasked with the coordination of primary health care delivery and with tackling local healthcare needs and service gaps. They were to drive improvements in primary healthcare and ensure that services are better tailored and integrated to meet the needs of local communities. This article puts forward the argument that new primary healthcare organisations have the potential and the ethical aspects of healthcare organisations are largely overlooked in the literature. To address this gap we outline two complementary frameworks: a theory of ethical communities and an emancipatory method. We conclude that these frameworks could be used as potential guides for new healthcare organisations to become transformative organisations.

Keywordsprimary healthcare; Medicare Locals; transformative; emancipatory; ethical and moral communities; health reform
ANZSRC Field of Research 2020440706. Health policy
429999. Other health sciences not elsewhere classified
350711. Organisational planning and management
Public Notes

© W. S. Maney & Son Ltd 2014. Permanent restricted access to published version in accordance with the copyright policy of the publisher.

Byline AffiliationsAustralian Centre for Sustainable Business and Development
University of Melbourne
Institution of OriginUniversity of Southern Queensland
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