Functions and Activities of Meso-Level Primary Health Care Organizations
| Function | Activity |
|---|---|
| Clinical care | |
| Population health focus | • Population health activities |
| • Community engagement | |
| • Patient enrolment | |
| Reduce health inequalities | • Local initiatives, eg, Closing the Gap (Australia) |
| Improve access | • After-hours care |
| • Contracting with providers | |
| Integrated care | • Disease management |
| • Coordinated and integrated service delivery | |
| Multidisciplinary workforce | • Access to GP-led expanded PHC teams |
| Quality and safety | • Clinical and practice support |
| • Monitoring quality and accreditation | |
| Integrated education and training | |
| Vertically integrated professional development | • Multidisciplinary continuous professional development |
| Integrated communications technology | |
| Enhance clinical data sharing | • Electronic discharge summary and referrals; personally controlled electronic health record |
| Integrated governance | |
| Improve linkage | • Act as link between macro- and microlevels of the system |
| • Link between primary and secondary sectors | |
| • Link between “horizontal” components of the system, eg, housing and employment | |
| Allocation of regional budgets | • Commissioning services |
| Local/regional decision making | • Run by independent boards |
GP, general practitioner; PHC, primary health care.