In reply: Pertussis: adults as a source in healthcare settings
In reply: Pertussis: adults as a source in healthcare settings
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回复：百日咳：成人作为医疗机构的来源
DOI：
10.5694/j.1326-5377.2003.tb05150.x
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发表时间：
2003
影响因子：
11.4
通讯作者：
Robert L Horvath
中科院分区：
文献类型：
--
作者：
Joseph G McCormack;N. Spearing;Robert L Horvath
里德和帕特森都没有提供任何明确的建议，承认将决定Achas结果的关键因素。这是任何联邦制度几乎都不可避免地会造成的政策僵局。最近一期的《卫生政治、政策和法律》杂志专门讨论了联邦系统中的卫生政治和政策。编辑彼得森总结了一个与澳大利亚相关的观点：“你可以喜欢它，也可以讨厌它，但是……联邦主义阻碍了统一性和普遍性，阻碍了响应性和政策分析，限制了大规模创新，同时搅动了更多本地化的想法产生和推广工厂，并使S成为卫生政策研究人员的永久就业计划“。普通做法就是一个例子。这一部门，以不同的组织和资金，可以为社区、医疗系统的其他部分、联邦政府和全科医生本身提供更多的服务。这一领域的变化将不会依赖于各级政府之间不太可能的合作，而且将比里德和帕特森猜测的繁杂的全系统改革更容易管理。
neither Reid nor Paterson provide any explicit suggestions that recognise the key factor that will determine the outcome of the ACHAs. This is the policy gridlock that any federal system almost inevitably imposes. A recent issue of the Journal of Health Politics, Policy and Law was devoted to health politics and policy in a federal system. The editor, Petersen, concludes with a view relevant to Australia: “You can love it, you can hate it, but ... federalism thwarts uniformity and universalism, frustrates responsiveness and policy analysis, limits large scale innovation while churning more localized mills of idea generation and promot ion , and o f f e r s a per manent employment plan for health policy researchers”.3 Parts of Australian health arrangements certainly need an overhaul. An example is general practice. This sector, differently organised and financed, could deliver much more to the community, the rest of the healthcare system, the Federal Government and to general practitioners themselves. Change in this sector would not depend on improbable cooperation between levels of government, and would be more manageable than the multifarious whole-of-system reforms about which Reid and Paterson speculate.