dc.contributor.author |
Tenbensel, Timothy |
en |
dc.contributor.author |
Edlin, Richard |
en |
dc.contributor.author |
Field, A |
en |
dc.contributor.author |
Walton, Lisa |
en |
dc.contributor.author |
Neuwelt, Patricia |
en |
dc.contributor.author |
McNeill, Robert |
en |
dc.contributor.author |
Rees, D |
en |
dc.date.accessioned |
2013-09-27T02:58:05Z |
en |
dc.date.issued |
2013-04-24 |
en |
dc.identifier.citation |
24 Apr 2013. Auckland. 75 pages |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/20823 |
en |
dc.description.abstract |
Over the past two decades, access to available and affordable after-hours medical care has emerged as a health policy issue in New Zealand, and in Auckland in particular. In 2011, the Auckland Regional After-Hours Network (ARAHN) - a network of health services funders and providers including District Health Boards (DHBs), Primary Health Organisations (PHOs) and Accident and Medical clinics (A&Ms) - was formed with the objective of addressing the need for coordinated after-hours care in the Auckland region. ARAHN developed the After-Hours Initiative (AHI) which was comprised of the following components: • Subsidised patient co-payments at 11 participating A&M clinics across the Auckland region for 5 categories of patients (under 6s, over 65s, Community Service Card holders, High User Health Card Holders, and residents of high deprivation Census areas) • Opening hours of 8am – 10pm for all 11 participating A&Ms • Subsidised of telephone triage services provided by HomeCare Medical Limited (HML). The AHI was developed to address identified barriers to affordable and accessible after-hours care. Many participants in ARAHN also saw it as a way of addressing the problem of increasing rates of hospital Emergency Department (ED) utilisation. This initiative built on a number of pre-existing services and contractual arrangements. Collectively, DHBs, PHOs and A&Ms contributed $11.8m to fund the three components of the AHI for the 22 month period of 5 September 2011 to 30 June 2013. However, only about $3.2m of this can be considered as new investment into after-hours services. A team of researchers led by the University of Auckland’s School of Population Health were contracted by ARAHN to provide an independent evaluation of the After-Hours Initiative and the progress of the network. The evaluation primarily considers the impact of the additional funding of after-hours services in Auckland. The evaluation team collected data on after-hours service utilisation, carried out a survey of over 500 after-hours patients and conducted 17 key informant interviews. |
en |
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. |
en |
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
en |
dc.title |
Evaluation of Auckland Regional After-Hours Network and the After-Hours Initiative |
en |
dc.type |
Report |
en |
pubs.begin-page |
1 |
en |
pubs.author-url |
http://www.nzdoctor.co.nz/media/2217033/32166_final_report_phase_1_evaluation.pdf |
en |
pubs.commissioning-body |
Auckland Regional After-Hours Healthcare Network |
en |
pubs.end-page |
75 |
en |
pubs.place-of-publication |
Auckland |
en |
pubs.publication-status |
Accepted |
en |
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
Commissioned Report |
en |
pubs.elements-id |
404520 |
en |
pubs.org-id |
Medical and Health Sciences |
en |
pubs.org-id |
Population Health |
en |
pubs.org-id |
Health Systems |
en |
pubs.record-created-at-source-date |
2013-07-19 |
en |