ArticleHealth research policy and systems2023
Factors that influence evidence-informed meso-level regional primary health care planning: a qualitative examination and conceptual framework.
Article in Health research policy and systems, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Public primary healthcare service network planning in Finland: a document analysis of principles, justifications, and future directions.Scandinavian journal of primary health care · 2026Article
- Australian Community Health and Primary Health Care Policies from 1970s to 2020s: A Policy Analysis of Changing Interpretations.International journal of social determinants of health and health services · 2026Article
- Health Professionals' Perspectives on the Provision of Mental Health Services for People with Mental Health Problems and HIV: A Qualitative Study.Healthcare (Basel, Switzerland) · 2026Article
- Comparison of national health planning policies in China and ASEAN: a PMC-index model analysis.Cost effectiveness and resource allocation : C/E · 2026Article
- Safe and effective genomic medicine implementation in hospitals: a scoping review.BMJ open quality · 2025Article
- Use of evidence to inform regional primary health care planning in Australia.Health research policy and systems · 2025Article
- Efficiency dynamics in Latin American healthcare reforms: a comprehensive growth mixture analysis within institutional theory.Journal of health organization and management · 2025Article
- Policy analysis in sport: a review of mainstream meso-level frameworks and developing more sustainable policy for grassroots sport.Frontiers in sports and active living · 2025Review
- The Role of Nurse Implementation Scientists in Leading Health System Transformation in Atlantic Canada and Beyond: A Discussion Paper.Journal of advanced nursing · 2024Review
- Addressing integration in the organization of palliative care in belgium: a multilevel ecosystems approach using the analytic hierarchy process (AHP) method.BMC palliative care · 2024Article
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4 authors.
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Abstract
backgroundEvidence-informed primary health care (PHC) planning in decentralised, meso-level regional organisations has received little research attention. In this paper we examine the factors that influence planning within this environment, and present a conceptual framework.
methodsWe employed mixed methods: case studies of five Australian Primary Health Networks (PHNs), involving 29 primary interviews and secondary analysis of 38 prior interviews; and analysis of planning documents from all 31 PHNs. The analysis was informed by a WHO framework of evidence-informed policy-making, and institutional theory.
resultsInfluential actors included federal and state/territory governments, Local Health Networks, Aboriginal Community Controlled Health Organisations, local councils, public hospitals, community health services, and providers of allied health, mental health and aged care services. The federal government was most influential, constraining PHNs' planning scope, time and funding. Other external factors included: the health service landscape; local socio-demographic and geographic characteristics; (neoliberal) ideology; interests and politics; national policy settings and reforms; and system reorganisation. Internal factors included: organisational structure; culture, values and ideology; various capacity factors; planning processes; transition history; and experience. The additional regional layer of context adds to the complexity of planning.
conclusionsLike national health policy-making, meso-level PHC planning occurs in a complex environment, but with additional regional factors and influences. We have developed a conceptual framework of the meso-level PHC planning environment, which can be employed by similar regional organisations to elucidate influential factors, and develop strategies and tools to promote transparent, evidence-informed PHC planning for better health outcomes.
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