Australian Journal of Primary Health, 2018, 24, 29–53 (17 January 2018)
Abstract.
- A rapid review of academic and grey literature (2006 - 2016) was undertaken to describe the use of systems levers in commissioning primary care services. Twenty-six levers were identified from 56 documents. Referral management, contracts and tendering processes, and health information systems were identified as useful levers for implementing stepped care approaches.
- Location, enrolment, capitation and health information systems were identified as useful in implementing a healthcare homes approach. Other levers were relevant to overall health system functioning.
- Further work is needed to develop a robust evidence-base for systems levers.
- Primary Health Networks can facilitate this by documenting and evaluating the levers that they deploy, and making their findings available to researchers and other commissioning bodies.
