Beyond engagement: consumers and communities as agents of health care change and improvement AUSTRALIAN PRIMARY HEALTHCARE INSIGHTS AND INNOVATION VODCAST SERIES. Highlights from Vodcast 3
A Joint Prestantia Health and AUDIENCED Production, with
- Dr Coralie Wales OAM, Honorary Community Fellow, Western Sydney University
- Dr Paresh Dawda, GP Lead and Adviser, Founder Prestantia Health
- Dr Tara Kiran, Family Physician and Scientist, St Michaels Hospital, Unity Health Toronto and Fidani Chair in Improvement and Innovation, University of Toronto
FACILITATOR
Leanne Wells, Associate Consultant, Prestantia Health
Australian Health Journal Segment
Filmed Online | April 2025
In a recently convened online conversation, expert and community leaders in primary health care, were invited to participate in an international panel in for the third vodcast in the Australian Primary Health Care Insights and Innovation Series.
The series is a thought leadership initiative which features vodcasts and accompanying blogs covering predominantly primary care related topics of contemporary or emerging interest to health care policy makers, clinicians, researchers, improvers, commissioning organisations and consumers. The series is designed to stimulate discussion and reflection about the learnings and experience of health system experts from across Australia and around the world.
The first vodcast in the Australian Primary Health Care Insights and Innovation Series highlighted that health system leadership must include consumer and community leadership. Harnessed and supported in the right way, consumer insights and preferences improve policies, services, experiences and outcomes.
Policymakers, health administrators and clinicians must learn and embrace new ways to harness the transformative role consumers, community members and carers can play. Conversely, consumers and communities need support, capability and capacity to engage as equals in policy, research, program and service design. This is necessary if are to be less technocratic and realise the vision where all members of society can live the best life possible.
As developed countries grapple with sustainability and how best to assure and strengthen primary health care, it is important that our system leaders and those who translate policy into services build trust by developing and demonstrating that they have a firm grasp on consumer and community expectations and preferences.
Our system already features many ways to support consumer and community involvement. There are formal processes, including Royal Commissions, parliamentary inquiries, and government-led consultations. The Australian Commission for Safety and Quality in Healthcare mandates a partnering with consumer standard against which all hospitals are accredited. Primary Health Networks (PHNs) are required to have a community advisory committee as part of their governance structures, and it is commonplace for local hospital networks to have some form of consumer engagement forum.
To further elevate and underscore the importance of consumer and community involvement, the World Health Organisation (WHO) has produced a social participation declaration. It too recognises that lived experience and knowledge shapes better policy, more inclusive health systems, improved services, experiences and outcomes. It also recognises that while people are increasingly being engaged as partners in health systems, recognition and influence is variable. Most importantly, the resolution makes social participation a core function within health systems, committing countries to strengthening, systematising and sustaining social participation.
Source: Excerpts from Prestantia Health blog post written by Leanne Wells
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New treatment options under investigation for pelvic organ prolapse
Dr Shayanti Mukherjee, Research Group Head, Translational Tissue Engineering at the with her team at Hudson Institute of Medical Research is developing new ways to prevent and potential cure pelvic organ prolapse (POP). The technology aims to ultimately lead to safer and more effective treatment for women with pelvic organ prolapse (POP) using a woman’s own stem cells to boost the effectiveness of a degradable mesh.
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Continuity of Care under COVID-19
Series 3, Episode 1
Under the COVID-19 pandemic, the Australian Healthcare system has handled the public health crisis by monitoring and responding to challenges in supply chains, testing & tracing of new infections and stock piling of essential equipment.
The public has largely responded by practising social distancing, understanding how hand hygiene can spread contagion and recently installing the COVIDSafe mobile application. Public health messaging has been largely effective and literacy improve, to combat the dangers of misinformation.
To open up access to medical advice during the pandemic, in March the Australian government issued MBS item codes for telehealth consultations, for advanced practice nurses as well as GPs and other specialists.
According to AMA President Dr Tony Bartone, as of mid-May 2020, around 10 million Medicare-funded telehealth services have been provided, either over the phone or via video, a significant majority of which have been provided by GPs and other specialists since the Medicare telehealth items were introduced in March.
However in recent months, the health system has mounting concerns on:
- a reduction in general practice visits for testing, investigation or immunisation
- lower rates of elective procedures resuming since being halted
- reduction in laboratory testing
- reduction in treatments and diagnosis of chronic and acute conditions
- access to, and continuing to take medications
Those with pre-existing conditions have been urged to keep appointments and routine treatments to maintain their health.
Industry has taken action such as the newly formed Continuity of Care Collaboration (CCC). The 15 health organisations forming CCC are an Australian first national communication collaboration of Peak Bodies, Industry and Healthcare Organisations coming together to stress the importance for people to continue monitoring their health and maintaining their regular care.
This Australian Health Journal episode on the continuity of care was produced with commentary from the following health industry associations and organisations: APNA – Australian Primary Health Care Nurses Association, RACGP, Medical Technology Association of Australia (MTAA), West Cessnock Medical Practice, Consumers Health Forum of Australia, Medicines Australia
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Specialist emergency care clinics in rollout
Unlike Emergency Departments that operate within public hospitals and some private hospitals, a Walk-in Specialist Emergency Clinic is located in the community and designed to provide comprehensive, coordinated acute care – from initial consultation and diagnostic services, to treatment and specialist referral if required – without the patient having to visit a hospital.
Australian Health Journal spoke to the visionary, founder and CEO behind this WiSE Specialist Emergency clinic, Dr Pankaj Arora.
