New primary healthcare organisations: recognising opportunities to transition to transformative healthcare organisations?

O'Shea, Eidin and Palmer, Victoria (2014) New primary healthcare organisations: recognising opportunities to transition to transformative healthcare organisations? Journal of Organisational Transformation and Social Change, 11 (2). pp. 125-140. ISSN 1477-9633


Like many governments across the globe, the Australian Government has embarked on major healthcare reforms. Part of this reform agenda included the establishment of sixty-two primary healthcare organisations (PHOs) originally called Medicare Locals (MLs), currently to be re-structured as primary healthcare networks. Primary health organisations were tasked with the coordination of primary health care delivery and with tackling local healthcare needs and service gaps. They were to drive improvements in primary healthcare and ensure that services are better tailored and integrated to meet the needs of local communities. This article puts forward the argument that new primary healthcare organisations have the potential and the ethical aspects of healthcare organisations are largely overlooked in the literature. To address this gap we outline two complementary frameworks: a theory of ethical communities and an emancipatory method. We conclude that these frameworks could be used as potential guides for new healthcare organisations to become transformative organisations.

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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: © W. S. Maney & Son Ltd 2014. Permanent restricted access to published version in accordance with the copyright policy of the publisher.
Faculty/School / Institute/Centre: No Faculty
Faculty/School / Institute/Centre: No Faculty
Date Deposited: 28 Aug 2014 05:46
Last Modified: 04 Jul 2016 06:22
Uncontrolled Keywords: primary healthcare; Medicare Locals; transformative; emancipatory; ethical and moral communities; health reform
Fields of Research (2008): 16 Studies in Human Society > 1605 Policy and Administration > 160508 Health Policy
11 Medical and Health Sciences > 1117 Public Health and Health Services > 111799 Public Health and Health Services not elsewhere classified
15 Commerce, Management, Tourism and Services > 1503 Business and Management > 150312 Organisational Planning and Management
Fields of Research (2020): 44 HUMAN SOCIETY > 4407 Policy and administration > 440706 Health policy
42 HEALTH SCIENCES > 4299 Other health sciences > 429999 Other health sciences not elsewhere classified
35 COMMERCE, MANAGEMENT, TOURISM AND SERVICES > 3507 Strategy, management and organisational behaviour > 350711 Organisational planning and management
Socio-Economic Objectives (2008): C Society > 92 Health > 9204 Public Health (excl. Specific Population Health) > 920413 Social Structure and Health
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