Quote:
Originally Posted by Roughneck
A centralized health service is no good, you know what’s better?
Four centralized health services, all with overlap and redundancies in procurement and delivery.
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I'm just trying to figure out how that works practically. We used to have regional health boards, but I believe everything was handled geographically. I think a big challenge with this new system will be how they handle budgeting. Does each one get a certain budget? If so, I can see lots of "that's not our job" going on to keep their performance looking as good as possible. So you can see AHS doing whatever they can to offload patients to continuing care, while continuing care would resist taking patients as much as possible. I'm sure there are no shortage of examples on this one.
Creating silos of care seems requires some overarching organization to deal with overlaps,"not my jobs", and transfers. It seems kinda like this is going to be the Minister and their integration council to handle? So now politicians are involved directly in patient care decisions.
And what is the goal? How are we measuring success or failure? Or are we just doing it because reasons...