RESUMO
The 'Australian Consensus Framework for Ethical Collaboration in the Healthcare Sector' (ACF) is an Australian initiative aimed at countering dysfunction and growing mistrust in the health sector through the development of a cross-sectoral consensus framework. The development of this framework arose from Australia's involvement in the Asia Pacific Economic Cooperative (APEC) and has since become the largest of its kind internationally, with over 70 signatories representing professional bodies, industry organisations, hospital and health services associations, regulators and patient and advocacy groups. In this article, we describe and critique the framework and outline its implementation.
Assuntos
Atenção à Saúde , Setor de Assistência à Saúde , Austrália , Consenso , HumanosAssuntos
Equidade em Saúde/estatística & dados numéricos , Acessibilidade aos Serviços de Saúde/estatística & dados numéricos , Hospitais/normas , Austrália/epidemiologia , Austrália/etnologia , Feminino , Equidade em Saúde/tendências , Acessibilidade aos Serviços de Saúde/tendências , Hospitais/estatística & dados numéricos , Humanos , Liderança , Expectativa de Vida/etnologia , Nova Zelândia/epidemiologia , Paquistão/epidemiologia , Atenção Primária à Saúde/economia , Atenção Primária à Saúde/normas , Ruanda/epidemiologiaRESUMO
Australian governments and health service providers play a continual role in ensuring efficient healthcare budget use, which also concerns the meeting of goals within a universal health system, and ensuring compliance with relevant legislation and regulations. As is the case in most developed countries, there is substantial pressure on healthcare budgets, and this in turn places pressure on the capacity of governments to fund universal healthcare. The mixed public-private system in Australia has some imperfections including the fragmentation of care and limitations to fund use oversight, however overall, the system serves Australians relatively well. This article explores the Australian approach to a mixed public-private system and considers some of the complexities which arise as it to support universal healthcare.