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HealthPathways: creating a pathway for health systems reform

Resource type
Authors/contributors
Title
HealthPathways: creating a pathway for health systems reform
Abstract
Inefficiencies in the co-ordination and integration of primary and secondary care services in Australia, have led to increases in waiting times, unnecessary presentations to emergency departments and issues around poor discharge of patients. HealthPathways is a program developed in Canterbury, New Zealand, that builds relationships between General Practitioners and Specialists and uses information technology so that efficiency is maximised and the right patient is given the right care at the right time. Healthpathways is being implemented by a number of Medicare Locals across Australia however, little is known about the impact HealthPathways may have in Australia. This article provides a short description of HealthPathways and considers what it may offer in the Australian context and some of the barriers and facilitators to implementation. What is known about the topic? Early evidence on HealthPathways suggests that the program does seem to be strengthening relationships between GPs and secondary care specialists. In New Zealand advances in efficiency and system integration have been noted. However, there is limited evidence on the effectiveness of HealthPathways in Australia. What does this paper add? It is one of the first published papers to provide a perspective around HealthPathways and draws existing evidence and research to explore some of the barriers and facilitators to the development and implementation of HealthPathways in Australia. What are the implications for practitioners’? Early evidence suggests HealthPathways could help GPs and other practitioners’ in the delivery of health services, it could also help to strengthen practitioner relationships.
Publication
Australian Health Review
Date
2015/02/24
Volume
39
Issue
1
Pages
9-11
Journal Abbr
Aust. Health Review
Accessed
11/27/19, 8:41 PM
ISSN
1449-8944
Short Title
HealthPathways
Language
en
Library Catalog
Notes

Study topic: Overview of HealthPathways as a model for improving integration between primary and secondary care in Australia, based on its origins in Canterbury, New Zealand.

Study type: Perspective / policy analysis

Key findings:

  • HealthPathways is a web-based clinical guidance and referral system developed in Canterbury, NZ, now adopted by 16 Medicare Locals in Australia.
  • It aims to improve patient outcomes by streamlining referrals, reducing unnecessary hospital admissions, and strengthening GP–specialist relationships.
  • The program is built on collaboration across the health sector, with pathways tailored to local services and resources.
  • Early evidence from Canterbury shows efficiency gains, such as a shift of skin lesion removals from hospital to community settings.
  • In Australia, implementation faces challenges including fragmented governance, limited primary care data, and sustainability concerns due to health system reforms.
  • Success depends on local buy-in, integration with broader system reforms, and robust evaluation of outcomes and return on investment.
Citation
Robinson, S., Varhol, R., Bell, C., Quirk, F., & Durrington, L. (2015). HealthPathways: creating a pathway for health systems reform. Australian Health Review, 39(1), 9–11. https://doi.org/10.1071/AH14155