รายงานการศึกษาประสบการณ์การปฏิรูประบบสุขภาพ : กรณีศึกษาประเทศออสเตรเลีย

Abstract

Health Systems Reform in AustraliaIn Australia, equity of access to health care among the poor was a social and political concern since the country was in dependent from the UK. For the past, the reforming of national health insurance aimed at improving equity of access to health care had been experienced with the conflicts rather than consensus. Two interest groups which were influential to the reforming of health insurance, were political parties and the medical profession. The labor and the liberal, the two major parties were distinct in their ideologies of national health insurance while the medical profession was at the same side of the liberal. It was undouted that changes to the context of national health insurance policy were often made in correspond with who won the seats of the parliament. The reforming highlighted the parliamental process in which Health Insurance Act was developed and on and off corrected to support the policy. This process resulted in little public support for the policy due to a lack of various interest groups consultation. Community participation and establishment of interest groups partnership became a key concept of health care reform and policy development since the 1980s. It was believed that this reforming process would make more sustained and transparent policy. Simply said, health policy development in increasinglyshifted to collaborations and consensus creation in expecting for sustained policy.