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A framework to support team-based models of primary care within the Australian health care system

This is a republished version of an article previously published in MJA Open

Health systems with strong primary care orientations are known to be associated with improved equity, better access for patients to an increased number of appropriate services at lower costs, and improved population health.1,2 However, these health systems also need to be able to respond to the increasing demands created by an ageing population and workforce, and increasing complexity in primary care presentations. This needs to occur in the setting of health systems that are becoming increasingly complicated and fragmented. Problems such as workforce shortages and maldistribution of workforce skill mix and roles within geographical and service settings lead to services not always matching the needs of patients.

Team-based models of care have emerged in response to such demands on health systems.3,4 The prevailing pattern of service delivery is evolving, from the solo…