Stakeholder viewsIn the survey of service providers, coordination was assessed as good in 55% of locations, adequate in 38% of locations and poor in 7% of locations (Table 67). Coordination problems were more common for remote and very remote locations, where it was assessed as adequate for 49% of locations and poor for 14% of locations.
Table 67 - MSOAP provider views on coordination, selected locations
|How well coordinated are the outreach services provided in this location?||Inner and Outer Regional||Remote and Very Remote||Total|
|1. Good coordination, problem are rare||64%||37%||55%|
|2. Adequate coordination, there are some problems, but these do not greatly affect the services provided||32%||49%||38%|
|3. Poor coordination, there are regular problems, which have a detrimental effect on the services provided||4%||14%||7%|
Source: HPA survey of MSOAP service providers, 2011. See also Table 3.24 in Volume 3.
Table 68 - MSOAP specialist follow up communications with local health care providers, selected communities
|In this location/town how do you communicate with a patient's GP/health service medical officer following a consultation with a patient?||Inner and Outer Regional||Remote and Very Remote||Total|
|2.1 Face to face or telephone discussion with the GP where required||34%||31%||33%|
|3.1 Notes are entered directly onto the electronic health system of the GP/health service||8%||19%||11%|
Source: HPA survey of MSOAP service providers, 2011. See also Table 3.26 in Volume 3.
Coordination of visiting services emerged as a significant issue for stakeholders consulted. Coordination issues exist at a several different level in relation to outreach services. One level is the coordination of travel and accommodation for visiting specialists and teams. Arrangements for this level of coordination vary from:
- no specific assistance
- coordination by the fundholder
- coordination by a local staff member located in a GP division
- coordination by a local staff member located in a state health service.
In some situations eye health coordinators play this local role for outreach eye health services (including visiting optometry services).
Several stakeholders argued that good local coordination is a critical but often overlooked ingredient for successful outreach services. They believed that there needed to be more investment in this side of outreach services.