An effective approach to tackling complex health policy challenges. Using a clinical microsystems approach and...

Area of Science:

• Health Policy
• Public Health
• Mental Health Services Research

Background:

• Individuals with severe mental illness (SMI) experience poorer physical health and a reduced life expectancy compared to the general population.
• Despite policy efforts, this life expectancy gap persists, highlighting the need for effective interventions.
• Addressing this complex issue requires a systems-based approach that considers interconnected factors and promotes collaboration.

Purpose of the Study:

• To describe the methods used to develop the Australian Being Equally Well National Policy Roadmap.
• To outline strategies for improving physical health care and extending the lives of people with SMI within Australian primary care.
• To explore the potential of the applied methodology for addressing other complex health policy challenges.

Main Methods:

• A Clinical Microsystem Approach was employed to integrate clinical evidence with professional and lived experience.
• An innovative policy development process fostered trust and collaboration across all system levels.
• Participants with diverse expertise engaged in discrete group work and intensive cross-collaboration.

Main Results:

• The development of the Australian Being Equally Well National Policy Roadmap.
• A methodology focused on primary care interventions to improve physical health for people with SMI.
• Establishment of a collaborative framework involving various stakeholders.

Conclusions:

• The developed roadmap offers a structured approach to improving physical health for individuals with SMI.
• The applied systems-based methodology, integrating diverse expertise, shows promise for tackling complex health policy issues.
• Enhancing primary care is crucial for reducing the life expectancy gap in people with severe mental illness.