Commissioning health services for First Nations, regional, and remote populations: a scoping review
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Summary
This summary is machine-generated.A relational model, emphasizing responsiveness, resources, collaboration, equity, innovation, and self-determination, is key to successful health service commissioning for Indigenous populations. This approach improves healthcare access and wellbeing.
Area Of Science
- Public Health
- Health Services Research
- Indigenous Health
Background
- Health service commissioning is utilized to enhance healthcare quality and access for First Nations, regional, and remote populations.
- This review systematically examines literature on the governance, funding, implementation, and outcomes of health service commissioning for these groups in CANZUS nations.
Purpose Of The Study
- To systematically scope the literature on health service commissioning for First Nations, regional, and remote populations.
- To identify enablers, strategies, and challenges in the commissioning of health services for these populations.
Main Methods
- A systematic search of 17 databases for peer-reviewed and grey literature from 2010 to 2023.
- Grounded theory methods were employed to analyze identified studies.
Main Results
- Effective commissioning requires responsive operating models, capable workforces, flexible contracts, adequate funding, and clear outcomes.
- Key strategies include multi-actor collaboration, relationship building, and service innovation, leading to improved access and self-determination.
- Challenges involve inflexible funding, high costs, overcompliance, and poor relationships; impact assessments are limited.
Conclusions
- A relational model, characterized by responsiveness, resources, collaboration, equity, innovation, and self-determination, drives successful health and wellbeing service commissioning.
- This relational model, applied by multiple actors, can effectively address the complex health needs of First Nations, regional, and remote populations.
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