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Aim To explore the implementation of poslansia, a community-based integrated health service implemented across Indonesia to improve the health status of older people through health promotion and disease prevention. Methods Data analysis of 307 poslansia surveyed in the 4th wave of Indonesia Family Life Survey ( IFLS-4). We examined the services provided in the programme, resources and perceived problems. Results The services provided by poslansia focused mostly on risk factor screening and treatment for minor illness, and less on health promotion activities. Lack of support from community health centres, no permanent place for holding poslansia and lack of participant interest in joining the programme were associated with fewer services provided in the programme ( P < 0.05). Conclusion The findings indicate existing support from the community, community health centres and related institutions for poslansia is not adequate for optimal service function. Health awareness among the older population should also be increased for programme sustainability. [ABSTRACT FROM AUTHOR]

The article presents a two-phased qualitative study which aims to examine the experiences of patients and carers about interprofessional care. The study analysed data thematically. Results showed the existence of support for the patient-as-professional role, and the characteristics and influencing factors determined could guide patient engagement with support clinicians and interprofessional team to provide patient-centred care.

Outlines arguments concerning the better practice program (BPP) to supplement Medicare and the governmentality of general practice in Australia. Description of the BPP funding formula as a neo-liberal technology; Administrative history of Commonwealth government health policy in the Medicare era; Formulaic mechanism of the BPP.

This article analyses issues inherent in the interaction of public sector managers and consumer advocates, presented from the management perspective. The debate about whether the new managerialism in the Australian Public Service promotes or undermines the values of equity and access highlights the importance of a commitment on the part of management to the active participation of citizens in public service decision-making. Compared with consulting other public sector agencies, consultation with consumers does not take place within common authority structures. In contrast to private sector consumer consultation, public sector consultation is framed by citizens' expectations of the public sector to act in their interests. The political nature of these consultations must be openly acknowledged. Consultation discussions should establish realistic expectations of what can be achieved and try to focus on concrete problems. Trust is built up if consultations take place within a wider framework of communication and support. The article concludes with a discussion of the importance of policy skills for the effective management of consumer consultation. [ABSTRACT FROM AUTHOR]