| Learning Objective #1: Recognize similarities in patient care needs in different cultures around the world | |||
| Learning Objective #2: Identify creative solutions to difficult health care problems in different populations |
The purpose of this work was to learn about the health care system and case management in Australia and to evaluate the comparisons for US extrapolation and dissemination. The evidence is descriptive work that shares perspectives through the view of informants from Australia and New Zealand. Data was collected in on- site interviews by the author between January 16,1999 and March 16, 1999. Interviews included a sample of public participants in their homes or offices, at workshops and online. The literature review from these countries reveals changes in provision of health care in these countries. Work by Summers (1997) describes this change in health care funding as based on output rather than client focused need in the State of Victoria. Yarmo, D, McDonald, M, Wenburn, J. (1998) state that case management has the potential to improve quality of care for patients by streamlining alliances within organizations and lowering health care expenditures. Yarmo et al (1998) says in Australia, the concept of case management has been inviting because it acknowledges the importance of continuity of care, addresses quality and cost effectiveness. The planned strategy for improvement was sharing findings and revealing similarities among the cultural themes and case management roles compared to the United States. The outcomes are revealed in personal stories that illustrate the need for the role of case management in providing quality, cost effective health services in all health care systems. The lessons learned include the dedication, ingenuity, and creativity required to meet the challenges of different cultural beliefs on the provision of health care.
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