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    That’s a very good report, Melissa. I didn’t attend the workshop but it strengthened my view that we must continue to focus on the health outcomes of our local populations and to approach the changes with a positive and constructive mindset. It is very easy to be cynical and negative. The question is how can we work in this dynamic environment to improve the health of our community?

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    Thank you for this very useful report, Melissa. It certainly seems as if the process was a interesting way in which to expose what are likely to be some of the actual (as opposed to imagined) challenges of implementing the reforms.

    I just wanted to add my voice to those seeking to ensure that the impact of the reforms is measured in terms of improved population health outcomes and health equity – locally and nationally.

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    Stuart Hamilton

    As another participant, I can say this is a fair commentary about what went on. Thanks Melissa.

    Stuart Hamilton (Commonwealth Health Secretary 1988-93)

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    Raymond Bange

    Thank you for that informative report Melissa. I must agree with the need for greater integration of services and the need for an holistic approach to health care particularly in the area of primary care.

    Although I attempt to maintain a watching brief on the reform process and how it considers (or most often forgets) the integration of emergency medical services with the hospital and other sectors, I somehow missed noting this event sponsored by the AHHA.

    The result was that I did not attend nor am I aware of other professional paramedic colleagues being there. With more than 3 million incidents being dealt with by Australian EMS providers annually, we may have been able to learn much and contribute effectively to the debate/simulation.

    Perhaps it was because once again the paramedic profession was forgotten as key practitioners in the delivery of primary crisis care outside the traditional hospital and clinic boundaries, and not approached to participate as potential stakeholders.

    That has happened in the past, and for the sake of better patient care, I would mention that the profession takes a keen interest in the patient journey from the point of initial need and the myriad policy and other decisions that will help to shape the final patient outcomes. For too long the contributions of paramedics and EMS have been forgotten as a vital component in the continuum of care and that situation must change.

    Not only do paramedics hold the confidence of the community as Australia’s most trusted profession [ ], but they also have a depth and breadth of practical clinical expertise that can better inform policy.
    Bob Wells has a point – and paramedics are among those who should be engaged to the extent possible in future policy discussions. That way we may see new models of interprofessional care with extended practice and community paramedics that will potentially help to reduce the demand on hospitals, and through better funding and management, help to minimise problems like access block.

    Ray Bange
    Principal Policy Advisor, Paramedics Australasia

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    dan meek

    Great report and really insightful comments, especially around the lack of interaction between people from different discourses/professional cultures – that’s a major predictor of failure in any system reform, let alone one this big.


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