PHN South Western Sydney
Innovative Models Promoting Access-to-Care Transformation (IMPACT) Study
The IMPACT study is a five year research program that aims to develop and evaluate models of care that enhance access and reduce unmet need, avoidable emergency department visits and avoidable hospitalisations for vulnerable populations. South Western Sydney Medicare Local has partnered with the University of NSW Centre for Primary Health Care and Equity, and the South Western Sydney Local Health District to undertake this project.
The research is conducted by Local Innovation Partnerships (LIPs) set up in regions of 3 Australian states and 3 Canadian provinces (Alberta, Ontario and Québec). It has four main objectives:
- To develop a network of partnerships between decision makers, researchers, clinicians and members of the vulnerable communities to support the improvement of access to primary health care for vulnerable populations;
- To identify organisational, system level community based primary health care interventions designed to improve access to appropriate care for vulnerable populations, and establish the effectiveness and scalability of the most promising organisational innovations;
- To support the selection, adaptation and implementation of organisational innovations that align with local populations’ needs and priorities; and
- To evaluate the effectiveness and efficiency and further scalability of these organisational innovations.
The IMPACT program of research involves four interconnected research projects:
- Project 1 – Scoping of organizational innovations
- Project 2 – Realist view of potential innovations
- Project 3 – Context and improving access
- Project 4 – Trialing evidence based access innovations locally
The LIPs will identify regional gaps in access to community based primary health care for vulnerable populations, and then work with researchers to identify evidence based approaches to address these gaps. Promising innovations will be trialed and evaluated in each of the LIP regions.