Value co-creation driving Australian primary care reform.

or over 20 years, the composition, delivery and importance of primary care have been the subject F of quickening international reform. In 1993, the United Kingdom government announced a “primary care-led” National Health Service, underpinned by primary care commissioning and general practitioner fundholding, both vehicles to allow local primary care clinicians to influence government purchasing of health services for their community. In 2001, New Zealand introduced its primary health organisations, delivering comprehensive primary health services to enrolled populations either directly or through provider members. In 2007, the United States described the patient-centered medical home — an approach now linked with provider accountability, care analytics, and a focus on population health and the Affordable Care Act, often referred to as ObamaCare. This was signed into US law in March 2010 and aims to expand the affordability, quality and availability of private and public health insurance through consumer protections, regulations, insurance exchanges and other reform.