Comments on: Public service balanced or merely on a knife edge? http://www.climateconversation.wordshine.co.nz/2011/09/public-service-balanced-or-merely-on-a-knife-edge/ Taking the heat out of global warming Tue, 22 May 2012 08:22:20 +0000 hourly 1 http://wordpress.org/?v=3.3.2 By: Mike Jowsey http://www.climateconversation.wordshine.co.nz/2011/09/public-service-balanced-or-merely-on-a-knife-edge/comment-page-1/#comment-66607 Mike Jowsey Mon, 05 Sep 2011 20:10:04 +0000 http://www.climateconversation.wordshine.co.nz/?p=11320#comment-66607 It's refreshing to see such a holistic and distributed approach. The paradigm change from outputs to outcomes is huge. My adult daughter is consulting to the Australian government on combined services for multi-morbidity patients (her Phd is in medical anthropology), where traditionally each patient is attended by a raft of specialists, health care workers, social support agencies, welfare agencies and so on. Because each agency is focused on one area only, not only does the patient spend a lot of time getting around them all, often the various treatments conflict, and other aspects of the patient's life which impact on his/her health are missed. It's a big challenge for all concerned. The concept of outcomes versus outputs is helpful. It’s refreshing to see such a holistic and distributed approach. The paradigm change from outputs to outcomes is huge. My adult daughter is consulting to the Australian government on combined services for multi-morbidity patients (her Phd is in medical anthropology), where traditionally each patient is attended by a raft of specialists, health care workers, social support agencies, welfare agencies and so on. Because each agency is focused on one area only, not only does the patient spend a lot of time getting around them all, often the various treatments conflict, and other aspects of the patient’s life which impact on his/her health are missed. It’s a big challenge for all concerned. The concept of outcomes versus outputs is helpful.

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