title: Public health service options for affordable and accessible noncommunicable disease and related chronic disease prevention and management.
abstract: Globally, nations are confronted with the challenge of providing affordable health services to populations with increasing levels of noncommunicable and chronic disease. Paradoxically, many nations can both celebrate increases in life expectancy and bemoan parallel increases in chronic disease prevalence. Simply put, despite living longer, not all of that time is spent in good health. Combined with factors such as rising levels of obesity and related noncommunicable disease, the demand for health services is requiring nations to consider new models of affordable health care. Given the level of disease burden, all staff, not just doctors, need to be part of the solution and encouraged to innovate and deliver better and more affordable health care, particularly preventative primary health care services. This paper draws attention to a range of exemplars to encourage and stimulate readers to think beyond traditional models of primary health service delivery. Examples include nurse-led, allied health-led, and student-led clinics; student-assisted services; and community empowerment models. These are reported for the interest of policy makers and health service managers involved in preventative and primary health service redesign initiatives.
authors.affiliation: Workforce and Health Services, Griffith Health, Griffith University, Gold Coast, QLD, Australia ; Oxford PRAXIS Forum, Green Templeton College, Oxford University, Oxford, United Kingdom.
authors.forename: Sharon
authors.initials: S
authors.lastname: Brownie
authors.affiliation: Allied Health Research, Mater Research Institute - The University of Queensland and Mater Mothers' Hospital, South Brisbane, QLD, Australia ; Griffith Health Institute, Griffith Health, Griffith University, Gold Coast, QLD, Australia.
authors.forename: Andrew P
authors.initials: AP
authors.lastname: Hills
authors.affiliation: MMHN and Nurse Practitioner Programs, School of Nursing and Midwifery, University of Newcastle, Callaghan, NSW, Australia.
authors.forename: Rachel
authors.initials: R
authors.lastname: Rossiter
keywords: allied health personnel; community health care; health workforce; nurse-led clinics; primary health care planning