Australian health policies have not kept pace with change and the sustainability of the Australian health system is under threat. Health care costs are rising, services face inconsistent communication, greater administrative burden and escalating workloads – without timely support and resources. Significant inequities persist in access to care and outcomes, while climate change threatens to further widen these gaps and increase the strain on healthcare systems and the people they serve. 

 To address these challenges, this paper proposes a shift to a more outcomes-focused, value-based health care that better aligns with contemporary needs, supports the workforce and prioritises equity.

Proposals for government

1. Measure and report what matters.
2. Build a sustainable and resilient health workforce incentivised to achieve person-centred care and meet population needs.
3. Provide stewardship and support that enables regional innovation and reform.
4. Use funding models that incentivise improved health outcomes for people and communities.