To the Editor: I would like to commend Penington for his insightful opinion piece regarding the challenges facing the Australian health system over the next decade.1 I, and I am sure many others, share his warranted concern regarding the future of quality and safety in health care in a politically charged, target-based funding system.
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- 1. Penington DG. Challenges in health policy: the next 10 years. Med J Aust 2013; 199: 153. <MJA full text>
- 2. McKeon S, Alexander E, Brodaty H, et al. Strategic review of health and medical research. Final report February 2013. Canberra: Australian Government Department of Health and Ageing, 2013. http://www.mckeonreview.org.au/downloads/Strategic_Review_of_Health_and_Medical_Research_Feb_2013-Final_Report.pdf (accessed Aug 2013).
- 3. Jones P, Schimanski K. The four hour target to reduce emergency department ‘waiting time’: a systematic review of clinical outcomes. Emerg Med Australas 2010; 22: 391-398.
- 4. UK Healthcare Commission. Investigation into Mid Staffordshire NHS foundation trust. Summary report. London: Commission for Health Audit and Inspection, 2009. http://image. guardian.co.uk/sys-files/Guardian/documents/2009/03/17/Investigation_into_Mid_Staffordshire_NHS_Foundation_Trust_Summary.pdf (accessed Aug 2013).
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