Evaluation of the Better Access to Psychiatrists, Psychologists and General Practitioners through the Medicare Benefits Schedule initiative: summative evaluation

Appendix 1: Relationship between original evaluation framework and current evaluation questions

Page last updated: 22 February 2011

Original evaluation framework domain

Original evaluation framework question
Current evaluation
questions(s)
1. Access to services1a. To what extent has the Better Access initiative provided access to mental health care for people with mental disorders? Across all of Australia? Across all age groups

1a, 1b, 1c, 1e
1. Access to services1b. To what extent has the Better Access initiative provided access to affordable care?

1a, 1b, 1c
1. Access to services1c. To what extent has the Better Access initiative provided equitable access to populations in need? In particular: people living in rural and remote areas; children and young people; older persons; Indigenous Australians; and people from culturally and linguistically diverse backgrounds

1c
2. Appropriateness of services2d. To what extent has the Better Access initiative provided evidencebased mental health care to people with mental disorders?

-
2. Appropriateness of services2e. To what extent has the better Access initiative provided services that match client needs and expectations?

2a
3. Effectiveness of services3f. To what extent has the Better Access initiative improved mental health outcomes for people with a mental disorder?

2a
4. Impact on system of mental health care4g. To what extent has the Better Access initiative provided interdisciplinary mental health care for people with mental disorders?

3b
4. Impact on system of mental health care4h. To what extent has the Better Access initiative impacted on the use of medications commonly prescribed for treatment of mental disorders, in particular anti-depressant medication?

-
4. Impact on system of mental health care4i. To what extent has the Better Access initiative impacted on related Medicare Benefits Schedule services?

1d
4. Impact on system of mental health care4j. To what extent has the Better Access initiative impacted on the
supply and distribution of the allied mental health workforce?

3a
4. Impact on system of mental health care4k. How has the Better Access initiative interacted with other related programs/initiatives, including the Better Outcomes in Mental Health Care program and the More Allied Health Services program?

-
5. Skilled, knowledgeable and integrated workforce5l. To what extent has the Better Access initiative education and training increased the:
  • Knowledge, skills and confidence of GPs in the diagnosis, treatment, management and appropriate referral of people with mental disorders?

  • Knowledge, skills and confidence of the professionals working together to provide interdisciplinary care
3b
5. Skilled, knowledgeable and integrated workforce5m. To what extent has the Better Access initiative provided access to multidisciplinary education and training for GPs, allied mental health professionals and psychiatrists?
    • How many professionals have been trained?

    • Has access been equitable?
3b
5. Skilled, knowledgeable and integrated workforce5n. To what extent have consumers and carers participated in the delivery of education and training activities?

-
5. Skilled, knowledgeable and integrated workforce5o. To what extent has the Better Access initiative changed the practices of GPs, psychiatrists, allied mental health professionals and paediatricians?

3b