Evaluation of Structural Change in Primary Care

National health systems are complex and new initiatives are continually being introduced. Well-established instruments exist for evaluating the outcomes of short-term projects and the introduction of new programs within the health system. However, large scale reform involving substantial structural change challenges the ability of existing tools to appropriately evaluate outcomes. In Australia, the National Disability Insurance Scheme (NDIS) and the Health Care Home (HCH) initiatives are examples of structural change although they are not widely recognised as such. This research makes an important contribution to knowledge by exploring structural change and using this exploration to develop new methods for evaluating structural change in the context of primary care in Australia.