On networks and silos

A brief comment this morning, as I’m struggling with sinus problems and hayfever (oh the joys of spring!).

I was thinking about the need to develop networks between groups of health providers working in different settings and different systems.  It seems sensible to me at least that we should be aware of what other providers have available within our communities – at least so we know the options for the people we are working with, even if we can’t directly refer to those providers because of funding issues.  But this is a vexed question because I work in a public facility, and traditionally the relationships between public and private facilities in New Zealand have been at arms-length.

The managers of public facilities seem to view private practices as places of lush finances where money is no object and therefore somewhat suspect.  At the same time, private facilities look at public clinics as places where efficiency isn’t necessary because there is a steady flow of money coming in from Government… (more…)