Australian Government: Australian Institute of Health and Welfare METeOR Home Page

Tier 1-Health system

Is the health system (by itself, and with others) working to prevent illness, injury and disease? Is it delivering safe, effective, and accessible coordinated care appropriate for each individual? Is the health system efficient and sustainable? Is the health system working to support/facilitate mental health recovery? Does the health system address the needs of consumers and family/kin/friends/carers (referred to in this framework as 'consumers and carers') and include them as part of the care?

Dimensions of this framework

  • Accessibility

    People can obtain health care at the right place and right time, taking account of different population needs and the affordability of care.

  • Appropriateness

    Service is a person-centred, culturally appropriate, rights-based, trauma-informed and recovery oriented. Mental health consumers and carers are treated with dignity and confidentiality and encouraged to participate in choices related to their care. Consumers and carers report positive experiences (PROMs & PREMs).

  • Continuity of care

    Ability to provide uninterrupted and integrated care or service across program, practitioners and levels over time. Coordination mechanisms work for mental health consumers, carers and health care providers. Care and support is holistic and includes psychosocial and physical dimensions.

  • Effectiveness

    Care, intervention or action achieves the desired outcome from both the clinical and mental health consumer and carer perspective, as reflected in patient-reported outcomes (PROMs). Care provided is based on evidence-based standards.

  • Efficiency and sustainability

    The right care is delivered at minimum cost and human and physical capital and technology are maintained and renewed while innovation occurs to improve efficiency and respond to emerging needs. Members of the workforce receive appropriate support and report positive experiences.

  • Safety

    The avoidance of, or reduction to, acceptable limits of actual or potential harm (physical or psychological) from health care management or the environment in which health care is delivered. Includes aspects of the safety of care delivered to consumers (including patient-reported incidents and restrictive practices) as well as safety of carers and workforce.