{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T01:48:16Z","timestamp":1791856096488,"version":"4.3.4"},"reference-count":9,"publisher":"CSIRO Publishing","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,11,5]]},"abstract":"<jats:p>Health reform announcements can signal progress before improvements in care are demonstrated. Drawing on Baudrillard\u2019s account of sign value, we examine how visible policy achievements can acquire authority independently of clinical benefit. My Health Record illustrates the distinction between implementation, use and outcomes. We connect established improvement principles to four questions about resource allocation, duplication, clinical work and public accountability. The aim is to make claims of reform answerable to evidence of improvement.<\/jats:p>","DOI":"10.1071\/ah26063","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T01:16:51Z","timestamp":1791854211000},"source":"Crossref","is-referenced-by-count":0,"title":["Announce, brand, repeat: the illusion of Australian health reform"],"prefix":"10.1071","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9920-4211","authenticated-orcid":true,"given":"Reece","family":"Hinchcliff","sequence":"first","affiliation":[{"name":"Department of Management, Griffith Business School A , , , , .","place":["Brisbane, Qld, Australia"]},{"name":"Griffith University A , , , , .","place":["Brisbane, Qld, Australia"]},{"name":"Centre for Work, Organisation and Wellbeing B , , , , .","place":["Brisbane, Qld, Australia"]},{"name":"Griffith Business School, Griffith University B , , , , .","place":["Brisbane, Qld, Australia"]},{"name":"Griffith Asia Institute C , , , , .","place":["Brisbane, Qld, Australia"]},{"name":"Griffith Business School, Griffith University C , , , , .","place":["Brisbane, Qld, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0251-7682","authenticated-orcid":true,"given":"Hamish","family":"Robertson","sequence":"additional","affiliation":[{"name":"School of Design, Faculty of Health D , , , , .","place":["Brisbane, Qld, Australia"]},{"name":"Queensland University of Technology D , , , , .","place":["Brisbane, Qld, Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"67","published-online":{"date-parts":[[2026,10,13]]},"reference":[{"key":"2026101221164887000_R1"},{"key":"2026101221164887000_R2"},{"key":"2026101221164887000_R3"},{"key":"2026101221164887000_R4","unstructured":"Australian National Audit Office. Implementation of the My Health Record system. Auditor-General Report no.13 2019\u201320. Canberra: Australian National Audit Office; 2019. 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