Describing and analysing primary health care system support for chronic illness care in indigenous communities in Australia's Northern Territory- use of the Chronic Care Model

Si, Damin, Bailie, Ross, Cunningham, Joan, Robinson, Gary, Dowden, Michelle, Stewart, Allison, Connors, Christine and Weeramanthri, Tarun (2008) Describing and analysing primary health care system support for chronic illness care in indigenous communities in Australia's Northern Territory- use of the Chronic Care Model. BMC Health Services Research, 8 112: 1-14. doi:10.1186/1472-6963-8-112


Author Si, Damin
Bailie, Ross
Cunningham, Joan
Robinson, Gary
Dowden, Michelle
Stewart, Allison
Connors, Christine
Weeramanthri, Tarun
Title Describing and analysing primary health care system support for chronic illness care in indigenous communities in Australia's Northern Territory- use of the Chronic Care Model
Journal name BMC Health Services Research   Check publisher's open access policy
ISSN 1472-6963
Publication date 2008-05-28
Sub-type Article (original research)
DOI 10.1186/1472-6963-8-112
Open Access Status DOI
Volume 8
Issue 112
Start page 1
End page 14
Total pages 15
Place of publication London, United Kingdom
Publisher BioMed Central
Language eng
Subject 1117 Public Health and Health Services
Abstract Indigenous Australians experience disproportionately high prevalence of, and morbidity and mortality from chronic illness such as diabetes, renal disease and cardiovascular disease. Improving the understanding of how Indigenous primary care systems are organised to deliver chronic illness care will inform efforts to improve the quality of care for Indigenous people. This cross-sectional study was conducted in 12 Indigenous communities in Australia's Northern Territory. Using the Chronic Care Model as a framework, we carried out a mail-out survey to collect information on material, financial and human resources relating to chronic illness care in participating health centres. Follow up face-to-face interviews with health centre staff were conducted to identify successes and difficulties in the systems in relation to providing chronic illness care to community members. Using concrete examples, this study translates the concept of the Chronic Care Model (and associated systems view) into practical application in Australian Indigenous primary care settings. This approach proved to be useful in understanding the quality of primary care systems for prevention and management of chronic illness. Further refinement of the systems should focus on both increasing human and financial resources and improving management practice.
Keyword Australian indigenous health
Chronic illness
Primary care systems
Chronic care model
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Medicine Publications
 
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Created: Fri, 08 Jan 2010, 00:42:10 EST by Therese Egan on behalf of Faculty Of Health Sciences