Establishment of an innovative specialist cardiac indigenous outreach service in rural and remote Queensland

Tibby, David, Corpus, Rohan and Walters, Darren L. (2010) Establishment of an innovative specialist cardiac indigenous outreach service in rural and remote Queensland. Heart, Lung and Circulation, 19 5-6: 361-366. doi:10.1016/j.hlc.2010.02.023


Author Tibby, David
Corpus, Rohan
Walters, Darren L.
Title Establishment of an innovative specialist cardiac indigenous outreach service in rural and remote Queensland
Journal name Heart, Lung and Circulation   Check publisher's open access policy
ISSN 1443-9506
1444-2892
Publication date 2010-05-01
Sub-type Article (original research)
DOI 10.1016/j.hlc.2010.02.023
Volume 19
Issue 5-6
Start page 361
End page 366
Total pages 6
Place of publication Chatswood, NSW, Australia
Publisher Elsevier
Collection year 2011
Language eng
Abstract Cardiovascular diseases are the leading cause of mortality in Indigenous Australians. Indigneous Australians present at a younger age and have a greater incidence of cardiac risk including smoking and diabetes than non-Indigenous Australians. Access to specialist health services is an important determinant of health care outcomes for these patients. We describe an innovative and successful for model for providing Outreach Cardiac Specialist services to Indigenous communities in rural and remote locations. The approach involves a step-wise process of a) community engagement, b) delivering recovery interventions to improve health outcomes, c) building community capacity to self manage chronic illness and promoting health and well being with the aim of d) community self governance of chronic disease and health promotion. Key elements to this process are community participation in the program, disease self-management led by local health care workers, open access that is all-inclusive utilising community-generated referral, and the translation of scientific knowledge of disease processes into community understanding and making culturally relevant connections. Specialist cardiac services and point of care diagnostics have been provided to 18 sites across rural and remote Queensland. More than 1400 episodes of care have been provided to Indigenous Australians with rheumatic heart disease, ischaemic heart disease and congenital heart conditions. Traditional values can work harmoniously with an inclusive medical approach in this relational model.
Keyword Community
Outreach service
Remote area
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Non HERDC
School of Medicine Publications
 
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Created: Thu, 17 Mar 2011, 20:48:11 EST by Debbie Banks on behalf of School of Medicine