The purpose of this study is the identification of factors that facilitate the Family Centred (FC) approach to comprehensive primary health care (CPHC) for Aboriginal and Torres Strait Islander people. The Apunipima Cape York Health Council (ACYHC) has developed a model designed to facilitate the uptake of primary health care by the resident Aboriginal population. Through follow-on work with the Queensland Aboriginal and Islander Health Council (QAIHC), the model is now being advanced as best practice for the Aboriginal Community Controlled Health Service (ACCHS) sector in Queensland. In the context of the model's advancement and its impending sector wide implementation, this study is designed to focus on factors enabling the uptake of the FC approach and its core components.
For this study to occur, the ACYHC Mossman Gorge health clinic was selected as a case study site. A qualitative and participatory research approach was utilized that actively involved Mossman Gorge clinic staff and relevant QAIHC and ACYHC personnel, as key informants, who have been involved in the development and implementation of the FC approach.
Key results conveyed a need for Indigenous Health Workers (IHWs) to be placed at the centre of the model. There was an emergent need for efforts to be directed toward the design and implementation of tools and resources that support clinical staff in implementing the FC approach. These recommendations featured alongside the emergent theme that the model demands a holistic and comprehensive approach to health and wellbeing that places the family at the centre of health care delivery. The need to consider possible Key Performance Indicators (KPIs) that can be linked to the model was also raised, particularly for the purpose of future monitoring and evaluation.