Setting up chronic disease programs: Perspectives from Aboriginal Australia

Hoy, Wendy E., Kondalsamy-Chennakesavan, S., Smith, J., Sharma, S., Davey, R. and Gokel, G. (2006) Setting up chronic disease programs: Perspectives from Aboriginal Australia. Ethnicity & Disease, 16 2 Supp. 2: 73-78.

Author Hoy, Wendy E.
Kondalsamy-Chennakesavan, S.
Smith, J.
Sharma, S.
Davey, R.
Gokel, G.
Title Setting up chronic disease programs: Perspectives from Aboriginal Australia
Journal name Ethnicity & Disease   Check publisher's open access policy
ISSN 1049-510X
Publication date 2006
Sub-type Article (original research)
Volume 16
Issue 2 Supp. 2
Start page 73
End page 78
Total pages 6
Editor Keith C. Norris
Place of publication Atlanta, U.S.A.
Publisher International Society on Hypertension in Blacks
Collection year 2006
Language eng
Subject C1
321206 Preventive Medicine
730399 Health and support services not elsewhere classified
Formatted abstract
Objective:  To share some perspectives on setting up programs to improve management of hypertension, renal disease, and diabetes in high-risk populations, derived from experience in remote Australian Aboriginal settings.

Principles:  Regular integrated checks for chronic disease and their risk factors and appropriate treatment are essential elements of regular adult health care. Programs should be run by local health workers, following algorithms for testing and treatment, with back up from nurses. Constant evaluation is essential.

Components:  Theses include testing, treatment, education for individuals and communities, skills and career development for staff, ongoing evaluation, program modification, and advocacy. Target groups, elements, and frequency of testing, as well as the reagents and treatment modalities must be designed for local circumstances, which include disease burden and impact, competing priorities, and available resources. Pilot surveys or record reviews can define target groups and conditions. Opportunistic testing will suffice if people are seen with some regularity for other conditions; otherwise, systematic screening is needed, preferably embedded in primary care streams. The chief goal of treatment is to lower blood pressure, and if the patient is diabetic, to control hyperglycemia. Many people will need multiple drugs for many years.

Challenges:  Challenges include lack of resources, competing demands of acute care, the burden of treatment when disease rates are high, problems with information systems, and in our setting, health worker absenteeism.
Keyword Public health
Australian Aborigines
Chronic diseases
Renal disease
Cardiovascular disease
Detection and prevention programs
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
2007 Higher Education Research Data Collection
School of Medicine Publications
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Citation counts: TR Web of Science Citation Count  Cited 2 times in Thomson Reuters Web of Science Article | Citations
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Created: Wed, 15 Aug 2007, 10:03:55 EST