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Understanding the structure and processes of care within primary health care delivery for young Indigenous children

Strobel, Natalie; McAuley, Kimberley; Matthews, Veronica; Richardson, Alice; Agostino, Jason; Bailie, Ross S; Edmond, Karen; McAullay, Daniel

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INTRODUCTION: Primary health care organisations need to continuously reform to more effectively address current health challenges, particularly for vulnerable populations. There is growing evidence that optimal health service structures are essential for producing positive outcomes. AIM: To determine if there is an association between process of care indicators (PoCIs) for important young indigenous child health and social issues and: (i) primary health-care service and child characteristics;...[Show more]

dc.contributor.authorStrobel, Natalie
dc.contributor.authorMcAuley, Kimberley
dc.contributor.authorMatthews, Veronica
dc.contributor.authorRichardson, Alice
dc.contributor.authorAgostino, Jason
dc.contributor.authorBailie, Ross S
dc.contributor.authorEdmond, Karen
dc.contributor.authorMcAullay, Daniel
dc.date.accessioned2019-10-30T04:47:02Z
dc.date.available2019-10-30T04:47:02Z
dc.identifier.issn1172-6164
dc.identifier.urihttp://hdl.handle.net/1885/180636
dc.description.abstractINTRODUCTION: Primary health care organisations need to continuously reform to more effectively address current health challenges, particularly for vulnerable populations. There is growing evidence that optimal health service structures are essential for producing positive outcomes. AIM: To determine if there is an association between process of care indicators (PoCIs) for important young indigenous child health and social issues and: (i) primary health-care service and child characteristics; and (ii) organisational health service structures. METHODS: This was a cross-sectional study of 1554 clinical child health audits and associated system assessments from 74 primary care services from 2012 to 2014. Composite PoCIs were developed for social and emotional wellbeing, child neurodevelopment and anaemia. Crude and adjusted logistic regression models were fitted, clustering for health services. Odds ratios and 95% confidence intervals were derived. RESULTS: Overall, 32.0% (449) of records had a social and emotional wellbeing PoCI, 56.6% (791) had an anaemia PoCI and 49.3% (430) had a child neurodevelopment PoCI. Children aged 12–23 months were significantly more likely to receive all PoCIs compared to children aged 24–59 months. For every one point increase in assessment scores for team structure and function (aOR 1.14, 95% CI 1.01–1.27) and care planning (aOR 1.14, 95% CI 1.01–1.29) items, there was a 14% greater odds of a child having an anaemia PoCI. Social and emotional wellbeing and child neurodevelopment PoCIs were not associated with system assessment scores. DISCUSSION: Ensuring young indigenous children aged 24–59 months are receiving quality care for important social and health indicators is a priority. Processes of care and organisational systems in primary care services are important for the optimal management of anaemia in indigenous children.
dc.description.sponsorshipThis research was supported by an Australian Government Research Training Program (RTP) Scholarship. This study was also funded by the National Health and Medical Research Council of Australia.
dc.format.mimetypeapplication/pdf
dc.language.isoen_AU
dc.publisherThe Royal New Zealand College of General Practitioners
dc.rights© 2018 Royal New Zealand College of General Practitioners
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.sourceJournal of Primary Health Care
dc.subjectIndigenous health
dc.subjecthealth services
dc.subjecthealth systems
dc.subjectpaediatrics
dc.subjectepidemiology
dc.titleUnderstanding the structure and processes of care within primary health care delivery for young Indigenous children
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume10
dc.date.issued2018-08-28
local.identifier.absfor111717 - Primary Health Care
local.identifier.ariespublicationU1070655xPUB60
local.publisher.urlhttps://www.publish.csiro.au
local.type.statusPublished Version
local.contributor.affiliationStrobel, Natalie, College of Health and Medicine, ANU
local.contributor.affiliationMcAuley, Kimberley, University of Western Australia
local.contributor.affiliationMatthews, Veronica, University Centre for Rural Health, University of Sydney
local.contributor.affiliationRichardson, Alice, College of Health and Medicine, ANU
local.contributor.affiliationAgostino, Jason, College of Health and Medicine, ANU
local.contributor.affiliationBailie, Ross, University Centre for Rural Health, University of Sydney
local.contributor.affiliationEdmond, Karen, University of Western Australia
local.contributor.affiliationMcAullay, Daniel, University of Western Australia
local.bibliographicCitation.issue3
local.bibliographicCitation.startpage267
local.bibliographicCitation.lastpage278
local.identifier.doi10.1071/HC18006
local.identifier.absseo920302 - Aboriginal and Torres Strait Islander Health - Health Status and Outcomes
dc.date.updated2019-05-05T09:17:22Z
local.identifier.scopusID2-s2.0-85052923226
dcterms.accessRightsOpen Access
dc.provenanceThis is an open access article licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
dc.rights.licenseCreative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License
CollectionsANU Research Publications

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