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Reorienting primary health care for addressing chronic conditions in remote Australia and the South Pacific: Review of evidence and lessons from an innovative quality improvement process

Gardner, Karen; Bailie, Ross; Si, Damin; O'Donoghue, Lynette; Kennedy, Cath; Liddle, Helen; Cox, Rhonda; Kwedza, Ru Karen; Fittock, Marea; Hains, Jenny; Dowden, Michelle; Connors, Christine; Burke, Hugh; Beaver, Carol

Description

This paper reviews what is known about the challenges of implementing quality improvement programs and draws on data from a systematic continuous quality improvement (CQI) project in remote communities in Australia and Fiji, known as Audit and Best practice for Chronic Disease, to synthesise lessons and discuss the potential for broader application in low and middle income countries, including Pacific Island countries and territories. Although a number of systematic reviews have indicated that...[Show more]

dc.contributor.authorGardner, Karen
dc.contributor.authorBailie, Ross
dc.contributor.authorSi, Damin
dc.contributor.authorO'Donoghue, Lynette
dc.contributor.authorKennedy, Cath
dc.contributor.authorLiddle, Helen
dc.contributor.authorCox, Rhonda
dc.contributor.authorKwedza, Ru Karen
dc.contributor.authorFittock, Marea
dc.contributor.authorHains, Jenny
dc.contributor.authorDowden, Michelle
dc.contributor.authorConnors, Christine
dc.contributor.authorBurke, Hugh
dc.contributor.authorBeaver, Carol
dc.date.accessioned2015-12-08T22:13:52Z
dc.identifier.issn1038-5282
dc.identifier.urihttp://hdl.handle.net/1885/29984
dc.description.abstractThis paper reviews what is known about the challenges of implementing quality improvement programs and draws on data from a systematic continuous quality improvement (CQI) project in remote communities in Australia and Fiji, known as Audit and Best practice for Chronic Disease, to synthesise lessons and discuss the potential for broader application in low and middle income countries, including Pacific Island countries and territories. Although a number of systematic reviews have indicated that quality improvement programs can be effective in changing professional practice and improving the quality of care and patient outcomes, little is known about the key ingredients for change or how services use and implement different strategies to achieve improvements. We identify key features of an innovative CQI model and factors related to implementation that support improvement in diabetes service delivery and intermediate outcomes. Requirements for supporting CQI are identified and the potential for wider application discussed. It is argued that the participatory action research approach supports innovation and broad-based change and the evidence it has produced extends the current knowledge base and facilitates the translation of knowledge into action, for both policy and practice.
dc.publisherBlackwell Science Asia
dc.sourceAustralian Journal of Rural Health
dc.subjectKeywords: Chronic disease; Continuous quality improvement; Plan-do-study-act; Primary health care
dc.titleReorienting primary health care for addressing chronic conditions in remote Australia and the South Pacific: Review of evidence and lessons from an innovative quality improvement process
dc.typeJournal article
local.description.notesImported from ARIES
local.identifier.citationvolume19
dc.date.issued2011
local.identifier.absfor111717 - Primary Health Care
local.identifier.ariespublicationu3961986xPUB70
local.type.statusPublished Version
local.contributor.affiliationGardner, Karen, College of Medicine, Biology and Environment, ANU
local.contributor.affiliationBailie, Ross, Charles Darwin University
local.contributor.affiliationSi, Damin, University of Queensland
local.contributor.affiliationO'Donoghue, Lynette, Northern Territory Department of Health and Community Services
local.contributor.affiliationKennedy, Cath, Maari Ma Health
local.contributor.affiliationLiddle, Helen, Baker IDI Heart and Diabetes Institute
local.contributor.affiliationCox, Rhonda, Combined Universities Centre for Rural Health
local.contributor.affiliationKwedza, Ru Karen, Queensland Health
local.contributor.affiliationFittock, Marea, Menzies School of Health Research
local.contributor.affiliationHains, Jenny, One 21 seventy
local.contributor.affiliationDowden, Michelle, Charles Darwin University
local.contributor.affiliationConnors, Christine, Northern Territory Department of Health and Community Services
local.contributor.affiliationBurke, Hugh, Maari Ma Health Aboriginal Corporation
local.contributor.affiliationBeaver, Carol, no formal affiliation
local.description.embargo2037-12-31
local.bibliographicCitation.issue3
local.bibliographicCitation.startpage111
local.bibliographicCitation.lastpage117
local.identifier.doi10.1111/j.1440-1584.2010.01181.x
local.identifier.absseo970111 - Expanding Knowledge in the Medical and Health Sciences
dc.date.updated2016-02-24T10:21:03Z
local.identifier.scopusID2-s2.0-79956279485
local.identifier.thomsonID000290911100002
CollectionsANU Research Publications

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