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
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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.author | Gardner, Karen | |
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dc.contributor.author | Bailie, Ross | |
dc.contributor.author | Si, Damin | |
dc.contributor.author | O'Donoghue, Lynette | |
dc.contributor.author | Kennedy, Cath | |
dc.contributor.author | Liddle, Helen | |
dc.contributor.author | Cox, Rhonda | |
dc.contributor.author | Kwedza, Ru Karen | |
dc.contributor.author | Fittock, Marea | |
dc.contributor.author | Hains, Jenny | |
dc.contributor.author | Dowden, Michelle | |
dc.contributor.author | Connors, Christine | |
dc.contributor.author | Burke, Hugh | |
dc.contributor.author | Beaver, Carol | |
dc.date.accessioned | 2015-12-08T22:13:52Z | |
dc.identifier.issn | 1038-5282 | |
dc.identifier.uri | http://hdl.handle.net/1885/29984 | |
dc.description.abstract | 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 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.publisher | Blackwell Science Asia | |
dc.source | Australian Journal of Rural Health | |
dc.subject | Keywords: Chronic disease; Continuous quality improvement; Plan-do-study-act; Primary health care | |
dc.title | 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 | |
dc.type | Journal article | |
local.description.notes | Imported from ARIES | |
local.identifier.citationvolume | 19 | |
dc.date.issued | 2011 | |
local.identifier.absfor | 111717 - Primary Health Care | |
local.identifier.ariespublication | u3961986xPUB70 | |
local.type.status | Published Version | |
local.contributor.affiliation | Gardner, Karen, College of Medicine, Biology and Environment, ANU | |
local.contributor.affiliation | Bailie, Ross, Charles Darwin University | |
local.contributor.affiliation | Si, Damin, University of Queensland | |
local.contributor.affiliation | O'Donoghue, Lynette, Northern Territory Department of Health and Community Services | |
local.contributor.affiliation | Kennedy, Cath, Maari Ma Health | |
local.contributor.affiliation | Liddle, Helen, Baker IDI Heart and Diabetes Institute | |
local.contributor.affiliation | Cox, Rhonda, Combined Universities Centre for Rural Health | |
local.contributor.affiliation | Kwedza, Ru Karen, Queensland Health | |
local.contributor.affiliation | Fittock, Marea, Menzies School of Health Research | |
local.contributor.affiliation | Hains, Jenny, One 21 seventy | |
local.contributor.affiliation | Dowden, Michelle, Charles Darwin University | |
local.contributor.affiliation | Connors, Christine, Northern Territory Department of Health and Community Services | |
local.contributor.affiliation | Burke, Hugh, Maari Ma Health Aboriginal Corporation | |
local.contributor.affiliation | Beaver, Carol, no formal affiliation | |
local.description.embargo | 2037-12-31 | |
local.bibliographicCitation.issue | 3 | |
local.bibliographicCitation.startpage | 111 | |
local.bibliographicCitation.lastpage | 117 | |
local.identifier.doi | 10.1111/j.1440-1584.2010.01181.x | |
local.identifier.absseo | 970111 - Expanding Knowledge in the Medical and Health Sciences | |
dc.date.updated | 2016-02-24T10:21:03Z | |
local.identifier.scopusID | 2-s2.0-79956279485 | |
local.identifier.thomsonID | 000290911100002 | |
Collections | ANU Research Publications |
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