Implementing a chronic disease strategy in two remote indigenous Australian settings: a multi-method pilot evaluation
D'Abbs, Peter, Schmidt, Barbara, Dougherty, Kathryn, and Senior, Kate (2008) Implementing a chronic disease strategy in two remote indigenous Australian settings: a multi-method pilot evaluation. Australian Journal of Rural Health, 16 (2). pp. 67-74.
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Objective: To test an evaluation framework designed to evaluate implementation of the North Queensland Indigenous communities between August and December 2005.
Setting: Both communities are located in Cape York, North Queensland. Community A has an estimated population of around 600 people; Community B has an enumerated population of 750, although health centre records indicate a higher number.
Participants: Process evaluation involved health centre staff in both communities; clinical audits used random samples from the adult population (each sample n = 30); ethnographic fieldwork was conducted with resident population.
Main outcome measures: Health centre scores and qualitative findings using a System Assessment Tool; clinical audits – extent to which scheduled services recorded; selected primary health performance indicators; qualitative ethnographic findings.
Results: On almost all indicators, implementation of NQICDS had progressed further in Community A than in Community B; however, some common issues emerged, especially lack of linkages between health centres and other groups, and lack of support for client self-management.
Conclusions: The evaluation framework is an effective and acceptable framework for monitoring implementation of the NQICDS at the primary health centre level.
|Item Type:||Article (Refereed Research - C1)|
|Keywords:||indigenous health; remote health acess; evaluation; aboriginal health; chronic disease strategy|
|FoR Codes:||11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111701 Aboriginal and Torres Strait Islander Health @ 70%|
11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111717 Primary Health Care @ 30%
|SEO Codes:||92 HEALTH > 9203 Indigenous Health > 920302 Aboriginal and Torres Strait Islander Health - Health Status and Outcomes @ 40%|
92 HEALTH > 9205 Specific Population Health (excl. Indigenous Health) > 920506 Rural Health @ 30%
92 HEALTH > 9203 Indigenous Health > 920303 Aboriginal and Torres Strait Islander Health - Health System Performance (incl. Effectiveness of Interventions) @ 30%
|Deposited On:||14 Jan 2010 10:22|
|Last Modified:||18 Oct 2013 00:44|
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