Implementing a chronic disease strategy in two remote Indigenous Australian settings: a multi-method pilot evaluation

Implementing a chronic disease strategy in two remote Indigenous Australian settings: a multi-method pilot evaluation Journal Article

Australian Journal of Rural Health

• Author(s): d'Abbs, P., Schmidt, B., Dougherty, K., Senior, K.
• Published: 2008
• Volume: 16
• ISBN: 1038-5282

Link to resource Report broken link

Abstract: 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.

• Urls: https://pubmed.ncbi.nlm.nih.gov/18318847/
• Keywords: Adolescent, Adult, Chronic Disease/epidemiology, Female, Health Services Accessibility/*organization & administration, Health Services, Indigenous/*organization & administration, Humans, Medical Audit/statistics & numerical data, *Medically Underserved Area, Middle Aged, Oceanic Ancestry Group/*statistics & numerical data, Outcome and Process Assessment, Health Care, Patient Care Team/organization & administration, Pilot Projects, Program Evaluation, Quality Assurance, Health Care/*organization & administration, Queensland, Rural Health Services/*organization & administration