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Study protocol: national research partnership to improve primary health care performance and outcomes for Indigenous peoples

Bailie, Ross S., Si, Damin, Shannon, Cindy, Semmens, James, Rowley, Kevin, Scrimgeour, David J., Nagel, Tricia M., Anderson, Ian, Connors, Christine M., Weeramanthri, Tarun S., Thompson, Sandra, McDermott, Robyn, Burke, Hugh, Moore, Elizabeth, Leon, Dallas, Weston, Richard, Grogan, Haylene, Stanley, Andrew and Gardner, Karen L. (2010). Study protocol: national research partnership to improve primary health care performance and outcomes for Indigenous peoples. BMC Health Services Research,10(1):129.

Document type: Journal Article
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Title Study protocol: national research partnership to improve primary health care performance and outcomes for Indigenous peoples
Author Bailie, Ross S.
Si, Damin
Shannon, Cindy
Semmens, James
Rowley, Kevin
Scrimgeour, David J.
Nagel, Tricia M.
Anderson, Ian
Connors, Christine M.
Weeramanthri, Tarun S.
Thompson, Sandra
McDermott, Robyn
Burke, Hugh
Moore, Elizabeth
Leon, Dallas
Weston, Richard
Grogan, Haylene
Stanley, Andrew
Gardner, Karen L.
Journal Name BMC Health Services Research
Publication Date 2010
Volume Number 10
Issue Number 1
ISSN 1472-6963   (check CDU catalogue  open catalogue search in new window)
Start Page 129
Total Pages 11
Place of Publication United Kingdom
Publisher BioMed Central Ltd.
HERDC Category C1 - Journal Article (DIISR)
Abstract Background
Strengthening primary health care is critical to reducing health inequity between Indigenous and non-Indigenous Australians. The Audit and Best practice for Chronic Disease Extension (ABCDE) project has facilitated the implementation of modern Continuous Quality Improvement (CQI) approaches in Indigenous community health care centres across Australia. The project demonstrated improvements in health centre systems, delivery of primary care services and in patient intermediate outcomes. It has also highlighted substantial variation in quality of care. Through a partnership between academic researchers, service providers and policy makers, we are now implementing a study which aims to 1) explore the factors associated with variation in clinical performance; 2) examine specific strategies that have been effective in improving primary care clinical performance; and 3) work with health service staff, management and policy makers to enhance the effective implementation of successful strategies.

Methods/Design
The study will be conducted in Indigenous community health centres from at least six States/Territories (Northern Territory, Western Australia, New South Wales, South Australia, Queensland and Victoria) over a five year period. A research hub will be established in each region to support collection and reporting of quantitative and qualitative clinical and health centre system performance data, to investigate factors affecting variation in quality of care and to facilitate effective translation of research evidence into policy and practice. The project is supported by a web-based information system, providing automated analysis and reporting of clinical care performance to health centre staff and management.

Discussion
By linking researchers directly to users of research (service providers, managers and policy makers), the partnership is well placed to generate new knowledge on effective strategies for improving the quality of primary health care and fostering effective and efficient exchange and use of data and information among service providers and policy makers to achieve evidence-based resource allocation, service planning, system development, and improvements of service delivery and Indigenous health outcomes.

DOI http://dx.doi.org/10.1186/1472-6963-10-129   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)


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