Charles Darwin University

CDU eSpace
Institutional Repository

 
CDU Staff and Student only
 

Preventive medical care in remote Aboriginal communities in the Northern Territory: a follow-up study of the impact of clinical guidelines, computerised recall and reminder systems, and audit and feedback

Bailie, Ross S., Togni, Samantha J., Si, Damin, Robinson, Gary W. and d'Abbs, Peter H. N. (2003). Preventive medical care in remote Aboriginal communities in the Northern Territory: a follow-up study of the impact of clinical guidelines, computerised recall and reminder systems, and audit and feedback. BMC Health Services Research,3(1):15-27.

Document type: Journal Article
Citation counts:
Google Scholar Search Google Scholar
Attached Files (Some files may be inaccessible until you login with your CDU eSpace credentials)
Name Description MIMEType Size Downloads
Read with bookreader Download this reading  Bailie_24383.pdf Published version application/pdf 303.65KB 28
Reading the attached file works best in Firefox, Chrome and IE 9 or later.

Title Preventive medical care in remote Aboriginal communities in the Northern Territory: a follow-up study of the impact of clinical guidelines, computerised recall and reminder systems, and audit and feedback
Author Bailie, Ross S.
Togni, Samantha J.
Si, Damin
Robinson, Gary W.
d'Abbs, Peter H. N.
Journal Name BMC Health Services Research
Publication Date 2003
Volume Number 3
Issue Number 1
ISSN 14726963   (check CDU catalogue open catalogue search in new window)
Start Page 15
End Page 27
Total Pages 13
Place of Publication United Kingdom
Publisher BioMed Central Ltd.
Abstract Background: Interventions to improve delivery of preventive medical services have been shown to be effective in North America and the UK. However, there are few studies of the extent to which the impact of such interventions has been sustained, or of the impact of such interventions in disadvantaged populations or remote settings. This paper describes the trends in delivery of preventive medical services following a multifaceted intervention in remote community health centres in the Northern Territory of Australia.

Methods: The intervention comprised the development and dissemination of best practice guidelines supported by an electronic client register, recall and reminder systems and associated staff training, and audit and feedback. Clinical records in seven community health centres were audited at regular intervals against best practice guidelines over a period of three years, with feedback of audit findings to health centre staff and management.

Results: Levels of service delivery varied between services and between communities. There was an initial improvement in service levels for most services following the intervention, but improvements were in general not fully sustained over the three year period.

Conclusions: Improvements in service delivery are consistent with the international experience, although baseline and follow-up levels are in many cases higher than reported for comparable studies in North America and the UK. Sustainability of improvements may be achieved by institutionalisation of relevant work practices and enhanced health centre capacity.
Keywords Indigenous Australians
remote communities
preventive medical services
DOI http://dx.doi.org/10.1186/1472-6963-3-15   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)


© copyright

Every reasonable effort has been made to ensure that permission has been obtained for items included in CDU eSpace. If you believe that your rights have been infringed by this repository, please contact digitisation@cdu.edu.au.

 
Versions
Version Filter Type
Access Statistics: 42 Abstract Views, 32 File Downloads  -  Detailed Statistics
Created: Tue, 23 Oct 2012, 11:07:24 CST by Teresa Haendel