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Strengthening Cardiovascular Disease Prevention in Remote Indigenous Communities in Australia's Northern Territory

Burgess, Christopher P., Sinclair, Gary, Ramjan, Mark, Coffey, Patrick J., Connors, Christine M. and Katekar, Leonie V. (2015). Strengthening Cardiovascular Disease Prevention in Remote Indigenous Communities in Australia's Northern Territory. Heart Lung and Circulation,24(5):450-457.

Document type: Journal Article
Citation counts: Altmetric Score Altmetric Score is 3
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IRMA ID 83393865xPUB226
Title Strengthening Cardiovascular Disease Prevention in Remote Indigenous Communities in Australia's Northern Territory
Author Burgess, Christopher P.
Sinclair, Gary
Ramjan, Mark
Coffey, Patrick J.
Connors, Christine M.
Katekar, Leonie V.
Journal Name Heart Lung and Circulation
Publication Date 2015
Volume Number 24
Issue Number 5
ISSN 1443-9506   (check CDU catalogue  open catalogue search in new window)
Scopus ID 2-s2.0-84933678456
Start Page 450
End Page 457
Total Pages 8
Place of Publication Australia
Publisher Elsevier Australia
Field of Research 1117 - Public Health and Health Services
HERDC Category C1 - Journal Article (DIISR)
Abstract Background
In 2012 the Northern Territory Department of Health commenced the Chronic Conditions Management Model - strengthening cardiovascular disease prevention in remote Indigenous communities. Interventions included providing regular functional reporting and decision support to frontline primary health care teams.

Methods

Longitudinal (three monthly) clinical audits of cardiac prevention services were undertaken between 2012 and 2014. Our primary outcome was population coverage of cardiovascular risk assessment for Indigenous clients aged 20 years and older. Secondary outcomes for those identified at high risk were (i) assessment of modifiable cardiac risk factors, (ii) prescription of risk lowering medications, and (iii) the proportion of high risk clients achieving clinical targets for risk reduction.

Results

As of August 2014, 7266 clients have had their cardiovascular risk assessed, improving population coverage from 23% in mid June 2012 to 58.5%. For 2586 high risk clients, 1728 (67%) and 1416 (55%) were prescribed blood pressure and lipid lowering therapy and for those clinically re-assessed, 1366 (57%) and 989 (40%) were achieving clinical targets for risk reduction for blood pressure and lipids respectively.

Conclusions

Functional reporting and decision support was associated with improvement in cardiovascular risk assessment coverage and a sustained proportion of high risk clients achieving clinical targets for cardiovascular risk reduction. Further intervention-based research is required to close the gap between identification of risk and risk reduction.
Keywords Indigenous Health Services
Primary Health Care
Cardiovascular diseases
Australia
Prevention
DOI http://dx.doi.org/10.1016/j.hlc.2014.11.008   (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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Created: Tue, 26 Jul 2016, 12:40:37 CST