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Effectiveness, cost effectiveness, acceptability and implementation barriers/facilitators of chronic kidney disease management programs and models of care for Aboriginal and Torres Strait Islander Australians: a mixed methods systematic review protocol

Reilly, Rachel, Evans, Katharine, Gomersall, Judith, Gorham, Gillian, Warren, Steven, O'Shea, Rebekah, Peters, Micah, Brown, Alex and Cass, Alan (2015). Effectiveness, cost effectiveness, acceptability and implementation barriers/facilitators of chronic kidney disease management programs and models of care for Aboriginal and Torres Strait Islander Australians: a mixed methods systematic review protocol. JBI Database of Systematic Reviews and Implementation Reports,13(4):65-86.

Document type: Journal Article
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IRMA ID 81144320xPUB300
Title Effectiveness, cost effectiveness, acceptability and implementation barriers/facilitators of chronic kidney disease management programs and models of care for Aboriginal and Torres Strait Islander Australians: a mixed methods systematic review protocol
Author Reilly, Rachel
Evans, Katharine
Gomersall, Judith
Gorham, Gillian
Warren, Steven
O'Shea, Rebekah
Peters, Micah
Brown, Alex
Cass, Alan
Journal Name JBI Database of Systematic Reviews and Implementation Reports
Publication Date 2015
Volume Number 13
Issue Number 4
ISSN 2202-4433   (check CDU catalogue  open catalogue search in new window)
Scopus ID 2-s2.0-84964454246
Start Page 65
End Page 86
Total Pages 22
Place of Publication Australia
Publisher University of Adelaide * Faculty of Health Sciences
HERDC Category C1 - Journal Article (DIISR)
Abstract The objective of this mixed methods review is to synthesize quantitative, economic and qualitative evidence on chronic kidney disease (CKD) management programs and models delivered to Aboriginal and Torres Strait Islander Australians. Studies with Indigenous participants from New Zealand and Canada will also be considered because similar persistent patterns of health inequities have arisen in these countries as a result of a shared colonial history, despite vast differences in timing and location.1,2 Also, there are geographic and demographic similarities, such as remoteness from health services and poor engagement due to differing language, culture and concepts of health and illness from the dominant culture. These socio‐demographic circumstances are associated with higher burdens of chronic disease and poorer health outcomes.3,4

The intention of this systematic review is to inform CKD program design, practice and service delivery to Aboriginal and Torres Strait Islander populations in Australia.

The questions to be addressed in the review are:

1. What is the effectiveness of programs/models in relation to outcomes, including, though not limited to, the management of “indicators to target” such as blood pressure control, the delayed progression of kidney disease/time to dialysis, and quality of life?

2. What are the costs and costs relative to benefits of the programs/models from the perspectives of individual patients and their families, the primary health services that deliver them, tertiary health services and society as a whole?

3. What do patient and provider experiences of programs/models reveal about the acceptability of programs, as well as barriers and enablers of implementation?
Description for Link Link to published version
URL http://journals.lww.com/jbisrir/Fulltext/2015/13040/Effectiveness,_cost_effectiveness,_acceptability.7.aspx
 
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Created: Tue, 26 Jul 2016, 12:41:34 CST