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

d'Abbs, Peter H. N., Schmidt, B., Dougherty, K. and Senior, Kate A. (2008). Implementing a chronic disease strategy in two remote Indigenous Australian settings: A multi-method pilot evaluation. Australian Journal of Rural Health,16(2):67-74.

Document type: Journal Article

IRMA ID 10322xPUB10
Title Implementing a chronic disease strategy in two remote Indigenous Australian settings: A multi-method pilot evaluation
Author d'Abbs, Peter H. N.
Schmidt, B.
Dougherty, K.
Senior, Kate A.
Journal Name Australian Journal of Rural Health
Publication Date 2008
Volume Number 16
Issue Number 2
ISSN 1038-5282   (check CDU catalogue open catalogue search in new window)
Start Page 67
End Page 74
Total Pages 8
Place of Publication Australia
Publisher Wiley-Blackwell Publishing Asia
Field of Research 1110 - Nursing
1117 - Public Health and Health Services
HERDC Category C1 - Journal Article (DEST)
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.
DOI http://dx.doi.org/10.1111/j.1440-1584.2008.00955.x   (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: Thu, 07 May 2009, 09:39:17 CST by Sarena Wegener