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Title: Exploring Systems That Support Good Clinical Care in Indigenous Primary Health-care Services: A Retrospective Analysis of Longitudinal Systems Assessment Tool Data from High-Improving Services
Contributor(s): Woods, Cindy  (author)orcid ; Carlisle, Karen (author); Larkins, Sarah (author); Thompson, Sandra Claire (author); Tsey, Komla (author); Matthews, Veronica (author); Bailie, Ross (author)
Publication Date: 2017
Open Access: Yes
DOI: 10.3389/fpubh.2017.00045Open Access Link
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Abstract: Background: Continuous Quality Improvement is a process for raising the quality of primary health care (PHC) across Indigenous PHC services. In addition to clinical auditing using plan, do, study, and act cycles, engaging staff in a process of reflecting on systems to support quality care is vital. The One21seventy Systems Assessment Tool (SAT) supports staff to assess systems performance in terms of five key components. This study examines quantitative and qualitative SAT data from five high-improving Indigenous PHC services in northern Australia to understand the systems used to support quality care. Methods: High-improving services selected for the study were determined by calculating quality of care indices for Indigenous health services participating in the Audit and Best Practice in Chronic Disease National Research Partnership. Services that reported continuing high improvement in quality of care delivered across two or more audit tools in three or more audits were selected for the study. Precollected SAT data (from annual team SAT meetings) are presented longitudinally using radar plots for quantitative scores for each component, and content analysis is used to describe strengths and weaknesses of performance in each systems' component. Results: High-improving services were able to demonstrate strong processes for assessing system performance and consistent improvement in systems to support quality care across components. Key strengths in the quality support systems included adequate and orientated workforce, appropriate health system supports, and engagement with other organizations and community, while the weaknesses included lack of service infrastructure, recruitment, retention, and support for staff and additional costs.
Publication Type: Journal Article
Grant Details: NHMRC/1062377
Source of Publication: Frontiers in Public Health, v.5, p. 1-17
Publisher: Frontiers Research Foundation
Place of Publication: Switzerland
ISSN: 2296-2565
Fields of Research (FoR) 2008: 111717 Primary Health Care
111701 Aboriginal and Torres Strait Islander Health
111711 Health Information Systems (incl. Surveillance)
Fields of Research (FoR) 2020: 450409 Aboriginal and Torres Strait Islander health services
Socio-Economic Objective (SEO) 2008: 920210 Nursing
920303 Aboriginal and Torres Strait Islander Health - Health System Performance (incl. Effectiveness of Interventions)
Socio-Economic Objective (SEO) 2020: 200307 Nursing
210303 Aboriginal and Torres Strait Islander health system performance
Peer Reviewed: Yes
HERDC Category Description: C1 Refereed Article in a Scholarly Journal
Appears in Collections:Journal Article

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