Please use this identifier to cite or link to this item: https://hdl.handle.net/1959.11/20983
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dc.contributor.authorWoods, Cindyen
dc.contributor.authorCarlisle, Karenen
dc.contributor.authorLarkins, Sarahen
dc.contributor.authorThompson, Sandra Claireen
dc.contributor.authorTsey, Komlaen
dc.contributor.authorMatthews, Veronicaen
dc.contributor.authorBailie, Rossen
dc.date.accessioned2017-05-19T14:43:00Z
dc.date.issued2017en
dc.identifier.citationFrontiers in Public Health, v.5, p. 1-17en
dc.identifier.issn2296-2565en
dc.identifier.urihttps://hdl.handle.net/1959.11/20983en
dc.description.abstractBackground: 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.en
dc.languageenen
dc.publisherFrontiers Research Foundationen
dc.relation.ispartofFrontiers in Public Healthen
dc.titleExploring Systems That Support Good Clinical Care in Indigenous Primary Health-care Services: A Retrospective Analysis of Longitudinal Systems Assessment Tool Data from High-Improving Servicesen
dc.typeJournal Articleen
dc.identifier.doi10.3389/fpubh.2017.00045en
dcterms.accessRightsGolden
dc.subject.keywordsPrimary Health Careen
dc.subject.keywordsHealth Information Systems (incl Surveillance)en
dc.subject.keywordsAboriginal and Torres Strait Islander Healthen
local.contributor.firstnameCindyen
local.contributor.firstnameKarenen
local.contributor.firstnameSarahen
local.contributor.firstnameSandra Claireen
local.contributor.firstnameKomlaen
local.contributor.firstnameVeronicaen
local.contributor.firstnameRossen
local.subject.for2008111717 Primary Health Careen
local.subject.for2008111701 Aboriginal and Torres Strait Islander Healthen
local.subject.for2008111711 Health Information Systems (incl. Surveillance)en
local.subject.seo2008920210 Nursingen
local.subject.seo2008920303 Aboriginal and Torres Strait Islander Health - Health System Performance (incl. Effectiveness of Interventions)en
local.profile.schoolSchool of Healthen
local.profile.emailcwood30@une.edu.auen
local.output.categoryC1en
local.record.placeauen
local.record.institutionUniversity of New Englanden
local.identifier.epublicationsrecordune-20170302-145636en
local.publisher.placeSwitzerlanden
local.identifier.runningnumberArticle 45en
local.format.startpage1en
local.format.endpage17en
local.peerreviewedYesen
local.identifier.volume5en
local.title.subtitleA Retrospective Analysis of Longitudinal Systems Assessment Tool Data from High-Improving Servicesen
local.access.fulltextYesen
local.contributor.lastnameWoodsen
local.contributor.lastnameCarlisleen
local.contributor.lastnameLarkinsen
local.contributor.lastnameThompsonen
local.contributor.lastnameTseyen
local.contributor.lastnameMatthewsen
local.contributor.lastnameBailieen
dc.identifier.staffune-id:cwood30en
local.profile.orcid0000-0001-5790-069Xen
local.profile.roleauthoren
local.profile.roleauthoren
local.profile.roleauthoren
local.profile.roleauthoren
local.profile.roleauthoren
local.profile.roleauthoren
local.profile.roleauthoren
local.identifier.unepublicationidune:21176en
local.identifier.handlehttps://hdl.handle.net/1959.11/20983en
dc.identifier.academiclevelAcademicen
local.title.maintitleExploring Systems That Support Good Clinical Care in Indigenous Primary Health-care Servicesen
local.output.categorydescriptionC1 Refereed Article in a Scholarly Journalen
local.relation.grantdescriptionNHMRC/1062377en
local.description.statisticsepubsVisitors: 43<br />Views: 81<br />Downloads: 0en
local.search.authorWoods, Cindyen
local.search.authorCarlisle, Karenen
local.search.authorLarkins, Sarahen
local.search.authorThompson, Sandra Claireen
local.search.authorTsey, Komlaen
local.search.authorMatthews, Veronicaen
local.search.authorBailie, Rossen
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