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- Title
Community participation in health service reform: the development of an innovative remote Aboriginal primary health-care service.
- Authors
Reeve, Carole; Humphreys, John; Wakerman, John; Carroll, Vicki; Carter, Maureen; O'Brien, Tim; Erlank, Carol; Mansour, Rafik; Smith, Bec
- Abstract
The aim of this study was to describe the reorientation of a remote primary health-care service, in the Kimberley region of Australia, its impact on access to services and the factors instrumental in bringing about change. A unique community-initiated health service partnership was developed between a community-controlled Aboriginal health organisation, a government hospital and a population health unit, in order to overcome the challenges of delivering primary health care to a dispersed, highly disadvantaged Aboriginal population in a very remote area. The shared goals and clear delineation of responsibilities achieved through the partnership reoriented an essentially acute hospital-based service to a prevention-focussed comprehensive primary health-care service, with a focus on systematic screening for chronic disease, interdisciplinary follow up, health promotion, community advocacy and primary prevention. This formal partnership enabled the primary health-care service to meet the major challenges of providing a sustainable, prevention-focussed service in a very remote and socially disadvantaged area.
- Subjects
CONCEPTUAL structures; FOCUS groups; HEALTH care reform; INDIGENOUS peoples; INTERVIEWING; LEADERSHIP; RESEARCH methodology; CASE studies; MEDICAL quality control; PRIMARY health care; QUALITY assurance; PATIENT participation; THEMATIC analysis
- Publication
Australian Journal of Primary Health, 2015, Vol 21, Issue 4, p409
- ISSN
1448-7527
- Publication type
Article
- DOI
10.1071/PY14073