INDIGENOUS HEALTH A multifaceted health-service intervention in remote Aboriginal communities: 3-year follow-up of the impact on diabetes care

نویسندگان

  • Ross S Bailie
  • Damin Si
  • Gary W Robinson
  • Samantha J Togni
  • Peter H N d’Abbs
چکیده

Menzies School of Health Research; Institute of Advanced Studies, Charles Darwin University, Darwin, NT. Ross S Bailie, MPhil(MCH), MD, Associate Professor in Public Health; Damin Si, MMed, Research Scholar; Samantha J Togni, MA, Project Manager/Research Officer. School of Humanities, Social Sciences and Management, Charles Darwin University, Darwin, NT. Gary W Robinson, PhD, Acting Associate Dean. School of Public Health and Tropical Medicine, James Cook University, Cairns, QLD. Peter H N d’Abbs, PhD, Associate Professor. Reprints will not be available from the authors. Correspondence: Associate Professor Ross S Bailie, Menzies School of Health Research, PO Box 41096, Casuarina, NT 0811. [email protected] The Medical Journal of Australia ISSN: 0025-729X 16 August 2004 181 4 195200 ©The Medical Journal of Australia 2004 www.mja.com.au Indigenous Health ness of such interventions, or on the impact of broader healthcare system reforms on specific aspects of care. Recent health reform initiatives — the “c ordinated care trials” (CCTs) — in two remote regions of the Northern Territory aimed to enhance governance and funding arrangements. A health Parti Inter and p of cli assoc Main

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

A multifaceted health-service intervention in remote Aboriginal communities: 3-year follow-up of the impact on diabetes care.

OBJECTIVE To examine the trends in processes of diabetes care and in participant outcomes after an intervention in two remote regions of Australia. DESIGN Follow-up study over 3 years. SETTING Seven health centres in the Tiwi Islands and the Katherine West region of the Northern Territory. PARTICIPANTS 137 Aboriginal people with type 2 diabetes. INTERVENTION Implementation of a multifac...

متن کامل

Preventive medical care in remote Aboriginal communities in the Northern Territory: a follow-up study of the impact of clinical guidelines, computerised recall and reminder systems, and audit and feedback

BACKGROUND Interventions to improve delivery of preventive medical services have been shown to be effective in North America and the UK. However, there are few studies of the extent to which the impact of such interventions has been sustained, or of the impact of such interventions in disadvantaged populations or remote settings. This paper describes the trends in delivery of preventive medical...

متن کامل

STI in remote communities: improved and enhanced primary health care (STRIVE) study protocol: a cluster randomised controlled trial comparing ‘usual practice’ STI care to enhanced care in remote primary health care services in Australia

BACKGROUND Despite two decades of interventions, rates of sexually transmissible infections (STI) in remote Australian Aboriginal communities remain unacceptably high. Routine notifications data from 2011 indicate rates of chlamydia and gonorrhoea among Aboriginal people in remote settings were 8 and 61 times higher respectively than in the non-Indigenous population. METHODS/DESIGN STRIVE is ...

متن کامل

Community health workers improve diabetes care in remote Australian Indigenous communities: results of a pragmatic cluster randomized controlled trial

BACKGROUND Health outcomes for Indigenous Australians with diabetes in remote areas remain poor, including high rates of avoidable complications which could be reduced with better primary level care. We aimed to evaluate the effectiveness of a community-based health-worker led case management approach to the care of Indigenous adults with poorly controlled type 2 diabetes in primary care servic...

متن کامل

Point-of-care testing for haemoglobin A1c in remote Australian Indigenous communities improves timeliness of diabetes care.

INTRODUCTION In remote Australia timely access to pathology results and subsequent follow-up of patients for treatment is very challenging due to the long distances to the nearest laboratory. Point-of-care testing (POCT) offers a practical solution for pathology service provision in such remote communities. Since 2008, POCT for haemoglobin A1c (HbA1c) has been conducted in remote Northern Terri...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2004