scholarly journals Continuous quality improvement and metabolic screening during pregnancy at primary health centres attended by Aboriginal and Torres Strait Islander women

2015 ◽  
Vol 203 (9) ◽  
pp. 369-370 ◽  
Author(s):  
Melanie E Gibson‐Helm ◽  
Helena J Teede ◽  
Alice R Rumbold ◽  
Sanjeeva Ranasinha ◽  
Ross S Bailie ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Continuous Quality Improvement ◽  
Torres Strait Islander ◽  
Continuous Quality ◽  
Primary Health ◽  
Primary Health Centres ◽  
Health Centres ◽  
Torres Strait ◽  
Metabolic Screening

scholarly journals Respect Is Central: A Critical Review of Implementation Frameworks for Continuous Quality Improvement in Aboriginal and Torres Strait Islander Primary Health Care Services

2021 ◽  
Vol 9 ◽  
Author(s):  
Michelle Redman-MacLaren ◽  
Nalita Nungarrayi Turner (Anmatyerre/Jaru) ◽  
Judy Taylor ◽  
Alison Laycock ◽  
Kristina Vine ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Primary Health Care ◽  
Continuous Quality Improvement ◽  
Critical Review ◽  
Torres Strait Islander ◽  
Health Improvement ◽  
Continuous Quality ◽  
Primary Health ◽  
Torres Strait

Background: Primary health care (PHC) services are complex systems, shaped by an interplay of factors at individual, organisational and broader system levels. For Aboriginal and Torres Strait Islander PHC services, closer relationships with the people they serve, local knowledge of community, and cultural awareness are critical. Continuous quality improvement (CQI) has proven to be an effective process for identification of priority issues in health care delivery and for instigating the design, implementation and evaluation of improvement interventions in these settings. However, wide-scale variation in care quality persists partly due to the mismatch between CQI interventions and context.Methods: This critical review of implementation frameworks for CQI in Aboriginal and Torres Strait Islander primary health care was conducted in two phases: (1) a review of primary published implementation frameworks used in PHC contexts, and (2) a comparison of key features of these frameworks with quality concepts identified by high-improving Aboriginal and Torres Strait Islander PHC services in remote Australia.Results: We found nine primary implementation frameworks previously used in PHC contexts guiding interventions within and between macro (broader contextual) level; meso (health service) level; and micro (community and inter-personal) level systems. There was commonality between these frameworks and key quality concepts in Aboriginal and Torres Strait Islander PHC. However, none of the frameworks covered all concepts with rare consideration of communities driving health improvement, two-way learning (integrating cultural knowledge into healthcare provision), and caring staff—engendering trusting relationships with community enacted through respect.Conclusion: Respect, as a secret essence, privileges the importance of culture, and is an essential element of CQI implementation frameworks for positive change in Aboriginal and Torres Strait Islander PHC services. It is essential to work with communities to design workforce models that grow a caring stable workforce to ensure improvements in quality of care that are effective for their context.

scholarly journals Indicators for continuous quality improvement for otitis media in primary health care for Aboriginal and Torres Strait Islander children

2017 ◽  
Vol 23 (1) ◽  
pp. 1 ◽  
Author(s):  
Beverly Sibthorpe ◽  
Jason Agostino ◽  
Harvey Coates ◽  
Sharon Weeks ◽  
Deborah Lehmann ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Primary Health Care ◽  
Otitis Media ◽  
Continuous Quality Improvement ◽  
Torres Strait Islander ◽  
Severe Disease ◽  
Continuous Quality ◽  
Primary Health ◽  
Torres Strait

Otitis media is a common, generally self-limiting childhood illness that can progress to severe disease and have lifelong sequelae, including hearing loss and developmental delays. Severe disease is disproportionately prevalent among Aboriginal and Torres Strait Islander children. Primary health care is at the frontline of appropriate prevention and treatment. Continuous quality improvement in the prevention and management of important causes of morbidity in client populations is accepted best practice in primary health care and now a requirement of Australian Government funding to services providing care for Aboriginal and Torres Strait Islander children. To date, there have been no indicators for continuous quality improvement in the prevention and management of otitis media and its sequelae in primary health care. Through an expert group consensus process, seven evidence-based indicators, potentially extractable from electronic health records, have been developed. The development process and indicators are described.

Syphilis testing performance in Aboriginal primary health care: exploring impact of continuous quality improvement over time

2020 ◽  
Vol 26 (2) ◽  
pp. 178
Author(s):  
Armita Adily ◽  
Seham Girgis ◽  
Catherine D'Este ◽  
Veronica Matthews ◽  
Jeanette E. Ward
Keyword(s):  
Public Health ◽  
Quality Improvement ◽  
Continuous Quality Improvement ◽  
Torres Strait Islander ◽  
Torres Strait Islander People ◽  
Continuous Quality ◽  
Syphilis Testing ◽  
Testing Performance ◽  
Torres Strait ◽  
Over Time

Data from 110 primary healthcare clinics participating in two or more continuous quality improvement (CQI) cycles in preventive care, which included syphilis testing performance (STP) for Aboriginal and Torres Strait Islander people aged between 15 and 54 years, were used to examine whether the number of audit cycles including syphilis testing was associated over time with STP improvement at clinic level in this specific measure of public health importance. The number of cycles per clinic ranged from two to nine (mode 3). As shown by medical record audit at entry to CQI, only 42 (38%) clinics had tested or approached 50% or more of their eligible clients for syphilis in the prior 24 months. Using mixed effects logistic regression, it was found that the odds of a clinic’s STP relative to its first cycle increased only modestly. Counterintuitively, clinics undertaking the most preventive health CQI cycles tended to have the lowest STP throughout. Participation in a general preventive care CQI tool was insufficient to achieve and sustain high rates of STP for Aboriginal and Torres Strait Islander people required for public health benefit. Improving STP requires dedicated effort and greater understanding of barriers to effective CQI within and beyond clinic control.

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