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Implementing a chronic disease strategy in two remote Indigenous Australian settings: A multi-method pilot evaluation

Journal Article


Abstract


  • Objective: To test an evaluation framework designed to evaluate implementation of the North Queensland Indigenous communities between August and December 2005. Setting: Both communities are located in CapeYork, North Queensland. Community A has an estimated population of around 600 people; Community B has an enumerated population of 750, although health centre records indicate a higher number. Participants: Process evaluation involved health centre staff in both communities; clinical audits used random samples from the adult population (each sample n = 30); ethnographic fieldwork was conducted with resident population. Main outcome measures: Health centre scores and qualitative findings using a System Assessment Tool; clinical audits - extent to which scheduled services recorded; selected primary health performance indicators; qualitative ethnographic findings. Results: On almost all indicators, implementation of NQICDS had progressed further in Community A than in Community B; however, some common issues emerged, especially lack of linkages between health centres and other groups, and lack of support for client self-management. Conclusions: The evaluation framework is an effective and acceptable framework for monitoring implementation of the NQICDS at the primary health centre level. © 2008 The Authors Journal Compilation © 2008 National Rural Health Alliance Inc.

Publication Date


  • 2008

Citation


  • D'abbs, P., Schmidt, B., Dougherty, K., & Senior, K. (2008). Implementing a chronic disease strategy in two remote Indigenous Australian settings: A multi-method pilot evaluation. Australian Journal of Rural Health, 16(2), 67-74. doi:10.1111/j.1440-1584.2008.00955.x

Scopus Eid


  • 2-s2.0-40449111667

Start Page


  • 67

End Page


  • 74

Volume


  • 16

Issue


  • 2

Abstract


  • Objective: To test an evaluation framework designed to evaluate implementation of the North Queensland Indigenous communities between August and December 2005. Setting: Both communities are located in CapeYork, North Queensland. Community A has an estimated population of around 600 people; Community B has an enumerated population of 750, although health centre records indicate a higher number. Participants: Process evaluation involved health centre staff in both communities; clinical audits used random samples from the adult population (each sample n = 30); ethnographic fieldwork was conducted with resident population. Main outcome measures: Health centre scores and qualitative findings using a System Assessment Tool; clinical audits - extent to which scheduled services recorded; selected primary health performance indicators; qualitative ethnographic findings. Results: On almost all indicators, implementation of NQICDS had progressed further in Community A than in Community B; however, some common issues emerged, especially lack of linkages between health centres and other groups, and lack of support for client self-management. Conclusions: The evaluation framework is an effective and acceptable framework for monitoring implementation of the NQICDS at the primary health centre level. © 2008 The Authors Journal Compilation © 2008 National Rural Health Alliance Inc.

Publication Date


  • 2008

Citation


  • D'abbs, P., Schmidt, B., Dougherty, K., & Senior, K. (2008). Implementing a chronic disease strategy in two remote Indigenous Australian settings: A multi-method pilot evaluation. Australian Journal of Rural Health, 16(2), 67-74. doi:10.1111/j.1440-1584.2008.00955.x

Scopus Eid


  • 2-s2.0-40449111667

Start Page


  • 67

End Page


  • 74

Volume


  • 16

Issue


  • 2