Identifying culturally appropriate strategies for coronary heart disease secondary prevention in a regional Aboriginal Medical Service
Aboriginal Australians experience high rates of coronary heart disease (CHD) at an early age, highlighting the importance of effective secondary prevention. This study employed a two-stage process to evaluate CHD management in a regional Aboriginal Medical Service. Stage 1 involved an audit of 94 me...
| Main Authors: | , , , , , , |
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| Format: | Journal Article |
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C S I R O Publishing
2013
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| Subjects: | |
| Online Access: | http://hdl.handle.net/20.500.11937/44913 |
| _version_ | 1848757136362831872 |
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| author | Govil, Dhruv Lin, I. Dodd, T. Cox, R. Moss, Penny Thompson, S. Maiorana, Andrew |
| author_facet | Govil, Dhruv Lin, I. Dodd, T. Cox, R. Moss, Penny Thompson, S. Maiorana, Andrew |
| author_sort | Govil, Dhruv |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Aboriginal Australians experience high rates of coronary heart disease (CHD) at an early age, highlighting the importance of effective secondary prevention. This study employed a two-stage process to evaluate CHD management in a regional Aboriginal Medical Service. Stage 1 involved an audit of 94 medical records of clients with documented CHD using the Audit and Best Practice in Chronic Disease approach to health service quality improvement. Results from the audit informed themes for focus group discussions with Aboriginal Medical Service clients (n = 6) and staff (n = 6) to ascertain barriers and facilitators to CHD management. The audit identified that chronic disease management was the focus of appointments more frequently than in national data (P < 0.05), with brief interventions for lifestyle modification occurring at similar or greater frequency. However, referrals to follow-up support services for secondary prevention were lower (P < 0.05). Focus groups identified psychosocial factors, systemic shortcomings, suboptimal medication use and variable awareness of CHD signs and symptoms as barriers to CHD management, whereas family support and culturally appropriate education promoted health care. To optimise CHD secondary prevention for Aboriginal people, health services require adequate resources to achieve best-practice systems of follow up. Routinely engaging clients is required to ensure services meet diverse community needs. |
| first_indexed | 2025-11-14T09:23:18Z |
| format | Journal Article |
| id | curtin-20.500.11937-44913 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T09:23:18Z |
| publishDate | 2013 |
| publisher | C S I R O Publishing |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-449132017-09-13T14:15:05Z Identifying culturally appropriate strategies for coronary heart disease secondary prevention in a regional Aboriginal Medical Service Govil, Dhruv Lin, I. Dodd, T. Cox, R. Moss, Penny Thompson, S. Maiorana, Andrew medication cultural security cardiac rehabilitation cardiovascular disease risk factors Aboriginal Australians experience high rates of coronary heart disease (CHD) at an early age, highlighting the importance of effective secondary prevention. This study employed a two-stage process to evaluate CHD management in a regional Aboriginal Medical Service. Stage 1 involved an audit of 94 medical records of clients with documented CHD using the Audit and Best Practice in Chronic Disease approach to health service quality improvement. Results from the audit informed themes for focus group discussions with Aboriginal Medical Service clients (n = 6) and staff (n = 6) to ascertain barriers and facilitators to CHD management. The audit identified that chronic disease management was the focus of appointments more frequently than in national data (P < 0.05), with brief interventions for lifestyle modification occurring at similar or greater frequency. However, referrals to follow-up support services for secondary prevention were lower (P < 0.05). Focus groups identified psychosocial factors, systemic shortcomings, suboptimal medication use and variable awareness of CHD signs and symptoms as barriers to CHD management, whereas family support and culturally appropriate education promoted health care. To optimise CHD secondary prevention for Aboriginal people, health services require adequate resources to achieve best-practice systems of follow up. Routinely engaging clients is required to ensure services meet diverse community needs. 2013 Journal Article http://hdl.handle.net/20.500.11937/44913 10.1071/PY12117 C S I R O Publishing fulltext |
| spellingShingle | medication cultural security cardiac rehabilitation cardiovascular disease risk factors Govil, Dhruv Lin, I. Dodd, T. Cox, R. Moss, Penny Thompson, S. Maiorana, Andrew Identifying culturally appropriate strategies for coronary heart disease secondary prevention in a regional Aboriginal Medical Service |
| title | Identifying culturally appropriate strategies for coronary heart disease secondary prevention in a regional Aboriginal Medical Service |
| title_full | Identifying culturally appropriate strategies for coronary heart disease secondary prevention in a regional Aboriginal Medical Service |
| title_fullStr | Identifying culturally appropriate strategies for coronary heart disease secondary prevention in a regional Aboriginal Medical Service |
| title_full_unstemmed | Identifying culturally appropriate strategies for coronary heart disease secondary prevention in a regional Aboriginal Medical Service |
| title_short | Identifying culturally appropriate strategies for coronary heart disease secondary prevention in a regional Aboriginal Medical Service |
| title_sort | identifying culturally appropriate strategies for coronary heart disease secondary prevention in a regional aboriginal medical service |
| topic | medication cultural security cardiac rehabilitation cardiovascular disease risk factors |
| url | http://hdl.handle.net/20.500.11937/44913 |