Reorienting primary health care for addressing chronic conditions in remote Australia and the South Pacific: Review of evidence and lessons from an innovative quality improvement process
This paper reviews what is known about the challenges of implementing quality improvement programs and draws on data from a systematic continuous quality improvement (CQI) project in remote communities in Australia and Fiji, known as Audit and Best practice for Chronic Disease, to synthesise lessons...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Journal Article |
| Published: |
Blackwell Publishing
2011
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| Online Access: | http://hdl.handle.net/20.500.11937/9993 |
| _version_ | 1848746135356702720 |
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| author | Gardner, K. Bailie, R. Si, D. O'Donoghue, L. Kennedy, C. Liddle, H. Cox, Rhonda Kwedza, R. Fittock, M. Hains, J. Dowden, M. Connors, C. Burke, H. Beaver, C. |
| author_facet | Gardner, K. Bailie, R. Si, D. O'Donoghue, L. Kennedy, C. Liddle, H. Cox, Rhonda Kwedza, R. Fittock, M. Hains, J. Dowden, M. Connors, C. Burke, H. Beaver, C. |
| author_sort | Gardner, K. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | This paper reviews what is known about the challenges of implementing quality improvement programs and draws on data from a systematic continuous quality improvement (CQI) project in remote communities in Australia and Fiji, known as Audit and Best practice for Chronic Disease, to synthesise lessons and discuss the potential for broader application in low and middle income countries, including Pacific Island countries and territories. Although a number of systematic reviews have indicated that quality improvement programs can be effective in changing professional practice and improving the quality of care and patient outcomes, little is known about the key ingredients for change or how services use and implement different strategies to achieve improvements. We identify key features of an innovative CQI model and factors related to implementation that support improvement in diabetes service delivery and intermediate outcomes. Requirements for supporting CQI are identified and the potential for wider application discussed. It is argued that the participatory action research approach supports innovation and broad-based change and the evidence it has produced extends the current knowledge base and facilitates the translation of knowledge into action, for both policy and practice. |
| first_indexed | 2025-11-14T06:28:26Z |
| format | Journal Article |
| id | curtin-20.500.11937-9993 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T06:28:26Z |
| publishDate | 2011 |
| publisher | Blackwell Publishing |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-99932017-09-13T14:54:25Z Reorienting primary health care for addressing chronic conditions in remote Australia and the South Pacific: Review of evidence and lessons from an innovative quality improvement process Gardner, K. Bailie, R. Si, D. O'Donoghue, L. Kennedy, C. Liddle, H. Cox, Rhonda Kwedza, R. Fittock, M. Hains, J. Dowden, M. Connors, C. Burke, H. Beaver, C. This paper reviews what is known about the challenges of implementing quality improvement programs and draws on data from a systematic continuous quality improvement (CQI) project in remote communities in Australia and Fiji, known as Audit and Best practice for Chronic Disease, to synthesise lessons and discuss the potential for broader application in low and middle income countries, including Pacific Island countries and territories. Although a number of systematic reviews have indicated that quality improvement programs can be effective in changing professional practice and improving the quality of care and patient outcomes, little is known about the key ingredients for change or how services use and implement different strategies to achieve improvements. We identify key features of an innovative CQI model and factors related to implementation that support improvement in diabetes service delivery and intermediate outcomes. Requirements for supporting CQI are identified and the potential for wider application discussed. It is argued that the participatory action research approach supports innovation and broad-based change and the evidence it has produced extends the current knowledge base and facilitates the translation of knowledge into action, for both policy and practice. 2011 Journal Article http://hdl.handle.net/20.500.11937/9993 10.1111/j.1440-1584.2010.01181.x Blackwell Publishing restricted |
| spellingShingle | Gardner, K. Bailie, R. Si, D. O'Donoghue, L. Kennedy, C. Liddle, H. Cox, Rhonda Kwedza, R. Fittock, M. Hains, J. Dowden, M. Connors, C. Burke, H. Beaver, C. Reorienting primary health care for addressing chronic conditions in remote Australia and the South Pacific: Review of evidence and lessons from an innovative quality improvement process |
| title | Reorienting primary health care for addressing chronic conditions in remote Australia and the South Pacific: Review of evidence and lessons from an innovative quality improvement process |
| title_full | Reorienting primary health care for addressing chronic conditions in remote Australia and the South Pacific: Review of evidence and lessons from an innovative quality improvement process |
| title_fullStr | Reorienting primary health care for addressing chronic conditions in remote Australia and the South Pacific: Review of evidence and lessons from an innovative quality improvement process |
| title_full_unstemmed | Reorienting primary health care for addressing chronic conditions in remote Australia and the South Pacific: Review of evidence and lessons from an innovative quality improvement process |
| title_short | Reorienting primary health care for addressing chronic conditions in remote Australia and the South Pacific: Review of evidence and lessons from an innovative quality improvement process |
| title_sort | reorienting primary health care for addressing chronic conditions in remote australia and the south pacific: review of evidence and lessons from an innovative quality improvement process |
| url | http://hdl.handle.net/20.500.11937/9993 |