Care for chronic conditions for Indigenous Australians

key informants' perspectives on policy

J BAEZA, Ross Stewart Bailie, J LEWIS

    Research output: Contribution to journalArticleResearchpeer-review

    Abstract

    Background: The WHO's 2002 global report, Innovative Care for Chronic Conditions proposes a comprehensive framework for health systems to meet the challenges posed by chronic conditions. This paper uses the policy environment component of the WHO framework as a lens through which to examine key informants' perspectives on the management and prevention of chronic conditions in rural and remote Aboriginal communities in Australia. Methods: Twenty one semi-structured telephone interviews were conducted with a purposive sample of stakeholders, including senior commonwealth, state/territory and regional public servants and health service staff. All of the interviews were audio recorded, from which written summaries were produced. These summaries were then content analysed to build a composite picture of this area. Findings: The results indicate substantial success in developing national and sub-national strategies and refining funding and reporting arrangements. But much work remains to be done in strengthening partnerships, developing and retaining the workforce, and further shifting the focus from acute to chronic conditions. Conclusions: This paper provides a snapshot of the main policy issues, as identified by key informants, facing chronic disease management in rural and remote Indigenous communities in Australia. It has the potential to contribute to new national policy directions in Indigenous health. � 2009 Elsevier Ireland Ltd. All rights reserved.
    Original languageEnglish
    Pages (from-to)211-217
    Number of pages7
    JournalHealth Policy
    Volume92
    Issue number2
    Publication statusPublished - 2009

    Fingerprint

    Interviews
    United States Public Health Service
    Health
    Disease Management
    Ireland
    Lenses
    Chronic Disease
    Direction compound

    Cite this

    BAEZA, J ; Bailie, Ross Stewart ; LEWIS, J. / Care for chronic conditions for Indigenous Australians : key informants' perspectives on policy. In: Health Policy. 2009 ; Vol. 92, No. 2. pp. 211-217.
    @article{07195cc3b0ed4bc28092d38b1ced46dc,
    title = "Care for chronic conditions for Indigenous Australians: key informants' perspectives on policy",
    abstract = "Background: The WHO's 2002 global report, Innovative Care for Chronic Conditions proposes a comprehensive framework for health systems to meet the challenges posed by chronic conditions. This paper uses the policy environment component of the WHO framework as a lens through which to examine key informants' perspectives on the management and prevention of chronic conditions in rural and remote Aboriginal communities in Australia. Methods: Twenty one semi-structured telephone interviews were conducted with a purposive sample of stakeholders, including senior commonwealth, state/territory and regional public servants and health service staff. All of the interviews were audio recorded, from which written summaries were produced. These summaries were then content analysed to build a composite picture of this area. Findings: The results indicate substantial success in developing national and sub-national strategies and refining funding and reporting arrangements. But much work remains to be done in strengthening partnerships, developing and retaining the workforce, and further shifting the focus from acute to chronic conditions. Conclusions: This paper provides a snapshot of the main policy issues, as identified by key informants, facing chronic disease management in rural and remote Indigenous communities in Australia. It has the potential to contribute to new national policy directions in Indigenous health. � 2009 Elsevier Ireland Ltd. All rights reserved.",
    keywords = "Aborigine, article, audio recording, Australia, chronic disease, content analysis, documentation, funding, health care, health care personnel, health care policy, human, indigenous people, public figure, rural area, semi structured interview, telephone, world health organization, Chronic Disease, Health Policy, Health Promotion, Humans, Oceanic Ancestry Group, Population Groups, Primary Health Care, Quality Assurance, Health Care",
    author = "J BAEZA and Bailie, {Ross Stewart} and J LEWIS",
    year = "2009",
    language = "English",
    volume = "92",
    pages = "211--217",
    journal = "Health Policy",
    issn = "0168-8510",
    publisher = "Elsevier",
    number = "2",

    }

    BAEZA, J, Bailie, RS & LEWIS, J 2009, 'Care for chronic conditions for Indigenous Australians: key informants' perspectives on policy', Health Policy, vol. 92, no. 2, pp. 211-217.

    Care for chronic conditions for Indigenous Australians : key informants' perspectives on policy. / BAEZA, J; Bailie, Ross Stewart; LEWIS, J.

    In: Health Policy, Vol. 92, No. 2, 2009, p. 211-217.

    Research output: Contribution to journalArticleResearchpeer-review

    TY - JOUR

    T1 - Care for chronic conditions for Indigenous Australians

    T2 - key informants' perspectives on policy

    AU - BAEZA, J

    AU - Bailie, Ross Stewart

    AU - LEWIS, J

    PY - 2009

    Y1 - 2009

    N2 - Background: The WHO's 2002 global report, Innovative Care for Chronic Conditions proposes a comprehensive framework for health systems to meet the challenges posed by chronic conditions. This paper uses the policy environment component of the WHO framework as a lens through which to examine key informants' perspectives on the management and prevention of chronic conditions in rural and remote Aboriginal communities in Australia. Methods: Twenty one semi-structured telephone interviews were conducted with a purposive sample of stakeholders, including senior commonwealth, state/territory and regional public servants and health service staff. All of the interviews were audio recorded, from which written summaries were produced. These summaries were then content analysed to build a composite picture of this area. Findings: The results indicate substantial success in developing national and sub-national strategies and refining funding and reporting arrangements. But much work remains to be done in strengthening partnerships, developing and retaining the workforce, and further shifting the focus from acute to chronic conditions. Conclusions: This paper provides a snapshot of the main policy issues, as identified by key informants, facing chronic disease management in rural and remote Indigenous communities in Australia. It has the potential to contribute to new national policy directions in Indigenous health. � 2009 Elsevier Ireland Ltd. All rights reserved.

    AB - Background: The WHO's 2002 global report, Innovative Care for Chronic Conditions proposes a comprehensive framework for health systems to meet the challenges posed by chronic conditions. This paper uses the policy environment component of the WHO framework as a lens through which to examine key informants' perspectives on the management and prevention of chronic conditions in rural and remote Aboriginal communities in Australia. Methods: Twenty one semi-structured telephone interviews were conducted with a purposive sample of stakeholders, including senior commonwealth, state/territory and regional public servants and health service staff. All of the interviews were audio recorded, from which written summaries were produced. These summaries were then content analysed to build a composite picture of this area. Findings: The results indicate substantial success in developing national and sub-national strategies and refining funding and reporting arrangements. But much work remains to be done in strengthening partnerships, developing and retaining the workforce, and further shifting the focus from acute to chronic conditions. Conclusions: This paper provides a snapshot of the main policy issues, as identified by key informants, facing chronic disease management in rural and remote Indigenous communities in Australia. It has the potential to contribute to new national policy directions in Indigenous health. � 2009 Elsevier Ireland Ltd. All rights reserved.

    KW - Aborigine

    KW - article

    KW - audio recording

    KW - Australia

    KW - chronic disease

    KW - content analysis

    KW - documentation

    KW - funding

    KW - health care

    KW - health care personnel

    KW - health care policy

    KW - human

    KW - indigenous people

    KW - public figure

    KW - rural area

    KW - semi structured interview

    KW - telephone

    KW - world health organization

    KW - Chronic Disease

    KW - Health Policy

    KW - Health Promotion

    KW - Humans

    KW - Oceanic Ancestry Group

    KW - Population Groups

    KW - Primary Health Care

    KW - Quality Assurance, Health Care

    M3 - Article

    VL - 92

    SP - 211

    EP - 217

    JO - Health Policy

    JF - Health Policy

    SN - 0168-8510

    IS - 2

    ER -