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

Karen Gardner, Ross Stewart Bailie, Damin Si, L O'DONOGHUE, Catherine Kennedy, H LIDDLE, Rhonda Cox, Ru Kwedza, Marea Therese Fittock, Jennifer Anne Hains, Michelle Dowden, Christine Connors, Hugh Burke, Carol Beaver

    Research output: Contribution to journalArticle


    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.
    Original languageEnglish
    Pages (from-to)111-117
    Number of pages7
    JournalAustralian Journal of Rural Health
    Issue number3
    Publication statusPublished - Jun 2011


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