Determinants of access to chronic illness care: a mixed-methods evaluation of a national multifaceted chronic disease package for Indigenous Australians.
Bottom Line: Application of the access framework highlighted the complex inter-relationships between dimensions of access.Key ongoing challenges are achieving population coverage through a national programme, reaching high-need groups and ensuring provision of ongoing care.These findings highlight the importance of flexibility in national programme guidelines to support locally determined strategies.
Affiliation: Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia.Show MeSH
Related in: MedlinePlus
Mentions: Patients registered for the PIP-IHI were expected to have a diagnosed chronic disease; therefore, it is notable that additional payments reflecting continuity of care and planned review (tier 1 or 2 payments) were not triggered for around 30% of patients (figure 2). This indicates a substantial proportion of patients registered for the PIP-IHI were not attending health services regularly, or health services were not billing for care in a way that triggered payments. There was a higher percentage of PIP-IHI registered patients for whom no payments were made in Indigenous Health Services than in the general practice sector.
Affiliation: Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia.