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: Uptake of health assessments (which are primarily preventive and diagnostic) increased almost fourfold over the evaluation period in the sentinel sites, and around twofold in the rest of Australia (figure 3). This may reflect increased autonomy and knowledge about healthcare options, and greater ‘ability to seek care’ and ‘acceptability’.
Affiliation: Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia.