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Determinants of access to chronic illness care: a mixed-methods evaluation of a national multifaceted chronic disease package for Indigenous Australians.

Bailie J, Schierhout G, Laycock A, Kelaher M, Percival N, O'Donoghue L, McNeair T, Bailie R - BMJ Open (2015)

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.

View Article: PubMed Central - PubMed

Affiliation: Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia.

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Related in: MedlinePlus

Adult health assessments (Medicare Benefits Schedule items 704, 706, 710 to 1 May 2010 thereafter 715) claimed per 100 Indigenous people aged ≥15 years in sentinel sites and the rest of Australia, by quarter and rurality, March 2009 to May 2012.
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Related In: Results  -  Collection

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BMJOPEN2015008103F3: Adult health assessments (Medicare Benefits Schedule items 704, 706, 710 to 1 May 2010 thereafter 715) claimed per 100 Indigenous people aged ≥15 years in sentinel sites and the rest of Australia, by quarter and rurality, March 2009 to May 2012.

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’.


Determinants of access to chronic illness care: a mixed-methods evaluation of a national multifaceted chronic disease package for Indigenous Australians.

Bailie J, Schierhout G, Laycock A, Kelaher M, Percival N, O'Donoghue L, McNeair T, Bailie R - BMJ Open (2015)

Adult health assessments (Medicare Benefits Schedule items 704, 706, 710 to 1 May 2010 thereafter 715) claimed per 100 Indigenous people aged ≥15 years in sentinel sites and the rest of Australia, by quarter and rurality, March 2009 to May 2012.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4663407&req=5

BMJOPEN2015008103F3: Adult health assessments (Medicare Benefits Schedule items 704, 706, 710 to 1 May 2010 thereafter 715) claimed per 100 Indigenous people aged ≥15 years in sentinel sites and the rest of Australia, by quarter and rurality, March 2009 to May 2012.
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’.

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.

View Article: PubMed Central - PubMed

Affiliation: Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia.

Show MeSH
Related in: MedlinePlus