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
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Mentions: The PBS Co-payment initiative provided subsidised or free prescription medicines. It worked as a patient incentive to access other health services offered as part of the ICDP, and, as reported in the interviews and community focus groups, resulted in improved medication adherence. Uptake was higher than expected (27 per 100 eligible Indigenous patients across the evaluation sites in March to May 2012) and was promoted by the ICDP workforce (figure 4).
Affiliation: Menzies School of Health Research, Charles Darwin University, Darwin, Northern Territory, Australia.