Study protocol: national research partnership to improve primary health care performance and outcomes for Indigenous peoplesReport as inadecuate

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BMC Health Services Research

, 10:129

First Online: 19 May 2010Received: 16 April 2010Accepted: 19 May 2010DOI: 10.1186-1472-6963-10-129

Cite this article as: Bailie, R., Si, D., Shannon, C. et al. BMC Health Serv Res 2010 10: 129. doi:10.1186-1472-6963-10-129


BackgroundStrengthening primary health care is critical to reducing health inequity between Indigenous and non-Indigenous Australians. The Audit and Best practice for Chronic Disease Extension ABCDE project has facilitated the implementation of modern Continuous Quality Improvement CQI approaches in Indigenous community health care centres across Australia. The project demonstrated improvements in health centre systems, delivery of primary care services and in patient intermediate outcomes. It has also highlighted substantial variation in quality of care. Through a partnership between academic researchers, service providers and policy makers, we are now implementing a study which aims to 1 explore the factors associated with variation in clinical performance; 2 examine specific strategies that have been effective in improving primary care clinical performance; and 3 work with health service staff, management and policy makers to enhance the effective implementation of successful strategies.

Methods-DesignThe study will be conducted in Indigenous community health centres from at least six States-Territories Northern Territory, Western Australia, New South Wales, South Australia, Queensland and Victoria over a five year period. A research hub will be established in each region to support collection and reporting of quantitative and qualitative clinical and health centre system performance data, to investigate factors affecting variation in quality of care and to facilitate effective translation of research evidence into policy and practice. The project is supported by a web-based information system, providing automated analysis and reporting of clinical care performance to health centre staff and management.

DiscussionBy linking researchers directly to users of research service providers, managers and policy makers, the partnership is well placed to generate new knowledge on effective strategies for improving the quality of primary health care and fostering effective and efficient exchange and use of data and information among service providers and policy makers to achieve evidence-based resource allocation, service planning, system development, and improvements of service delivery and Indigenous health outcomes.

Electronic supplementary materialThe online version of this article doi:10.1186-1472-6963-10-129 contains supplementary material, which is available to authorized users.

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Author: Ross Bailie - Damin Si - Cindy Shannon - James Semmens - Kevin Rowley - David J Scrimgeour - Tricia Nagel - Ian Anderson


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