Bailie Jodie, Laycock Alison, Matthews Veronica, Peiris David, Bailie Ross
University Centre for Rural Health, The University of Sydney, 61 Uralba Street, Lismore, NSW 2480, Australia; and Corresponding author. Email:
University Centre for Rural Health, The University of Sydney, 61 Uralba Street, Lismore, NSW 2480, Australia.
Aust J Prim Health. 2019 Mar;25(1):1-5. doi: 10.1071/PY18088.
The launch of the third edition of the National guide to preventive health assessment for Aboriginal and Torres Strait Islander people in March 2018 heralds a renewed commitment to improving the delivery of preventive care, and should reinvigorate discussions on the effectiveness of Indigenous-specific health assessments and how best to implement them. A substantial body of evidence on adherence to guideline-recommended care has been generated through a research-based continuous quality improvement (CQI) initiative conducted between 2010 and 2014. The research, which involved clinical audits of more than 17000 client records and 119 systems assessments relating to preventive care in 137 Indigenous primary healthcare centres across Australia, shows that a structured CQI program can improve the delivery of preventive health assessments and use of evidence-based guidelines. However, program implementation has also seen the emergence of new challenges. This paper reflects on four major lessons from this collaborative program of applied research that will lead to more effective delivery of preventive care.
2018年3月发布的第三版《原住民和托雷斯海峡岛民预防性健康评估国家指南》预示着在改善预防性护理服务方面的新承诺，也应重新激发关于针对原住民的健康评估的有效性以及如何最佳实施这些评估的讨论。2010年至2014年期间开展的一项基于研究的持续质量改进（CQI）倡议产生了大量关于遵循指南推荐护理的证据。该研究对澳大利亚137个原住民初级医疗中心的17000多份客户记录进行了临床审计，并对119项与预防性护理相关的系统进行了评估，结果表明，结构化的CQI计划可以改善预防性健康评估的提供以及循证指南的使用。然而，项目实施也出现了新的挑战。本文反思了这个应用研究合作项目的四个主要经验教训，这些经验教训将有助于更有效地提供预防性护理。
