Quality improvement in indigenous primary health care: History, current initiatives and future directions

被引:13
作者
Bailie, Ross [1 ]
Sibthorpe, Beverly [1 ]
Gardner, Karen [2 ]
Si, Damin [1 ]
机构
[1] Menzies Sch Hlth Res, Casuarina, NT 0811, Australia
[2] Australian Natl Univ, Australian Primary Hlth Care Res Inst, Canberra, ACT 0200, Australia
关键词
quality improvement; indigenous health; performance assessment; primary health care;
D O I
10.1071/PY08022
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
This paper addresses the question: "What is the current situation for Aboriginal primary health care services in relation to continuous quality improvement (CQI) in clinical care and what is needed for sustainable practice to be achievable five years from now?" The paper describes a number of recent CQI initiatives that evolved within an accountability framework, the origins of which are based on a top-down government approach to performance measurement. Over the last decade there has been a shift to a more negotiated approach, and most recently to an emerging agenda that focuses more on systems to support CQI at the primary care coalface. Further development should aim to capitalise on the synergies between different CQI-related initiatives and effectively align quality improvement with performance measurement. Principles of CQI and key challenges for the future are identified.
引用
收藏
页码:53 / 57
页数:5
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