Implementation of continuous quality improvement in Aboriginal and Torres Strait Islander primary health care in Australia: a scoping systematic review

BMC Health Services Research
Karen GardnerDaniel McAullay

Abstract

Continuous Quality Improvement (CQI) programs have been taken up widely by Indigenous primary health care (PHC) services in Australia and there has been national policy commitment to support this. However, international evidence shows that implementing CQI is challenging, impacts are variable and little is known about the factors that impede or enhance effectiveness. A scoping review was undertaken to explore uptake and implementation in Indigenous PHC, including barriers and enablers to embedding CQI in routine practice. We provide guidance on how research and evaluation might be intensified to support implementation. Searches were conducted in MEDLINE, CINAHL and the Cochrane Database of Systematic Reviews. Key websites and publications were handsearched. Studies conducted in Indigenous PHC which demonstrated some combination of CQI characteristics and assessed some aspect of implementation were included. A two stage analysis was undertaken. Stage 1 identified the breadth and focus of literature. Stage 2 investigated barriers and enablers. The Framework for Performance Assessment in PHC (2008) was used to frame the analysis. Data were extracted on the study type, approach, timeframes, CQI strategies, barriers and enablers. Si...Continue Reading

References

Aug 23, 2003·BMJ : British Medical Journal·Robyn McDermottAshim Sinha
Jul 29, 2004·Joint Commission Journal on Quality and Safety·Anthea WangJanet Reaves
Dec 15, 2004·The Milbank Quarterly·Trisha GreenhalghOlivia Kyriakidou
Aug 25, 2005·BMC Health Services Research·Damin SiTarun Weeramanthri
May 8, 2007·BMC Health Services Research·Ross BailieTarun Weeramanthri
May 23, 2007·The Medical Journal of Australia·Ross S BailieMichelle Dowden
Jun 26, 2008·BMJ : British Medical Journal·Loes M T SchoutenRichard P T M Grol
Sep 19, 2008·BMC Health Services Research·Ross BailieAlex Brown
Sep 23, 2008·The Journal of Ambulatory Care Management·Marshall H ChinLawrence P Casalino
May 26, 2009·Vaccine·Ross S BailieAlex Brown
Nov 5, 2009·Joint Commission Journal on Quality and Patient Safety·Paul BrayJanet Reaves
Jan 19, 2010·Diabetes/metabolism Research and Reviews·Damin SiTarun Weeramanthri
May 19, 2010·The Medical Journal of Australia·Alice R RumboldChristine M Connors
Oct 3, 2012·The Medical Journal of Australia·Julia V MarleyDavid Atkinson
Dec 7, 2013·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·Lisa RubensteinPaul Shekelle
Oct 25, 2014·Australian Journal of Primary Health·Lynette O'DonoghueRoss Bailie
Jul 15, 2015·International Journal of Mental Health Systems·Stefanie PuszkaRoss Bailie

❮ Previous
Next ❯

Citations

Apr 23, 2020·International Journal of Environmental Research and Public Health·Rachael LaingRohan L Rasiah
Nov 20, 2020·Diabetes Technology & Therapeutics·Marlien VarnfieldWendy Dutton
Sep 21, 2021·Health Promotion Journal of Australia : Official Journal of Australian Association of Health Promotion Professionals·Saji SebastianFrances C Cunningham

❮ Previous
Next ❯

Software Mentioned

One21Seventy
ABCDE
Systems Assessment
APCC
STRIVE

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.