Participatory Action Research Applied to an Ear, Nose, and Throat Specialty Service Redesign in Remote Australia: A Mixed-Methods Study of Key Stakeholder Perspectives.

Jacups, SP; Kinchin, I; Edwards, L

Participatory Action Research Applied to an Ear, Nose, and Throat Specialty Service Redesign in Remote Australia: A Mixed-Methods Study of Key Stakeholder Perspectives.

Jacups, SP Kinchin, I

Edwards, L

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Publisher:: MDPI AG
Publication Type:: Journal Article
Citation:: International Journal of Environmental Research and Public Health, 2021, 18, (1), pp. 1-12
Issue Date:: 2021-01-01

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Field	Value	Language
dc.contributor.author	Jacups, SP
dc.contributor.author	Kinchin, I https://orcid.org/0000-0003-0133-2763
dc.contributor.author	Edwards, L
dc.date.accessioned	2021-12-15T03:55:27Z
dc.date.available	2020-12-21
dc.date.available	2021-12-15T03:55:27Z
dc.date.issued	2021-01-01
dc.identifier.citation	International Journal of Environmental Research and Public Health, 2021, 18, (1), pp. 1-12
dc.identifier.issn	1660-4601
dc.identifier.issn	1660-4601
dc.identifier.uri	http://hdl.handle.net/10453/152344
dc.description.abstract	This mixed-methods study reports on the key stakeholders' perspectives on the ear, nose, and throat (ENT) service redesign in remote Australia, using a participatory action research (PAR) approach. A primary health care (PHC) clinician survey was conducted to assess local needs and possible educational gaps in clinical knowledge. This was followed by an internal stakeholder forum and a follow-up survey with Torres and Cape Hospital and Health Service staff to gain their perspectives on current service delivery and table ideas for a new ENT health service model. Qualitative data were analyzed inductively and grouped in emerging themes. Quantitative data were imported into tables and analyzed descriptively. PAR allowed for input from 19 PHC clinicians, 10 face-to-face stakeholders perspectives, and 18 stakeholder follow-up survey respondents. Four themes emerged: 1. Training for health workers in ENT management; 2. Improved local service access; 3. New referral pathways to improve continuity of care; and 4. Introduction of telehealth. PAR engaged key stakeholders, identifying gaps in ENT service delivery, and guided the development of the new service model. The inclusion of stakeholders throughout the service redesign process is likely to create a more sustainable model of care which already has local "buy-in".
dc.format	Electronic
dc.language	eng
dc.publisher	MDPI AG
dc.relation.ispartof	International Journal of Environmental Research and Public Health
dc.relation.isbasedon	10.3390/ijerph18010167
dc.rights	info:eu-repo/semantics/openAccess
dc.subject.classification	Toxicology
dc.subject.mesh	Humans
dc.subject.mesh	Otolaryngology
dc.subject.mesh	Telemedicine
dc.subject.mesh	Health Services Research
dc.subject.mesh	Primary Health Care
dc.subject.mesh	Australia
dc.subject.mesh	Australia
dc.subject.mesh	Health Services Research
dc.subject.mesh	Humans
dc.subject.mesh	Otolaryngology
dc.subject.mesh	Primary Health Care
dc.subject.mesh	Telemedicine
dc.title	Participatory Action Research Applied to an Ear, Nose, and Throat Specialty Service Redesign in Remote Australia: A Mixed-Methods Study of Key Stakeholder Perspectives.
dc.type	Journal Article
utslib.citation.volume	18
utslib.location.activity	Switzerland
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHERE - Centre for Health Economics Research and Evaluation
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
utslib.copyright.status	open_access	*
pubs.consider-herdc	false
dc.date.updated	2021-12-15T03:55:23Z
pubs.issue	1
pubs.publication-status	Published
pubs.volume	18
utslib.citation.issue	1

Abstract:

This mixed-methods study reports on the key stakeholders' perspectives on the ear, nose, and throat (ENT) service redesign in remote Australia, using a participatory action research (PAR) approach. A primary health care (PHC) clinician survey was conducted to assess local needs and possible educational gaps in clinical knowledge. This was followed by an internal stakeholder forum and a follow-up survey with Torres and Cape Hospital and Health Service staff to gain their perspectives on current service delivery and table ideas for a new ENT health service model. Qualitative data were analyzed inductively and grouped in emerging themes. Quantitative data were imported into tables and analyzed descriptively. PAR allowed for input from 19 PHC clinicians, 10 face-to-face stakeholders perspectives, and 18 stakeholder follow-up survey respondents. Four themes emerged: 1. Training for health workers in ENT management; 2. Improved local service access; 3. New referral pathways to improve continuity of care; and 4. Introduction of telehealth. PAR engaged key stakeholders, identifying gaps in ENT service delivery, and guided the development of the new service model. The inclusion of stakeholders throughout the service redesign process is likely to create a more sustainable model of care which already has local "buy-in".

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http://hdl.handle.net/10453/152344