Supporting reorientation of health services in Indigenous Australian communities: the health promotion systems assessment tool.

Percival, N; Feeney, L; Laycock, A; Bailie, R

Supporting reorientation of health services in Indigenous Australian communities: the health promotion systems assessment tool.

Percival, N

Feeney, L Laycock, A Bailie, R

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Publisher:: OXFORD UNIV PRESS
Publication Type:: Journal Article
Citation:: Health Promot Int, 2023, 38, (2), pp. daad021
Issue Date:: 2023-04-01

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Field	Value	Language
dc.contributor.author	Percival, N https://orcid.org/0000-0002-9191-1736
dc.contributor.author	Feeney, L
dc.contributor.author	Laycock, A
dc.contributor.author	Bailie, R
dc.date.accessioned	2024-01-30T04:38:10Z
dc.date.available	2024-01-30T04:38:10Z
dc.date.issued	2023-04-01
dc.identifier.citation	Health Promot Int, 2023, 38, (2), pp. daad021
dc.identifier.issn	0957-4824
dc.identifier.issn	1460-2245
dc.identifier.uri	http://hdl.handle.net/10453/175071
dc.description.abstract	Few tools and mechanisms exist to assist the reorientation of health services, especially in the Indigenous Australian health context; where improving health status and life expectancy is a priority. We developed a health promotion systems assessment tool (HPSAT) to provide health services with the information and support they need to drive health system change. Tool development occurred using a participatory, iterative approach that included a literature review, expert input by Indigenous and non-Indigenous stakeholders and annual group workshops in four Indigenous Australian primary health care (PHC) services. Four health system components: (i) organizational environment; (ii) service delivery systems; (iii) information systems and decision support; and (iv) adaptability and integration, form the framework of the tool. A scoring system monitors system change over time. The HPSAT provides a constructive framework to support health services to collectively assess and support reorientation in Indigenous Australian PHC services. Participation of key stakeholders with an intimate knowledge about the local context was pivotal in developing a user-friendly and fit-for-purpose tool. Maximum benefits of the tool are likely to be gained when used as part of a continuous quality improvement intervention.
dc.format	Print
dc.language	eng
dc.publisher	OXFORD UNIV PRESS
dc.relation.ispartof	Health Promot Int
dc.relation.isbasedon	10.1093/heapro/daad021
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1117 Public Health and Health Services, 1302 Curriculum and Pedagogy
dc.subject.classification	Public Health
dc.subject.classification	4206 Public health
dc.subject.classification	4407 Policy and administration
dc.subject.mesh	Humans
dc.subject.mesh	Primary Health Care
dc.subject.mesh	Health Services, Indigenous
dc.subject.mesh	Australian Aboriginal and Torres Strait Islander Peoples
dc.subject.mesh	Australia
dc.subject.mesh	Health Promotion
dc.subject.mesh	Humans
dc.subject.mesh	Health Promotion
dc.subject.mesh	Health Services, Indigenous
dc.subject.mesh	Primary Health Care
dc.subject.mesh	Australia
dc.subject.mesh	Australian Aboriginal and Torres Strait Islander Peoples
dc.subject.mesh	Humans
dc.subject.mesh	Primary Health Care
dc.subject.mesh	Health Services, Indigenous
dc.subject.mesh	Australian Aboriginal and Torres Strait Islander Peoples
dc.subject.mesh	Australia
dc.subject.mesh	Health Promotion
dc.title	Supporting reorientation of health services in Indigenous Australian communities: the health promotion systems assessment tool.
dc.type	Journal Article
utslib.citation.volume	38
utslib.location.activity	England
utslib.for	1117 Public Health and Health Services
utslib.for	1302 Curriculum and Pedagogy
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access	*
dc.date.updated	2024-01-30T04:38:09Z
pubs.issue	2
pubs.publication-status	Published
pubs.volume	38
utslib.citation.issue	2

Abstract:

Few tools and mechanisms exist to assist the reorientation of health services, especially in the Indigenous Australian health context; where improving health status and life expectancy is a priority. We developed a health promotion systems assessment tool (HPSAT) to provide health services with the information and support they need to drive health system change. Tool development occurred using a participatory, iterative approach that included a literature review, expert input by Indigenous and non-Indigenous stakeholders and annual group workshops in four Indigenous Australian primary health care (PHC) services. Four health system components: (i) organizational environment; (ii) service delivery systems; (iii) information systems and decision support; and (iv) adaptability and integration, form the framework of the tool. A scoring system monitors system change over time. The HPSAT provides a constructive framework to support health services to collectively assess and support reorientation in Indigenous Australian PHC services. Participation of key stakeholders with an intimate knowledge about the local context was pivotal in developing a user-friendly and fit-for-purpose tool. Maximum benefits of the tool are likely to be gained when used as part of a continuous quality improvement intervention.

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http://hdl.handle.net/10453/175071