Health information system linkage and coordination are critical for increasing access to secondary prevention in Aboriginal health: A qualitative study

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Show simple item record Digiacomo, M Davidson, PM Taylor, KP Smith, JS Lyn Dimer, EN Ali, M Wood, MM Leahy, TG Thompson, SC 2012-02-10T06:09:50Z 2010
dc.identifier.citation Quality in Primary Care, 2010, 18 (1), pp. 17 - 26
dc.identifier.issn 1479-1072
dc.identifier.other C1UNSUBMIT en_US
dc.description.abstract Background Aboriginal Australians have low rates of participation in cardiac rehabilitation (CR), despite having high rates of cardiovascular disease. Barriers to CR participation reflect multiple patientrelated issues. However, an examination of the broader context of health service delivery design and implementation is needed. Aims To identify health professionals' perspectives of systems related barriers to implementation of the National Health and Medical Research Council (NHMRC) guidelines Strengthening Cardiac Rehabilitation and Secondary Prevention for Aboriginal and Torres Strait Islander Peoples.1 Method Semi-structured interviews were conducted with health professionals involved in CR within mainstream and Aboriginal Community Controlled Health Services in Western Australia (WA). Thirty-eight health professionals from 17 services (ten rural, seven metropolitan) listed in the WA Directory of CR services and seven Aboriginal Medical Services in WA were interviewed. Results Respondents reported barriers encountered in health information management and the impact of access to CR services for Aboriginal people. Crucial issues identified by participants were: poor communication across the health care sector and between providers, inconsistent and insufficient data collection processes (particularly relating to Aboriginal ethnicity identification), and challenges resulting from multiple clinical information systems and incompatible technologies. Conclusions This study has demonstrated that inadequate information systems and communication strategies, particularly those representing the interface between primary and secondary care, contribute to the low participation rates of Aboriginal Australians in CR. Although these challenges are shared by non-Aboriginal Australians, the needs are greater for Aboriginal Australians and innovative solutions are required. © 2010 Radcliffe Publishing.
dc.language eng
dc.title Health information system linkage and coordination are critical for increasing access to secondary prevention in Aboriginal health: A qualitative study
dc.type Journal Article
dc.parent Quality in Primary Care
dc.journal.volume 1
dc.journal.volume 18
dc.journal.number 1 en_US
dc.publocation United Kingdom en_US
dc.identifier.startpage 17 en_US
dc.identifier.endpage 26 en_US FOH.Faculty of Health en_US
dc.conference Verified OK en_US
dc.for 1117 Public Health and Health Services
dc.personcode 111875
dc.personcode 110950
dc.percentage 100 en_US Public Health and Health Services en_US
dc.classification.type FOR-08 en_US
dc.edition en_US
dc.custom en_US en_US
dc.location.activity en_US
dc.description.keywords Cardiac rehabilitation
dc.description.keywords Health services
dc.description.keywords Indigenous
pubs.embargo.period Not known
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 - Health Services and Practice Research
utslib.copyright.status Closed Access 2015-04-15 12:17:09.805752+10
pubs.consider-herdc false
utslib.collection.history Closed (ID: 3)

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