Communication between hospitals and isolated Aboriginal Community Health Clinics

Mackenzie, Grant; Currie, Bart J.

doi:10.1111/j.1467-842x.1999.tb01237.x

Cited by 10 publications

(11 citation statements)

References 5 publications

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“…Brown [21] suggested that there needs to be coordinated action within and between health, health related and social institutions, this could be done through a surgery specific outreach service. Mackenzie and Curie [22] emphasised the importance of effective and timely communication between health care providers. One possible way to improve communication suggested by Carapetis et al [10] is a centralised register.…”

Section: Discussionmentioning

confidence: 99%

Excellent Cardiac Surgical Outcomes in Paediatric Indigenous Patients, but Follow-up Difficulties

Rohde

Matebele

Pohlner

et al. 2010

Heart, Lung and Circulation

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Section: Discussionmentioning

confidence: 99%

Excellent Cardiac Surgical Outcomes in Paediatric Indigenous Patients, but Follow-up Difficulties

Rohde

Matebele

Pohlner

et al. 2010

Heart, Lung and Circulation

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“…Health information sometimes travels unreliably in the Top End. 26 One of the most important findings is the apparent disparity in delivery of antibiotic prophylaxis for men and women. In this study, the female-to-male ratio of patients recognised to have ARF/RHD is high at 2.1 (female) to 1 (male).…”

Section: Discussionmentioning

confidence: 99%

Assessment of a register‐based rheumatic heart disease secondary prevention program in an Australian Aboriginal community

Eissa

Lee

et al. 2005

Australian and New Zealand Journal of Public Health

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A cute rheumatic fever (ARF) and its sequelae are now rare in wealthy industrialised nations.1 Yet, ARF and rheumatic heart disease (RHD) remain important causes of mortality and chronic ill health in poor countries and minority Indigenous populations, such as Aboriginal Australians. 2,3 In the Top End of the Northern Territory, 2.7% of Aboriginal people have an episode of ARF in their lifetime, compared with 0.014% of the non-Aboriginal population. 4 Primary prophylaxis of ARF, the provision of antibiotics to treat streptococcal pharyngitis, is largely unworkable and unsustainable in high-incidence populations, especially where health services are underresourced. 5 Besides, many cases of ARF do not follow clinically identified pharyngitis. Register-based secondary prevention programs can be effective at limiting recurrent ARF and progression to RHD, 7,8 but require early and correct diagnosis of ARF/RHD, followed by long-term administration of an antibiotic (usually benzathine penicillin) on a regular basis. The establishment of a register of patients with known past ARF and/or RHD is the central requirement of a secondary prevention program.9,10 Evaluation of service delivery is regarded as an important part of program design. 11,12A register-based RHD secondary prevention program was established in the Top End of the Northern Territory (NT) in 1997.13 New and recurrent cases of ARF are notif iable in the NT. Clinicians are encouraged to inform the register of all new cases of ARF and newly diagnosed RHD, including 'probable' cases where the diagnosis has not been proven but there is a high index of suspicion. Sources of data for the register include notifications, hospital discharge records, community clinic records, echocardiogram reports and professional correspondence. The register keeps details

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“…17,20,21,23 For example, incongruent advice was provided to patients between metropolitan and local health practitioners. 15,17,20 Incompatible systems, poor patient data coding and a lack of awareness of available services were associated with poor dischargeplanning and lack of referrals. Poor documentation and incomplete discharge documentation resulted in fragmented health care and poor health outcomes.…”

Section: Communication and Coordinationmentioning

confidence: 99%

“…16,[18][19][20] Initiatives, such as telemedicine and conference calls, facilitated the continuity of care among rural patients, while reducing the need to travel. 16,[18][19][20] Initiatives, such as telemedicine and conference calls, facilitated the continuity of care among rural patients, while reducing the need to travel.…”

Section: Locationmentioning

confidence: 99%

Continuity of care for patients with chronic conditions from rural or remote Australia: A systematic review

Street

Somoray

Richards

et al. 2019

Australian J Rural Health

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Objective: To identify the barriers and facilitators of achieving continuity of care between health services for patients with chronic conditions living in regional, rural and remote Australia. Design: A systematic literature review of peer-reviewed journal publications between January 1990 and April 2018. Setting: Publications were sourced from medical and scientific databases, including: PubMed; Embase; OvidSP; ProQuest research library; and ScienceDirect. Participants: Studies, involving two groups, were included in the review: (a) Australian adults, residing in non-metropolitan areas with a chronic condition, who accessed health care services; and (b) health care service providers (eg, doctors) who provided care to non-metropolitan patients. Main outcome measures: Facilitators and barriers of continuity of care for nonmetropolitan patients with a chronic condition. Results: Initially, 536 studies were included in the review. Of these, 12 studies were found to have met the eligibility criteria and were included in the final analysis. Conclusions: Coordination of health care services for non-metropolitan patients with chronic conditions substantially improves the outcomes for patients. Overall, communication, availability of resources and location are the major barriers and facilitators to continuity of care, depending on how they are managed. Recommendationshave been provided to assist practitioners and policy-makers to improve the experience of shared care and health outcomes for non-metropolitan patients. K E Y W O R D Sbarriers, coordination of care, facilitators, quality of care, regional

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Communication between hospitals and isolated Aboriginal Community Health Clinics

Cited by 10 publications

References 5 publications

Excellent Cardiac Surgical Outcomes in Paediatric Indigenous Patients, but Follow-up Difficulties

Excellent Cardiac Surgical Outcomes in Paediatric Indigenous Patients, but Follow-up Difficulties

Assessment of a register‐based rheumatic heart disease secondary prevention program in an Australian Aboriginal community

Continuity of care for patients with chronic conditions from rural or remote Australia: A systematic review

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