Aboriginal Health > Programs > Comprehensive Primary Healthcare, Health Systems and Workforce

Comprehensive Primary Healthcare, Health Systems and Workforce

Program Team

Program Manager
Barbara Beacham

Program Leaders
Professor Ross Bailie
Dr Ben Bartlett

Projects
View list of projects

 

Program goal
The goal of the Comprehensive Primary Healthcare Health Systems and Workforce (CPHCHSW) program is to improve the performance of health systems with a particular focus on comprehensive primary healthcare services in order to maximise health gains for Aboriginal people

Program overview

In order to maximise the achievable health gain for Aboriginal people, improvements are required across the spectrum of health service delivery, including:

  • better access to information and uptake of evidence across the health system;
  • measurement and improvement of quality of care;
  • improved processes for effective interaction with Aboriginal communities;
  • development of systems to support Aboriginal governance of health services;
  • improved resourcing and efficiency of health services for providing comprehensive primary healthcare;
  • enhanced capacity in the workforce of both Aboriginal and non-Aboriginal health professionals.

For more detail on the program background and desired outcomes, go to the CPHCHSW Program Statement [pdf] or the CPHCHSW Program Summary [pdf]


Research priorities
The Comprehensive Primary Healthcare Health Systems and Workforce program was the first CRC for Aboriginal Health program area to apply the Facilitated Research Development Approach. This has involved the following steps:

  • an industry roundtable was held in 2004;
  • priorities were discussed at the CRC for Aboriginal Health Convocation in 2005;
  • priorities were drafted into research topics later in 2005;
  • the CRC for Aboriginal Health community was invited to indicate its interest in being involved in the development of the research in late 2005;
  • Drafting teams were identified to progress the development of four research topics;
  • proposals were drafted and subjected to quality assurance processes.

1. Best practice in funding and regulation of Aboriginal and Torres Strait Islander healthcare project

Project Leader: Judith Dwyer Flinders University

Contact email: kim.odonnell@flinders.edu.au

Project research brief
Primary healthcare funding programs and the regulatory arrangements that accompany them are intended to support the delivery of high-quality care, to ensure appropriate accountability to communities and to government, to be consistent with good human resource management practice, and to enable recruitment and retention of a skilled workforce. This project aims to further understand current problems and identify and test possible solutions in the way that Aboriginal-specific primary healthcare is funded and regulated across jurisdictions in Australia.

2. Support systems for Aboriginal and Torres Strait Islander primary healthcare services project

Project Leader: Ian Anderson (profile)

Contact email: K.silburn@latrobe.edu.au

Project research brief
This project aims to address the recognised problem that many Indigenous-specific primary healthcare services (especially, but not limited to, small services in remote Aboriginal communities) do not have the capacity (for various reasons, including size) to develop all aspects required of them to provide high-quality comprehensive primary healthcare. The focus of the research will be on systems to support functions that contribute to organisational capacity to operate effectively and sustainably.

3. Health services utilisation and linkage [for Aboriginal and Torres Strait Islander people] project - stage 1

Project Leaders: Michael Bentley (Flinders University), Rae Walker (La Trobe University), Bronwyn Fredericks (Queensland Aboriginal and Islander Health Council)

Contact email: Michael.bentley@flinders.edu.au

Project research brief
There is limited information about how to appropriately research the health needs of Aboriginal and Islander people living in urban and/or pen-urban locations, and there is a lack of agreement about the most appropriate and relevant methods for gaining this type of information from Aboriginal and Islander people. As a developmental stage of a broader research approach, the stage 1 project will facilitate consultations and increased understanding of how to approach research into patterns of service utilisation (or non-utilisation) by Aboriginal and Islander people in urban and pen-urban locations in ways that are both effective and culturally safe; The result of stage 1 will inform the development of a research proposal for stage 2.

4. Improving the culture of hospitals [for Aboriginal and Torres Strait Islander people] project

Project Leader: Russell Renhard
Contact email: R.Renhard@latrobe.edu.au

Project research brief
This project aims to support a program of cultural reforms to improve cultural sensitivity in acute healthcare institutions. Using the experiences of Aboriginal people as the central reference point, systematic case studies of hospitals that have different levels of experience in actively attempting to make their services and surrounds more culturally sensitive to the needs of Aboriginal patients, their families and friends will be used to gather information and to inform the development and implementation of relevant tools and processes.

Other projects
In addition to the above projects, a range of other program activity is occurring in the Comprehensive Primary Healthcare program. Information about some of these other projects can be found on this page. For a full list of current projects in this program area go to Research projects.

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