Aboriginal health workers and diabetes care in remote community health centres: a mixed method analysis
Objective: To assess the effect of employing Aboriginal health workers (AHWs) on delivery of diabetes care in remote community health centres, and to identify barriers related to AHWs’ involvement in diabetes and other chronic illness care. Design, setting and participants: Three‐year follow‐up stud...
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| Veröffentlicht in: | Medical journal of Australia 2006-07, Vol.185 (1), p.40-45 |
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| creator | Si, Damin Bailie, Ross S Togni, Samantha J DˈAbbs, Peter H N Robinson, Gary W |
| description | Objective: To assess the effect of employing Aboriginal health workers (AHWs) on delivery of diabetes care in remote community health centres, and to identify barriers related to AHWs’ involvement in diabetes and other chronic illness care.
Design, setting and participants: Three‐year follow‐up study of 137 Aboriginal people with type 2 diabetes in seven remote community health centres in the Northern Territory.
Main outcome measures: Delivery of guideline‐scheduled diabetes services; intermediate outcomes (glycated haemoglobin [HbA1c] and blood pressure levels); number and sex of AHWs at health centres over time; barriers to AHWs’ involvement in chronic illness care.
Results: There was a positive relationship between the number of AHWs per 1000 residents and delivery of guideline‐scheduled diabetes services (but not intermediate health outcomes). Presence of male AHWs was associated with higher adherence to the guidelines. Barriers to AHWs’ involvement in chronic illness care included inadequate training, lack of clear role divisions, lack of stable relationships with non‐Aboriginal staff, and high demands for acute care.
Conclusions: Employing AHWs is independently associated with improved diabetes care in remote communities. AHWs have potentially important roles to play in chronic illness care, and service managers need to clearly define and support these roles. |
| doi_str_mv | 10.5694/j.1326-5377.2006.tb00451.x |
| format | Article |
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Design, setting and participants: Three‐year follow‐up study of 137 Aboriginal people with type 2 diabetes in seven remote community health centres in the Northern Territory.
Main outcome measures: Delivery of guideline‐scheduled diabetes services; intermediate outcomes (glycated haemoglobin [HbA1c] and blood pressure levels); number and sex of AHWs at health centres over time; barriers to AHWs’ involvement in chronic illness care.
Results: There was a positive relationship between the number of AHWs per 1000 residents and delivery of guideline‐scheduled diabetes services (but not intermediate health outcomes). Presence of male AHWs was associated with higher adherence to the guidelines. Barriers to AHWs’ involvement in chronic illness care included inadequate training, lack of clear role divisions, lack of stable relationships with non‐Aboriginal staff, and high demands for acute care.
Conclusions: Employing AHWs is independently associated with improved diabetes care in remote communities. AHWs have potentially important roles to play in chronic illness care, and service managers need to clearly define and support these roles.</description><identifier>ISSN: 0025-729X</identifier><identifier>EISSN: 1326-5377</identifier><identifier>DOI: 10.5694/j.1326-5377.2006.tb00451.x</identifier><identifier>PMID: 16813550</identifier><identifier>CODEN: MJAUAJ</identifier><language>eng</language><publisher>Sydney: Australasian Medical Publishing Company</publisher><subject>Adult ; Aged ; Audits ; Biological and medical sciences ; Blood pressure ; Chronic illnesses ; Community ; Delivery of Health Care - statistics & numerical data ; Diabetes ; Diabetes Mellitus, Type 2 - therapy ; Employment ; Ethics ; Female ; Follow-Up Studies ; General aspects ; Guideline Adherence - statistics & numerical data ; Health care ; Health facilities ; Health participants ; Health services ; Health Services, Indigenous - statistics & numerical data ; Hemoglobin ; Humans ; Indigenous health ; Information systems ; Male ; Medical sciences ; Middle Aged ; Native peoples ; Northern Territory ; Outcome and Process Assessment, Health Care ; Patient Care Team - statistics & numerical data ; Practice Guidelines as Topic ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Roles ; Rural Health Services - statistics & numerical data ; Sex Factors ; Workforce</subject><ispartof>Medical journal of Australia, 2006-07, Vol.185 (1), p.40-45</ispartof><rights>2006 AMPCo Pty Ltd. All rights reserved</rights><rights>2006 INIST-CNRS</rights><rights>Copyright Australasian Medical Publishing Company Proprietary, Ltd. Jul 3, 2006</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5111-c07cf7903563f8d8cb36d4c443ecd3f6ac1ed4c2a39d22f3f1c768a3eb2fa7ae3</citedby><cites>FETCH-LOGICAL-c5111-c07cf7903563f8d8cb36d4c443ecd3f6ac1ed4c2a39d22f3f1c768a3eb2fa7ae3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.5694%2Fj.1326-5377.2006.tb00451.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.5694%2Fj.1326-5377.2006.tb00451.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=17919032$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16813550$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Si, Damin</creatorcontrib><creatorcontrib>Bailie, Ross S</creatorcontrib><creatorcontrib>Togni, Samantha J</creatorcontrib><creatorcontrib>DˈAbbs, Peter H N</creatorcontrib><creatorcontrib>Robinson, Gary W</creatorcontrib><title>Aboriginal health workers and diabetes care in remote community health centres: a mixed method analysis</title><title>Medical journal of Australia</title><addtitle>Med J Aust</addtitle><description>Objective: To assess the effect of employing Aboriginal health workers (AHWs) on delivery of diabetes care in remote community health centres, and to identify barriers related to AHWs’ involvement in diabetes and other chronic illness care.
Design, setting and participants: Three‐year follow‐up study of 137 Aboriginal people with type 2 diabetes in seven remote community health centres in the Northern Territory.
Main outcome measures: Delivery of guideline‐scheduled diabetes services; intermediate outcomes (glycated haemoglobin [HbA1c] and blood pressure levels); number and sex of AHWs at health centres over time; barriers to AHWs’ involvement in chronic illness care.
Results: There was a positive relationship between the number of AHWs per 1000 residents and delivery of guideline‐scheduled diabetes services (but not intermediate health outcomes). Presence of male AHWs was associated with higher adherence to the guidelines. Barriers to AHWs’ involvement in chronic illness care included inadequate training, lack of clear role divisions, lack of stable relationships with non‐Aboriginal staff, and high demands for acute care.
Conclusions: Employing AHWs is independently associated with improved diabetes care in remote communities. AHWs have potentially important roles to play in chronic illness care, and service managers need to clearly define and support these roles.</description><subject>Adult</subject><subject>Aged</subject><subject>Audits</subject><subject>Biological and medical sciences</subject><subject>Blood pressure</subject><subject>Chronic illnesses</subject><subject>Community</subject><subject>Delivery of Health Care - statistics & numerical data</subject><subject>Diabetes</subject><subject>Diabetes Mellitus, Type 2 - therapy</subject><subject>Employment</subject><subject>Ethics</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>General aspects</subject><subject>Guideline Adherence - statistics & numerical data</subject><subject>Health care</subject><subject>Health facilities</subject><subject>Health participants</subject><subject>Health services</subject><subject>Health Services, Indigenous - statistics & numerical data</subject><subject>Hemoglobin</subject><subject>Humans</subject><subject>Indigenous health</subject><subject>Information systems</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Native peoples</subject><subject>Northern Territory</subject><subject>Outcome and Process Assessment, Health Care</subject><subject>Patient Care Team - statistics & numerical data</subject><subject>Practice Guidelines as Topic</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Roles</subject><subject>Rural Health Services - statistics & numerical data</subject><subject>Sex Factors</subject><subject>Workforce</subject><issn>0025-729X</issn><issn>1326-5377</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkU1v1DAQhi0EotvCX0BWJbgl-CO2k95WFRRQEReQuFmOPe56yUexE3X33-OwgUrcOM2M_Lzj0fsidElJKWRTvd2XlDNZCK5UyQiR5dQSUglaHp6gzd-np2hDCBOFYs33M3Se0j6PVDD1HJ1RWVMuBNmgu207xnAXBtPhHZhu2uGHMf6AmLAZHHbBtDBBwtZEwGHAEfpxAmzHvp-HMB3_iCwMU4R0hQ3uwwEc7mHajS4vMd0xhfQCPfOmS_ByrRfo2_t3X68_FLdfbj5eb28LKyilhSXKetUQLiT3tatty6WrbFVxsI57aSyFPDPDG8eY555aJWvDoWXeKAP8Ar057b2P488Z0qT7kCx0nRlgnJOWtWiE4HUGL_8B9-Mc87VJMy4UqYVYoKsTZOOYUgSv72PoTTxqSvSShd7rxXC9GK6XLPSahT5k8av1h7ntwT1KV_Mz8HoFTLKm89EMNqRHTjU0O8Eytz1xD6GD43-coD9_2rLfPf8FUIqoZg</recordid><startdate>20060703</startdate><enddate>20060703</enddate><creator>Si, Damin</creator><creator>Bailie, Ross S</creator><creator>Togni, Samantha J</creator><creator>DˈAbbs, Peter H N</creator><creator>Robinson, Gary W</creator><general>Australasian Medical Publishing Company</general><general>Australasian Medical Publishing Company Proprietary, Ltd</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20060703</creationdate><title>Aboriginal health workers and diabetes care in remote community health centres: a mixed method analysis</title><author>Si, Damin ; Bailie, Ross S ; Togni, Samantha J ; DˈAbbs, Peter H N ; Robinson, Gary W</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5111-c07cf7903563f8d8cb36d4c443ecd3f6ac1ed4c2a39d22f3f1c768a3eb2fa7ae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Audits</topic><topic>Biological and medical sciences</topic><topic>Blood pressure</topic><topic>Chronic illnesses</topic><topic>Community</topic><topic>Delivery of Health Care - statistics & numerical data</topic><topic>Diabetes</topic><topic>Diabetes Mellitus, Type 2 - therapy</topic><topic>Employment</topic><topic>Ethics</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>General aspects</topic><topic>Guideline Adherence - statistics & numerical data</topic><topic>Health care</topic><topic>Health facilities</topic><topic>Health participants</topic><topic>Health services</topic><topic>Health Services, Indigenous - statistics & numerical data</topic><topic>Hemoglobin</topic><topic>Humans</topic><topic>Indigenous health</topic><topic>Information systems</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Native peoples</topic><topic>Northern Territory</topic><topic>Outcome and Process Assessment, Health Care</topic><topic>Patient Care Team - statistics & numerical data</topic><topic>Practice Guidelines as Topic</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Roles</topic><topic>Rural Health Services - statistics & numerical data</topic><topic>Sex Factors</topic><topic>Workforce</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Si, Damin</creatorcontrib><creatorcontrib>Bailie, Ross S</creatorcontrib><creatorcontrib>Togni, Samantha J</creatorcontrib><creatorcontrib>DˈAbbs, Peter H N</creatorcontrib><creatorcontrib>Robinson, Gary W</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Medical journal of Australia</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Si, Damin</au><au>Bailie, Ross S</au><au>Togni, Samantha J</au><au>DˈAbbs, Peter H N</au><au>Robinson, Gary W</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Aboriginal health workers and diabetes care in remote community health centres: a mixed method analysis</atitle><jtitle>Medical journal of Australia</jtitle><addtitle>Med J Aust</addtitle><date>2006-07-03</date><risdate>2006</risdate><volume>185</volume><issue>1</issue><spage>40</spage><epage>45</epage><pages>40-45</pages><issn>0025-729X</issn><eissn>1326-5377</eissn><coden>MJAUAJ</coden><abstract>Objective: To assess the effect of employing Aboriginal health workers (AHWs) on delivery of diabetes care in remote community health centres, and to identify barriers related to AHWs’ involvement in diabetes and other chronic illness care.
Design, setting and participants: Three‐year follow‐up study of 137 Aboriginal people with type 2 diabetes in seven remote community health centres in the Northern Territory.
Main outcome measures: Delivery of guideline‐scheduled diabetes services; intermediate outcomes (glycated haemoglobin [HbA1c] and blood pressure levels); number and sex of AHWs at health centres over time; barriers to AHWs’ involvement in chronic illness care.
Results: There was a positive relationship between the number of AHWs per 1000 residents and delivery of guideline‐scheduled diabetes services (but not intermediate health outcomes). Presence of male AHWs was associated with higher adherence to the guidelines. Barriers to AHWs’ involvement in chronic illness care included inadequate training, lack of clear role divisions, lack of stable relationships with non‐Aboriginal staff, and high demands for acute care.
Conclusions: Employing AHWs is independently associated with improved diabetes care in remote communities. AHWs have potentially important roles to play in chronic illness care, and service managers need to clearly define and support these roles.</abstract><cop>Sydney</cop><pub>Australasian Medical Publishing Company</pub><pmid>16813550</pmid><doi>10.5694/j.1326-5377.2006.tb00451.x</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0025-729X |
| ispartof | Medical journal of Australia, 2006-07, Vol.185 (1), p.40-45 |
| issn | 0025-729X 1326-5377 |
| language | eng |
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| source | Wiley Online Library - AutoHoldings Journals; MEDLINE |
| subjects | Adult Aged Audits Biological and medical sciences Blood pressure Chronic illnesses Community Delivery of Health Care - statistics & numerical data Diabetes Diabetes Mellitus, Type 2 - therapy Employment Ethics Female Follow-Up Studies General aspects Guideline Adherence - statistics & numerical data Health care Health facilities Health participants Health services Health Services, Indigenous - statistics & numerical data Hemoglobin Humans Indigenous health Information systems Male Medical sciences Middle Aged Native peoples Northern Territory Outcome and Process Assessment, Health Care Patient Care Team - statistics & numerical data Practice Guidelines as Topic Public health. Hygiene Public health. Hygiene-occupational medicine Roles Rural Health Services - statistics & numerical data Sex Factors Workforce |
| title | Aboriginal health workers and diabetes care in remote community health centres: a mixed method analysis |
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