Community participation in health service reform: the development of an innovative remote Aboriginal primary health-care service

Carole Reeve, John Humpreys, John Wakerman, Vicki Carroll, Maureen Carter, Tim O'Brien, Carol Erlank, Rafik Mansour, Bec Smith

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    11 Citations (Scopus)

    Abstract

    The aim of this study was to describe the reorientation of a remote primary health-care service, in the Kimberley region of Australia, its impact on access to services and the factors instrumental in bringing about change. A unique community-initiated health service partnership was developed between a community-controlled Aboriginal health organisation, a government hospital and a population health unit, in order to overcome the challenges of delivering primary health care to a dispersed, highly disadvantaged Aboriginal population in a very remote area. The shared goals and clear delineation of responsibilities achieved through the partnership reoriented an essentially acute hospital-based service to a prevention-focussed comprehensive primary health-care service, with a focus on systematic screening for chronic disease, interdisciplinary follow up, health promotion, community advocacy and primary prevention. This formal partnership enabled the primary health-care service to meet the major challenges of providing a sustainable, prevention-focussed service in a very remote and socially disadvantaged area.

    Original languageEnglish
    Pages (from-to)409-416
    Number of pages8
    JournalAustralian Journal of Primary Health
    Volume21
    Issue number4
    DOIs
    Publication statusPublished - 2015

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  • Cite this

    Reeve, C., Humpreys, J., Wakerman, J., Carroll, V., Carter, M., O'Brien, T., Erlank, C., Mansour, R., & Smith, B. (2015). Community participation in health service reform: the development of an innovative remote Aboriginal primary health-care service. Australian Journal of Primary Health, 21(4), 409-416. https://doi.org/10.1071/PY14073