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Conceptualizing the association between community participation and CQI in Aboriginal and Torres Strait Islander PHC Services

journal contribution
posted on 17.02.2020, 00:00 by NN Turner, J Taylor, S Larkins, K Carlisle, S Thompson, M Carter, Michelle Redman-Maclaren, R Bailie
Drawing from Australian Aboriginal and Torres Strait Islander perspectives, we conceptualize the association between community participation and continuous quality improvement (CQI) processes in Indigenous primary health care (PHC) services. Indigenous experiences of community participation were drawn from our study identifying contextual factors affecting CQI processes in high-improving PHC services. Using case study design, we collected quantitative and qualitative data at the micro-, meso-, and macro-health system level in 2014 and 2015 in six services in northern Australia. Analyzing qualitative data, we found community participation was an important contextual factor in five of the six services. Embedded in cultural foundations, cultural rules, and expectations, community participation involved interacting elements of trusting relationships in metaphorically safe spaces, and reciprocated learning about each other’s perspectives. Foregrounding Indigenous perspectives on community participation might assist more effective participatory processes in Indigenous PHC including in CQI processes. © The Author(s) 2019.

Funding

Category 1 - Australian Competitive Grants (this includes ARC, NHMRC)

History

Volume

29

Issue

13

Start Page

1904

End Page

1915

Number of Pages

12

eISSN

1552-7557

ISSN

1049-7323

Publisher

Sage Publications, UK

Peer Reviewed

Yes

Open Access

No

Cultural Warning

This research output may contain the names and images of Aboriginal and Torres Strait Islander people now deceased. We apologize for any distress that may occur.

External Author Affiliations

University of Sydney; James Cook University; Western Australian Centre for Rural Health; Nindilingarri Cultural Health Services, WA

Era Eligible

Yes

Journal

Qualitative Health Research

Exports