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Models of health service delivery in remote or isolated areas of Queensland : a multiple case study

journal contribution
posted on 06.12.2017, 00:00 by Melanie Birks, J Mills, K Francis, M Coyle, Jennifer Davis, J Jones
Objective: This paper reports on models of health service delivery in remote or isolated areas of Queensland. Background: There is little research that investigates current models of health service delivery in remote or isolated areas of Australia. Design: A multiple case study research design was employed that included interviews and focus groups. Setting: Three types of health care facilities in remote or isolated Queensland. Subjects: Thirty five registered nurses. Results: Findings indicated that nurses and Indigenous health workers are predominantly resident and provide health services in this environment, while medical and allied health care services are usually provided by non‑resident visiting specialists. Conclusions: Findings suggest that meeting the needs of communities in remote and isolated areas of Queensland requires a change in the focus of health service delivery to accommodate a primary health care philosophy. The introduction of a new model of health service delivery is recommended; however this will only occur if resources are harnessed to prepare staff to reprioritise services offered. Implications for Health Service Management: Supporting community partnerships with shared responsibility between health service providers and community members for increasing primary care prevention practices is advocated.

Funding

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

History

Volume

28

Issue

1

Start Page

25

End Page

34

Number of Pages

10

eISSN

1447-4328

ISSN

0813-0531

Location

Australia

Publisher

Australian Nursing Federation

Language

en-aus

Peer Reviewed

Yes

Open Access

No

External Author Affiliations

James Cook University; Monash University; Not affiliated to a Research Institute;

Era Eligible

Yes

Journal

Australian journal of advanced nursing.

Exports

CQUniversity

Exports