Reorientation of health services_ enablers and barriers faced by organisations when increasing health promotion capacity.pdf (270.16 kB)
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Reorientation of health services: Enablers and barriers faced by organisations when increasing health promotion capacity

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journal contribution
posted on 21.12.2021, 04:36 by K McFarlane, Jennifer JuddJennifer Judd, S Devine, K Watt
Issue addressed Primary healthcare settings are important providers of health promotion approaches. However, organisational challenges can affect their capacity to deliver these approaches. This review identified the common enablers and barriers health organisations faced and it aimed to explore the experiences health organisations, in particular Aboriginal organisations, had when increasing their health promotion capacity. Methods A systematic search of peer-reviewed literature was conducted. Articles published between 1990-2014 that focused on a health care-settings approach and discussed factors that facilitated or hindered an organisation's ability to increase health promotion capacity were included. Results Twenty-five articles met the inclusion criteria. Qualitative (n≤18) and quantitative (n≤7) study designs were included. Only one article described the experiences of an Aboriginal health organisation. Enablers included: management support, skilled staff, provision of external support to the organisation, committed staffing and financial resources, leadership and the availability of external partners to work with. Barriers included: lack of management support, lack of dedicated health promotion staff, staff lacking skills or confidence, competing priorities and a lack of time and resources allocated to health promotion activities. Conclusions While the literature highlighted the importance of health promotion work, barriers can limit the delivery of health promotion approaches within primary healthcare organisations. A gap in the literature exists about how Aboriginal health organisations face these challenges. So what? Primary healthcare organisations wanting to increase their health promotion capacity can pre-empt the common barriers and strengthen identified enablers through the shared learnings outlined in this review. © Australian Health Promotion Association 2016.

History

Volume

27

Issue

2

Start Page

118

End Page

133

Number of Pages

16

eISSN

2201-1617

ISSN

1036-1073

Publisher

C S I R O Publishing

Additional Rights

CC BY-NC-ND 4.0

Peer Reviewed

Yes

Open Access

Yes

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.

Acceptance Date

07/01/2016

External Author Affiliations

James Cook University

Era Eligible

Yes

Journal

Health Promotion Journal of Australia