Aboriginal participation in health service delivery : coordinated care trials in the Northern Territory of Australia

Robinson, Gary, dAbbs, Peter HN, Togni, Samantha, and Bailie, Ross (2003) Aboriginal participation in health service delivery : coordinated care trials in the Northern Territory of Australia. International Journal of Healthcare Technology and Management, 5 (1-2). pp. 45-62.

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Abstract

Australian Aborigines have much higher rates of illness and life expectancy, up to 20 years lower than the Australian population as a whole. Community based primary healthcare to Aborigines in the Northern Territory of Australia has, historically, been under-resourced, in part due to distinctive characteristics of the Australian healthcare funding system which has disadvantaged rural and remote regions. From 1998, the Northern Territory was the site of two Coordinated Care Trials (CCTs) which sought to achieve three main objectives: to significantly increase funding available to health services; to implement a system of clinical best practice; and to improve Aboriginal participation in health service delivery through the establishment of Aboriginal community health boards to act as funds managers and providers of health services to the trial populations. The paper outlines general CCT outcomes according to the findings of the commissioned evaluation studies and examines the possibilities and constraints encountered in improving Aboriginal participation in complex health service developments.

Item ID: 1771
Item Type: Article (UNSPECIFIED)
Keywords: Australian Aboriginal health, coordinated care trials, CCTs, health service evaluation, funds pool management and area health boards, Aboriginal participation and community control of health services, chronic diseases, care plan and care coordination, population healthcare
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ISSN: 1741-5144
Date Deposited: 22 Oct 2007
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services @ 0%
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