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

Turner, Nalita Nungarrayi, Taylor, Judy, Larkins, Sarah, Carlisle, Karen, Thompson, Sandra, Carter, Maureen, Redman-MacLaren, Michelle, and Bailie, Ross (2019) Conceptualizing the association between community participation and CQI in Aboriginal and Torres Strait Islander PHC services. Qualitative Health Research, 29 (13). pp. 1904-1915.

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Abstract

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.

Item ID: 58540
Item Type: Article (Research - C1)
ISSN: 1049-7323
Keywords: Indigenous; Aboriginal and Torres Strait Islander; community participation; primary health care; continuous quality improvement; qualitative; case study; northern Australia
Copyright Information: © The Author(s) 2019
Funders: National Health and Medical Research Council (NHMRC), Centre for Research Excellence in Integrated Quality Improvement (CRE-IQI)
Projects and Grants: NHMRC Partnership Grant GNT1062377, CRE-IQI GNT 107892
Date Deposited: 29 Aug 2019 03:57
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111701 Aboriginal and Torres Strait Islander Health @ 100%
SEO Codes: 92 HEALTH > 9203 Indigenous Health > 920303 Aboriginal and Torres Strait Islander Health - Health System Performance (incl. Effectiveness of Interventions) @ 100%
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