Participatory action research applied to an ear, nose, and throat specialty service redesign in remote Australia: A mixed-methods study of key stakeholder perspectives

Jacups, Susan P., Kinchin, Irina, and Edwards, Layla (2021) Participatory action research applied to an ear, nose, and throat specialty service redesign in remote Australia: A mixed-methods study of key stakeholder perspectives. International Journal of Environmental Research and Public Health, 18 (1). 167.

[img]
Preview
PDF (Published Version) - Published Version
Available under License Creative Commons Attribution.

Download (1MB) | Preview
View at Publisher Website: https://doi.org/10.3390/ijerph18010167
 
1
92


Abstract

This mixed-methods study reports on the key stakeholders’ perspectives on the ear, nose, and throat (ENT) service redesign in remote Australia, using a participatory action research (PAR) approach. A primary health care (PHC) clinician survey was conducted to assess local needs and possible educational gaps in clinical knowledge. This was followed by an internal stakeholder forum and a follow-up survey with Torres and Cape Hospital and Health Service staff to gain their perspectives on current service delivery and table ideas for a new ENT health service model. Qualitative data were analyzed inductively and grouped in emerging themes. Quantitative data were imported into tables and analyzed descriptively. PAR allowed for input from 19 PHC clinicians, 10 face-to-face stakeholders perspectives, and 18 stakeholder follow-up survey respondents. Four themes emerged: 1. Training for health workers in ENT management; 2. Improved local service access; 3. New referral pathways to improve continuity of care; and 4. Introduction of telehealth. PAR engaged key stakeholders, identifying gaps in ENT service delivery, and guided the development of the new service model. The inclusion of stakeholders throughout the service redesign process is likely to create a more sustainable model of care which already has local “buy-in”.

Item ID: 66996
Item Type: Article (Research - C1)
ISSN: 1660-4601
Keywords: Ear, Ear and hearing health, Health promotion, Indigenous health, Nose, Participatory action research, Qualitative, Rural health services, Service redesign, Stakeholder perspectives, Telehealth, Throat
Copyright Information: © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
Date Deposited: 27 Apr 2022 04:12
Downloads: Total: 92
Last 12 Months: 33
More Statistics

Actions (Repository Staff Only)

Item Control Page Item Control Page