A rapid review to inform the policy and practice for the implementation of chronic disease prevention and management programs for Aboriginal and Torres Strait Islander people in primary care

Bibliographic Details
Title: A rapid review to inform the policy and practice for the implementation of chronic disease prevention and management programs for Aboriginal and Torres Strait Islander people in primary care
Authors: Uday Narayan Yadav, Jasmine Meredith Davis, Keziah Bennett-Brook, Julieann Coombes, Rosemary Wyber, Odette Pearson
Source: Health Research Policy and Systems, Vol 22, Iss 1, Pp 1-16 (2024)
Publisher Information: BMC, 2024.
Publication Year: 2024
Collection: LCC:Public aspects of medicine
Subject Terms: Aboriginal and Torres Strait Islander people, Barriers and enablers Chronic disease prevention and management, Primary health care, Public aspects of medicine, RA1-1270
More Details: Abstract Background More than 35% of Aboriginal and Torres Strait Islander adults live with cardiovascular disease, diabetes, or chronic kidney disease. There is a pressing need for chronic disease prevention and management among Aboriginal and Torres Strait Islander people in Australia. Therefore, this review aimed to synthesise a decade of contemporary evidence to understand the barriers and enablers of chronic disease prevention and management for Aboriginal and Torres Strait Islander People with a view to developing policy and practice recommendations. Methods We systematically searched for peer-reviewed published articles between January 2014 to March 2023 where the search was performed using subject headings and keywords related to “Aboriginal and Torres Strait Islander peoples,” “Chronic Disease,” and “Primary Health Care”. Quality assessment for all included studies was conducted using the Aboriginal and Torres Strait Islander Quality Appraisal Tool. The data were extracted and summarised using a conventional content analysis approach and applying strength-based approaches. Results Database searches identified 1653 articles where 26 met inclusion criteria. Studies varied in quality, primarily reporting on 14 criteria of the Aboriginal and Torres Strait Islander Quality Appraisal Tool. We identified six key domains of enablers and barriers of chronic disease prevention and management programs and implied a range of policy and practice options for improvement. These include culturally acceptable and safe services, patient-provider partnerships, chronic disease workforce, primary health care service attributes, clinical care pathways, and accessibility to primary health care services. This review also identified the need to address social and cultural determinants of health, develop the Aboriginal and Torres Strait Islander and non-Indigenous chronic disease workforce, support multidisciplinary teams through strengthening clinical care pathways, and engage Aboriginal and Torres Strait Islander communities in chronic disease prevention and management program design and delivery. Conclusion Enabling place-based partnerships to develop contextual evidence-guided strategies that align with community priorities and aspirations, with the provision of funding mechanisms and models of care through policy and practice reforms will strengthen the chronic disease prevention and management program for Aboriginal and Torres Strait Islander people.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1478-4505
Relation: https://doaj.org/toc/1478-4505
DOI: 10.1186/s12961-024-01121-x
Access URL: https://doaj.org/article/dbe50163aab44df586f3a0fc8be1026f
Accession Number: edsdoj.be50163aab44df586f3a0fc8be1026f
Database: Directory of Open Access Journals
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More Details
ISSN:14784505
DOI:10.1186/s12961-024-01121-x
Published in:Health Research Policy and Systems
Language:English