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Health systems model for chronic disease secondary prevention in rural and remote areas – Chronic disease: Road to health.
- Source :
- Australian Health Review; 2024, Vol. 48 Issue 3, p240-247, 8p
- Publication Year :
- 2024
-
Abstract
- Objectives: Cardiac rehabilitation (CR) provides evidence-based secondary prevention for people with heart disease (HD) (clients). Despite HD being the leading cause of mortality and morbidity, CR is under-utilised in Australia. This research investigated healthcare systems required to improve access to CR in rural and remote areas of North Queensland (NQ). Methods: A qualitatively dominant case study series to review management systems for CR in rural and remote areas of NQ was undertaken. Data collection was via semi-structured interviews in four tertiary hospitals and four rural or remote communities. An audit of discharge planning and CR referral, plus a review of community-based health services, was completed. An iterative and co-design process including consultation with healthcare staff and community members culminated in a systems-based model for improving access to CR in rural and remote areas. Results: Poorly organised CR systems, poor client/staff understanding of discharge planning and low referral rates for secondary prevention, resulted in the majority of clients not accessing secondary prevention, despite resources being available. Revised health systems and management processes were recommended for the proposed Heart: Road to health model, and given common chronic diseases risk factors it was recommended to be broadened into Chronic disease: Road to health. Conclusion: A Chronic disease: Road to health model could provide effective and efficient secondary prevention for people with chronic diseases in rural and remote areas. It is proposed that this approach could reduce gaps and duplication in current healthcare services and provide flexible, client-centred, holistic, culturally responsive services, and improve client outcomes. What is known about the topic? Cardiac rehabilitation is known to improve health outcomes and reduce hospitalisations, but referrals and attendance are low (30%). What does this paper add? A revised systems-based model for improved access to secondary prevention for people with heart and related chronic diseases in rural and remote areas of North Queensland is proposed: Chronic disease: Road to health. What are the implications for practitioners? A functional system from hospitalisation to local healthcare services has been designed to improve access to secondary prevention. Staff require support and education to improve skills, better manage care and improve job satisfaction. [ABSTRACT FROM AUTHOR]
- Subjects :
- PREVENTION of chronic diseases
HEALTH services accessibility
COMMUNITY health services
PATIENT education
QUALITATIVE research
SOCIAL determinants of health
RESEARCH funding
MEDICAL care
STATISTICAL sampling
INTERVIEWING
HOSPITALS
JUDGMENT sampling
TELEMEDICINE
THEMATIC analysis
RURAL conditions
MATHEMATICAL models
RESEARCH methodology
THEORY
CASE studies
SOCIAL support
QUALITY assurance
HEALTH promotion
CARDIAC rehabilitation
INDIGENOUS Australians
Subjects
Details
- Language :
- English
- ISSN :
- 01565788
- Volume :
- 48
- Issue :
- 3
- Database :
- Complementary Index
- Journal :
- Australian Health Review
- Publication Type :
- Academic Journal
- Accession number :
- 177719722
- Full Text :
- https://doi.org/10.1071/AH23180