Models of health service delivery in remote or isolated areas of Queensland: A multiple case study

Melanie Birks, Jane Mills, Karen Francis, Meaghan Coyle, Jenny Davis, Jan Jones

Research output: Contribution to journalArticle

15 Citations (Scopus)
7 Downloads (Pure)

Abstract

Objective This paper reports on models of health service delivery in remote or isolated areas of Queensland. Background There is little research that investigates current models of health service delivery in remote or isolated areas of Australia. Design A multiple case study research design was employed that included interviews and focus groups. Setting Three types of health care facilities in remote or isolated Queensland. Subjects Thirty five registered nurses. Results Findings indicated that nurses and Indigenous health workers are predominantly resident and provide health services in this environment, while medical and allied health care services are usually provided by non-resident visiting specialists. Conclusions Findings suggest that meeting the needs of communities in remote and isolated areas of Queensland requires a change in the focus of health service delivery to accommodate a primary health care philosophy. The introduction of a new model of health service delivery is recommended; however this will only occur if resources are harnessed to prepare staff to reprioritise services offered. Implications for Health Service Management Supporting community partnerships with shared responsibility between health service providers and community members for increasing primary care prevention practices is advocated.
Original languageEnglish
Pages (from-to)25-34
Number of pages10
JournalAustralian Journal of Advanced Nursing
Volume28
Issue number1
Publication statusPublished - Sep 2010

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Queensland
Health Services
Primary Health Care
Nurses
Delivery of Health Care
Health Facilities
Primary Prevention
Focus Groups
Research Design
Interviews
Health
Research

Cite this

Birks, Melanie ; Mills, Jane ; Francis, Karen ; Coyle, Meaghan ; Davis, Jenny ; Jones, Jan. / Models of health service delivery in remote or isolated areas of Queensland : A multiple case study. In: Australian Journal of Advanced Nursing. 2010 ; Vol. 28, No. 1. pp. 25-34.
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Models of health service delivery in remote or isolated areas of Queensland : A multiple case study. / Birks, Melanie; Mills, Jane; Francis, Karen; Coyle, Meaghan; Davis, Jenny; Jones, Jan.

In: Australian Journal of Advanced Nursing, Vol. 28, No. 1, 09.2010, p. 25-34.

Research output: Contribution to journalArticle

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AU - Mills, Jane

AU - Francis, Karen

AU - Coyle, Meaghan

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AU - Jones, Jan

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AB - Objective This paper reports on models of health service delivery in remote or isolated areas of Queensland. Background There is little research that investigates current models of health service delivery in remote or isolated areas of Australia. Design A multiple case study research design was employed that included interviews and focus groups. Setting Three types of health care facilities in remote or isolated Queensland. Subjects Thirty five registered nurses. Results Findings indicated that nurses and Indigenous health workers are predominantly resident and provide health services in this environment, while medical and allied health care services are usually provided by non-resident visiting specialists. Conclusions Findings suggest that meeting the needs of communities in remote and isolated areas of Queensland requires a change in the focus of health service delivery to accommodate a primary health care philosophy. The introduction of a new model of health service delivery is recommended; however this will only occur if resources are harnessed to prepare staff to reprioritise services offered. Implications for Health Service Management Supporting community partnerships with shared responsibility between health service providers and community members for increasing primary care prevention practices is advocated.

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JO - Australian Journal of Advanced Nursing

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