Health information system linkage and coordination are critical for increasing access to secondary prevention in Aboriginal health: A qualitative study

Michelle Digiacomo, Patricia M Davidson, Kate P. Taylor, Julie S. Smith, E. N. Lyn Dimer, Mohammed Ali, Marianne M. Wood, Timothy G. Leahy, Sandra C. Thompson

Research output: Contribution to journalArticle

Abstract

Background Aboriginal Australians have low rates of participation in cardiac rehabilitation (CR), despite having high rates of cardiovascular disease. Barriers to CR participation reflect multiple patientrelated issues. However, an examination of the broader context of health service delivery design and implementation is needed. Aims To identify health professionals' perspectives of systems related barriers to implementation of the National Health and Medical Research Council (NHMRC) guidelines Strengthening Cardiac Rehabilitation and Secondary Prevention for Aboriginal and Torres Strait Islander Peoples.1 Method Semi-structured interviews were conducted with health professionals involved in CR within mainstream and Aboriginal Community Controlled Health Services in Western Australia (WA). Thirty-eight health professionals from 17 services (ten rural, seven metropolitan) listed in the WA Directory of CR services and seven Aboriginal Medical Services in WA were interviewed. Results Respondents reported barriers encountered in health information management and the impact of access to CR services for Aboriginal people. Crucial issues identified by participants were: poor communication across the health care sector and between providers, inconsistent and insufficient data collection processes (particularly relating to Aboriginal ethnicity identification), and challenges resulting from multiple clinical information systems and incompatible technologies. Conclusions This study has demonstrated that inadequate information systems and communication strategies, particularly those representing the interface between primary and secondary care, contribute to the low participation rates of Aboriginal Australians in CR. Although these challenges are shared by non-Aboriginal Australians, the needs are greater for Aboriginal Australians and innovative solutions are required.

Original languageEnglish (US)
Pages (from-to)17-26
Number of pages10
JournalQuality in Primary Care
Volume18
Issue number1
StatePublished - 2010
Externally publishedYes

Fingerprint

Health Information Systems
Secondary Prevention
Health
Western Australia
Information Systems
Health Information Management
Directories
Community Health Services
Secondary Care
Health Care Sector
Cardiac Rehabilitation
Health Services
Biomedical Research
Primary Health Care
Cardiovascular Diseases
Guidelines
Interviews
Technology

Keywords

  • Cardiac rehabilitation
  • Health services
  • Indigenous

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health

Cite this

Health information system linkage and coordination are critical for increasing access to secondary prevention in Aboriginal health : A qualitative study. / Digiacomo, Michelle; Davidson, Patricia M; Taylor, Kate P.; Smith, Julie S.; Lyn Dimer, E. N.; Ali, Mohammed; Wood, Marianne M.; Leahy, Timothy G.; Thompson, Sandra C.

In: Quality in Primary Care, Vol. 18, No. 1, 2010, p. 17-26.

Research output: Contribution to journalArticle

Digiacomo, M, Davidson, PM, Taylor, KP, Smith, JS, Lyn Dimer, EN, Ali, M, Wood, MM, Leahy, TG & Thompson, SC 2010, 'Health information system linkage and coordination are critical for increasing access to secondary prevention in Aboriginal health: A qualitative study', Quality in Primary Care, vol. 18, no. 1, pp. 17-26.
Digiacomo, Michelle ; Davidson, Patricia M ; Taylor, Kate P. ; Smith, Julie S. ; Lyn Dimer, E. N. ; Ali, Mohammed ; Wood, Marianne M. ; Leahy, Timothy G. ; Thompson, Sandra C. / Health information system linkage and coordination are critical for increasing access to secondary prevention in Aboriginal health : A qualitative study. In: Quality in Primary Care. 2010 ; Vol. 18, No. 1. pp. 17-26.
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