Does attending Work It Out – a chronic disease self-management program – affect the use of other health services by urban Aboriginal and Torres Strait Islander people with or at risk of chronic disease? A comparison between program participants and non-participants

Abstract

Work It Out is a holistic chronic disease self-management program for urban Aboriginal and Torres Strait Islander people in Queensland, which is part of an integrated and comprehensive system of care for chronic disease management. This study examines differences in primary healthcare services use between Work It Out participants and non-participants. This retrospective observational study of services use, analysed data extracted from the clinical medical records system and Work It Out program assessments. General practitioner and allied health services use were compared among the participants and non-participants using logistic regression models and zero-truncated Poisson and negative binomial regression models. Compared with non-participants, Work It Out participants were more likely to use GP management plans, GP team care arrangements, GP mental health consultation and subsequent allied health services. Among those who used the services more than once, Work It Out participants had higher service use rates than non-participants for Aboriginal and Torres Strait Islander health assessments, GP management plans, team care arrangements and podiatry, physiotherapy and dietetic services. Engagement in Work It Out can facilitate the use of primary healthcare services, which are important for chronic disease management for urban Aboriginal and Torres Strait Islander people.

The application, character, and effectiveness of person‐centred care with service‐users, and the community within the discipline of podiatry: a scoping review

“…A variety of settings were represented with 41% at multiple sites [4,16,21,26,27,29,30]. Community settings accounted for 27% [15,[17][18][19]28] with a further 6% in the home [25], and 16% at podiatry clinics or medical centres [23,24,31]. Eleven percent of the studies did not state the context or setting of the study [28,29].…”

“…Of the 18 studies, 11% were multi-sites. Australia [15,18,21,[26][27][28] contributed 33% of the papers and the United Kingdom 22%, representing 55% of the research undertaken in the area of person-centred care.…”

“…Finally, one study used an online referral system to deliver the intervention [17]. Types of person-centred care were identified based on the definitions outlined previously: supports self-management (78%) [15,16,18,[20][21][22][23][24][25][26][27][28][29][30][31], personalised care and support plans (17%) [4,19,22], enabling choice (6%) [17], and shared decision making (6%).…”

“…Motivational interviewing [25] Short-term effectiveness Patient education, counselling, and motivational interviewing [27] Increased knowledge retention and self-care behaviours, reducing need for additional podiatry clinic time Development of a toolkit [28] Podiatrists in partnership with patients identified and addressed potential barriers to changing footwear…”

“…Overall, there were 30 grants awarded across the studies. Of the studies reviewed 61% [4,15,18,20,21,[26][27][28] received funding, 6% [24] stated that they received no funding and 33% [16,17,19,23,25,30] did not make a statement about funding. None of the studies stated the value of the funding received.…”