2018
DOI: 10.1186/s12913-018-3308-2
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Implementation of continuous quality improvement in Aboriginal and Torres Strait Islander primary health care in Australia: a scoping systematic review

Abstract: BackgroundContinuous Quality Improvement (CQI) programs have been taken up widely by Indigenous primary health care (PHC) services in Australia and there has been national policy commitment to support this. However, international evidence shows that implementing CQI is challenging, impacts are variable and little is known about the factors that impede or enhance effectiveness. A scoping review was undertaken to explore uptake and implementation in Indigenous PHC, including barriers and enablers to embedding CQ… Show more

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Cited by 25 publications
(45 citation statements)
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“…Lastly, a potential barrier to this study will be the implementation of the CQI process within each health service, which is a central methodological pillar of this study with the purpose of facilitating reflective thinking in the ACCHS. Current international literature highlights that the implementation of CQI is difficult, the effects are variable and little evidence exists on the factors enhancing or impeding successful implementation of CQI [48]. Conversely, there is a growing body of literature which demonstrates the effectiveness and the importance of CQI frameworks in improving service delivery and clinical outcome measures for Aboriginal and Torres Strait Islander people and, further, CQI programs are widely accepted and implemented by ACCHSs in the Australian context [23,48,49].…”
Section: Discussionmentioning
confidence: 99%
“…Lastly, a potential barrier to this study will be the implementation of the CQI process within each health service, which is a central methodological pillar of this study with the purpose of facilitating reflective thinking in the ACCHS. Current international literature highlights that the implementation of CQI is difficult, the effects are variable and little evidence exists on the factors enhancing or impeding successful implementation of CQI [48]. Conversely, there is a growing body of literature which demonstrates the effectiveness and the importance of CQI frameworks in improving service delivery and clinical outcome measures for Aboriginal and Torres Strait Islander people and, further, CQI programs are widely accepted and implemented by ACCHSs in the Australian context [23,48,49].…”
Section: Discussionmentioning
confidence: 99%
“…It is compatible with reflective learning and change to enable interventions to adapt to complex environments [85]. However, there may be barriers to implementation of CQI itself, including staff time and resources [86].…”
Section: Types Levels and Duration Of Strategies Used To Improve Impmentioning
confidence: 99%
“…Assessing and improving organisational health literacy responsiveness is one of many continuous quality improvement (CQI) approaches undertaken in remote primary healthcare settings [22]. For example, one tool in Australia, the Audit for Best Practice in Chronic Disease quality improvement approach, has been widely popular and effective [22,23].…”
Section: Organisational Health Literacy Responsivenessmentioning
confidence: 99%
“…Assessing and improving organisational health literacy responsiveness is one of many continuous quality improvement (CQI) approaches undertaken in remote primary healthcare settings [22]. For example, one tool in Australia, the Audit for Best Practice in Chronic Disease quality improvement approach, has been widely popular and effective [22,23]. It includes a systems assessment tool (SAT), which enables staff in primary healthcare organisations to identify the strengths and weaknesses of their service to determine how it might be improved to ensure its effectiveness [23].…”
Section: Organisational Health Literacy Responsivenessmentioning
confidence: 99%