当前位置： SCI文献检索 > International Journal for Equity in Health期刊下所有文献 > The effectiveness of implementation in Indigenous Australian healthcare: an overview of literature reviews.

The effectiveness of implementation in Indigenous Australian healthcare: an overview of literature reviews.

Abstract：

BACKGROUND:Effective implementation can maximise the beneficial impacts of health services. It is therefore important to review implementation in the context of Indigenous populations, who suffer some of the greatest disadvantage within developed countries. This paper analyses Aboriginal and Torres Strait Islander (hereafter Indigenous) Australian health implementation reviews to examine the research question: What is the effectiveness of implementation, as reported in the Indigenous Australian health implementation literature? METHODS:Eight databases were systematically searched to find reviews of Indigenous Australian health services and/or programs where implementation was the focus. Search terms included Aborigin* OR Indigen* OR Torres AND health AND service OR program* OR intervention AND implementation (or like terms) AND Australia AND review. Review findings were analysed through the lens of the PARiHS framework which theorises that successful implementation occurs through the interplay of evidence, context and facilitation. The review followed Cochrane methods but was not registered. RESULTS:Six reviews were found; these encompassed 107 studies that considered health service/program implementation. Included studies described many health services implemented across Australia as not underpinned by rigorous impact evaluation; nevertheless implementers tended to prefer evidence-based interventions. Effective implementation was supported by clearly defined management systems, employment of Indigenous health workers as leaders, community control, partnerships, tailoring for diverse places and settings; and active facilitation methods. Short-term funding meant most studies focused on implementation in one site through pilot initiatives. Only two mentioned cost effectiveness. Indigenous Australian studies incorporated two elements not included in the PARiHS reference guide: the value of community control and equity of service provision across sites. CONCLUSIONS:Comparison of the Indigenous Australian review findings against the PARiHS reference guide elements suggested a fledgling but growing state of Indigenous implementation research, and considerable scope to improve the effectiveness of implementation. Further research is required to explore Indigenous people's understandings of what is important in healthcare implementation; particularly in relation to the value of community control and equity issues.

journal_name

Int J Equity Health

journal_title

International journal for equity in health

authors

McCalman J,Bainbridge R,Percival N,Tsey K

doi

10.1186/s12939-016-0337-5

subject

Has Abstract

pub_date

2016-03-10 00:00:00

pages

issn

1475-9276

pii

10.1186/s12939-016-0337-5

journal_volume

pub_type

杂志文章,评审

在线工具

The effectiveness of implementation in Indigenous Australian healthcare: an overview of literature reviews.