ArticleBMJ open2015
Determinants of access to chronic illness care: a mixed-methods evaluation of a national multifaceted chronic disease package for Indigenous Australians.
Article in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.
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Who cites it
32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 50 citations in OpenAlex.
- A rapid review to inform the policy and practice for the implementation of chronic disease prevention and management programs for Aboriginal and Torres Strait Islander people in primary care.Health research policy and systems · 2024Pooled it
- Factors influencing diagnosis and treatment initiation for multidrug-resistant/rifampicin-resistant tuberculosis in six sub-Saharan African countries: a mixed-methods systematic review.BMJ global health · 2020Pooled it
- Systematic Review of Group A StreptococcalThe American journal of tropical medicine and hygiene · 2019Pooled it
- Access to primary care for people with chronic pain: a lived/living experience-informed mixed-methods study protocol.BMJ open · 2026Article
- "Float[ing] in the Middle" Nurse Navigators and the Interface of Access to Care.International journal of environmental research and public health · 2025Article
- Access to preventive health assessments for people with intellectual disability: a systematic scoping review informed by the Levesque Access Framework.BMC health services research · 2025Article
- Medicare policy changes to primary health care funding for Australia's indigenous Peoples 1996-2023: a scoping review.International journal for equity in health · 2024Article
- Access to chronic kidney disease (CKD) care: Its barriers and facilitators in a community development block in Purba Bardhaman, West Bengal: A qualitative study.Journal of family medicine and primary care · 2023Article
- Article
- Improving access to care for rheumatology services in Canada.Clinical rheumatology · 2023Review
- Exploring the Reported Strengths and Limitations of Aboriginal and Torres Strait Islander Health Research: A Narrative Review of Intervention Studies.International journal of environmental research and public health · 2023Review
- Drivers of the Australian Health System towards Health Care for All: A Scoping Review and Qualitative Synthesis.BioMed research international · 2023Article
- Minimal trauma hip fracture hospitalisations among older Indigenous and non-Indigenous Australians: A retrospective population-based cohort study.Australasian journal on ageing · 2022Article
- Access to general practice for people with intellectual disability in Australia: a systematic scoping review.BMC primary care · 2022Article
- Culturally safe interventions in primary care for the management of chronic diseases of urban Indigenous People: a scoping review.Family medicine and community health · 2022Article
- A qualitative study of rural healthcare providers' views of social, cultural, and programmatic barriers to healthcare access.BMC health services research · 2022Article
- Exploring HbA1c variation between Australian diabetes centres: The impact of centre-level and patient-level factors.PloS one · 2022Article
- Prioritizing Built Environmental Factors to Tackle Chronic and Infectious Diseases in Remote Northern Territory (NT) Communities of Australia: A Concept Mapping Study.International journal of environmental research and public health · 2021Article
- Assessing healthcare access using the Levesque's conceptual framework- a scoping review.International journal for equity in health · 2021Article
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesIndigenous Australians have a disproportionately high burden of chronic illness, and relatively poor access to healthcare. This paper examines how a national multicomponent programme aimed at improving prevention and management of chronic disease among Australian Indigenous people addressed various dimensions of access.
designData from a place-based, mixed-methods formative evaluation were analysed against a framework that defines supply and demand-side dimensions to access. The evaluation included 24 geographically bounded 'sentinel sites' that included a range of primary care service organisations. It drew on administrative data on service utilisation, focus group and interview data on community members' and service providers' perceptions of chronic illness care between 2010 and 2013.
settingUrban, regional and remote areas of Australia that have relatively large Indigenous populations.
participants670 community members participated in focus groups; 374 practitioners and representatives of regional primary care support organisations participated in in-depth interviews.
resultsThe programme largely addressed supply-side dimensions of access with less focus or impact on demand-side dimensions. Application of the access framework highlighted the complex inter-relationships between dimensions of access. Key ongoing challenges are achieving population coverage through a national programme, reaching high-need groups and ensuring provision of ongoing care.
conclusionsStrategies to improve access to chronic illness care for this population need to be tailored to local circumstances and address the range of dimensions of access on both the demand and supply sides. These findings highlight the importance of flexibility in national programme guidelines to support locally determined strategies.
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