Evidence map›Paper›PMID 40859265›Full record

ArticleBMC health services research2025

Scanning the respiratory service landscape in NSW-based Aboriginal Community Controlled Health Services.

David P Meharg, Susan Parker Pavlovic, Christine R Jenkins, Graeme P Maguire, Stephen Jan, Tim Shaw, Sarah M Dennis, Zoe McKeough, Boe Rambaldini, Kylie G Gwynne and 6 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

David P MehargFaculty of Medicine and Health, Sydney School of Health Sciences, The University of Sydney, Camperdown, NSW, 2006, Australia. David.Meharg@sydney.edu.au.
Susan Parker PavlovicFaculty of Medicine and Health, Sydney School of Health Sciences, The University of Sydney, Camperdown, NSW, 2006, Australia.
Christine R JenkinsThe George Institute for Global Health, University of New South Wales, Newtown, NSW, 2042, Australia.
Graeme P MaguireCurtin Medical School, Faculty of Health Sciences, Curtin University, Bentley, WA, 6102, Australia.
Stephen JanThe George Institute for Global Health, University of New South Wales, Newtown, NSW, 2042, Australia.
Tim ShawFaculty of Medicine and Health, School of Medical Sciences, The University of Sydney, Camperdown, NSW, 2006, Australia.
Sarah M DennisFaculty of Medicine and Health, Sydney School of Health Sciences, The University of Sydney, Camperdown, NSW, 2006, Australia.
Zoe McKeoughFaculty of Medicine and Health, Sydney School of Health Sciences, The University of Sydney, Camperdown, NSW, 2006, Australia.
Boe RambaldiniHeart Research Institute, Djurali Centre for Aboriginal and Torres Strait, Islander Health Research and Education, Newtown, NSW, Australia.
Kylie G GwynneUniversity of New South Wales, Sydney, Kensington, NSW, 2052, Australia.
Debbie McCowenArmajun Aboriginal Health Service, Inverell, NSW, 2360, Australia.
Jamie NewmanOrange Aboriginal Medical Service, Orange, NSW, 2800, Australia.
Hayley LongbottomWaminda South Coast Women's Health and Welfare Aboriginal Corporation, Nowra, NSW, 2541, Australia.
Sandra J EadesFaculty of Medicine and Health, School of Medical Sciences, The University of Sydney, Camperdown, NSW, 2006, Australia.
Jemma ChaoFaculty of Medicine and Health, Sydney School of Health Sciences, The University of Sydney, Camperdown, NSW, 2006, Australia.
Jennifer A AlisonFaculty of Medicine and Health, Sydney School of Health Sciences, The University of Sydney, Camperdown, NSW, 2006, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic respiratory diseases, such as chronic obstructive pulmonary disease (COPD), disproportionately impact the Aboriginal and Torres Strait Islander population of Australia. Aboriginal Community Controlled Health Services (ACCHSs) are primary care services, established to provide healthcare in culturally safe environments for Aboriginal people. There is little information about the respiratory services for people with chronic respiratory diseases provided by ACCHSs.

aimTo describe current provision of respiratory services of ACCHSs based in New South Wales (NSW), with a focus on identifying barriers and facilitators to providing pulmonary rehabilitation.

methodsA researcher-administered survey was conducted via Zoom plus a follow-up email to collect client and health workforce data. Participants were NSW-based ACCHSs, members of the Aboriginal Health and Medical Research Council (AH&MRC). Exclusions were ACCHSs that only delivered drug and alcohol rehabilitation, housing or employment services. The survey collected information related to client numbers, smoking history, COPD diagnoses, health workforce, and respiratory services with a focus on pulmonary rehabilitation programs.

resultsForty-one ACCHSs were invited to participate and 18 (44%) completed the survey. Most provided respiratory care, although variation existed in service scope and delivery. The main respiratory services provided were smoking cessation (100%), spirometry (89%) and respiratory clinics (33%). Most ACCHSs (78%), reported some access to respiratory physicians. No ACCHSs provided pulmonary rehabilitation. Main barriers included staff shortages, lack of staff training, financial constraints and lack of space. Several ACCHSs expressed interest in providing a pulmonary rehabilitation program, if appropriate resourcing was available. Ten ACCHS (56%) reported that Aboriginal clients would not access mainstream public health services for pulmonary rehabilitation. Barriers to accessing these externally available pulmonary rehabilitation programs included transportation issues, cultural considerations and geographical location.

conclusionsACCHSs are delivering respiratory services for Aboriginal people living with chronic respiratory diseases within constrained infrastructure and resources. Additional funding is required to improve access to best practice care for Aboriginal people living with COPD including culturally safe, evidence-based and accessible pulmonary rehabilitation programs.

Indexed as

Community Health ServicesHealth Services, IndigenousPulmonary Disease, Chronic ObstructiveFemaleHealth Services AccessibilityHumansMaleNew South WalesSurveys and QuestionnairesAboriginal Community Controlled Health ServiceExercise physiologistHealth workforcePhysiotherapistPulmonary rehabilitationRespiratory servicesSmoking cessationSpirometry

Identifiers

PMID40859265
PMCPMC12382240

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.