Evidence map›Paper›PMID 40998441›Full record

ArticleBMJ open2025

"Should be a dynamic tool": Aboriginal and Torres Strait Islander primary health care service staff perspectives on an effective patient reported experience measure (PREM) in Australia - a qualitative study.

Amal Chakraborty, Emma Walke, Alison Frances Laycock, Tracey Piccoli, Veronica Matthews, Rachel Walpole, Ross Bailie, Paul Burgess, Erika Langham, Sarah Larkins and 7 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 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

17 authors.

Amal ChakrabortyUniversity Centre for Rural Health, Faculty of Medicine and Health, The University of Sydney, Lismore, New South Wales, Australia amal.chakraborty@sydney.edu.au.ORCID http://orcid.org/0000-0003-1837-1224
Emma WalkeUniversity Centre for Rural Health, Faculty of Medicine and Health, The University of Sydney, Lismore, New South Wales, Australia.ORCID http://orcid.org/0000-0001-6962-4231
Alison Frances LaycockUniversity Centre for Rural Health, Faculty of Medicine and Health, The University of Sydney, Lismore, New South Wales, Australia.ORCID http://orcid.org/0000-0001-7756-4398
Tracey PiccoliUniversity Centre for Rural Health, Faculty of Medicine and Health, The University of Sydney, Lismore, New South Wales, Australia.ORCID http://orcid.org/0009-0001-5845-1715
Veronica MatthewsUniversity Centre for Rural Health, Faculty of Medicine and Health, The University of Sydney, Lismore, New South Wales, Australia.ORCID http://orcid.org/0000-0002-1319-257X
Rachel WalpoleCentral Australian Aboriginal Congress Aboriginal Corporation, Alice Springs, Northern Territory, Australia.
Ross BailieUniversity Centre for Rural Health, Faculty of Medicine and Health, The University of Sydney, Lismore, New South Wales, Australia.ORCID http://orcid.org/0000-0001-5966-3368
Paul BurgessPublic Health Division, Northern Territory Department of Health, Darwin, Northern Territory, Australia.
Erika LanghamSchool of Public Health, Faculty of Health, Medicine and Behavioural Science, The University of Queensland, Herston, Queensland, Australia.
Sarah LarkinsCollege of Medicine and Dentistry, James Cook University, Townsville, Queensland, Australia.ORCID http://orcid.org/0000-0002-7561-3202
Roxanne BainbridgeARC Centre of Excellence for Indigenous Futures, The University of Queensland, St Lucia, Queensland, Australia.ORCID http://orcid.org/0000-0003-1206-8072
Bena BrownInala Indigenous Health Service, Southern Queensland Centre for Excellence in Aboriginal and Torres Strait Islander Primary Healthcare, Inala, Queensland, Australia.ORCID http://orcid.org/0000-0002-7537-2402
Bronwyn SilverCentral Australian Aboriginal Congress Aboriginal Corporation, Alice Springs, Northern Territory, Australia.ORCID http://orcid.org/0009-0007-7932-4807
Girish SwaminathanAustralian Commission on Safety and Quality in Healthcare, Sydney, New South Wales, Australia.ORCID http://orcid.org/0009-0007-8191-6254
Samantha SmorgonThe Royal Australian College of General Practitioners, East Melbourne, Victoria, Australia.ORCID http://orcid.org/0009-0009-6943-5989
Nalita TurnerUniversity Centre for Rural Health, Faculty of Medicine and Health, The University of Sydney, Lismore, New South Wales, Australia.
Megan PasseyUniversity Centre for Rural Health, Faculty of Medicine and Health, The University of Sydney, Lismore, New South Wales, Australia.ORCID http://orcid.org/0000-0001-5766-0235

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe

designA participatory action research qualitative study design, guided by an Indigenous advisory group. Our team of Indigenous and non-Indigenous researchers conducted semistructured focus groups and individual interviews with IPHC staff. Focus groups and interviews were recorded, transcribed and thematically analysed. Multiple sense-making meetings were conducted with the Indigenous advisory group.

settingEight partner IPHC services across four Australian states and territories.

participantsAll staff were eligible and invited to participate in the study via purposive and snowball sampling. Administrative staff (eg, receptionist, programme facilitator), clinicians/practitioners (eg, general practitioner, nurse, Aboriginal and Torres Strait Islander health workers and practitioners) and service managers (eg, CEO, practice manager) from partner health services participated.

results63 staff participated; 44 attended across 13 focus groups, with the remainder participating in individual interviews. The majority of participants were between 35 years and 55 years old (52%), female (66%) and working in frontline IPHC service delivery roles (56%). Equal numbers identified as Indigenous (50%) and non-Indigenous (50%). Many had worked in the Indigenous health and well-being sector for over 10 years (40%). 'Culturally safe care' and 'accountability' were identified as primary themes and key reasons for gathering consumer feedback. Subthemes identified were 'Relationships', 'trust and respect', 'communication about consumer feedback', 'timing and frequency of requesting consumer feedback', 'health service systems', 'health service and staff capacity', 'staff skills' and 'structure and administration of the PREM'. All themes and subthemes need to be considered for the successful design and implementation of PREMs in IPHC settings.

conclusionMany of the issues identified are not currently considered in the process of collecting PREM data for accreditation yet, if addressed, would likely improve the quality and relevance of data collected. The findings from this study will inform the co-design and validation of Indigenous-specific PREM tools to collect consumer feedback. Critically, service and community input will ensure the PREM tools meet service needs for continuous quality improvement and accreditation and reflect the priorities and values of Indigenous peoples.

Indexed as

Attitude of Health PersonnelHealth PersonnelHealth Services, IndigenousPatient Reported Outcome MeasuresPrimary Health CareAdultAustraliaAustralian Aboriginal and Torres Strait Islander PeoplesFemaleFocus GroupsHumansMaleMiddle AgedQualitative ResearchQuality ImprovementHealth EquityPrimary Health CarePUBLIC HEALTHQUALITATIVE RESEARCHQuality Improvement

Identifiers

PMID40998441
PMCPMC12481403

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.