Understanding the structure and processes of primary health care for young indigenous children.
INTRODUCTION: Primary health care organisations need to continuously reform to more effectively address current health challenges, particularly for vulnerable populations. There is growing evidence that optimal health service structures are essential for producing positive outcomes. AIM: To determin...
| Published in: | Journal of Primary Health Care Vol. 10; no. 3; pp. 267 - 279 |
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| Main Authors: | , , , , , , , |
| Format: | research tables/charts Journal Article |
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CSIRO Publishing
Sep2018
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=132130308&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 132130308 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 11726164 92I9 jtl: Journal of Primary Health Care issn: 11726164 maglogo: N pubinfo: dt: Sep2018 vid: 10 iid: 3 pid: 1568 pub: CSIRO Publishing place: Canberra ACT, <Blank> artinfo: ui: 132130308 132130308 132130308 10.1071/HC18006 132130308 ppf: 267 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Understanding the structure and processes of primary health care for young indigenous children. aug: au: Strobel, Natalie A. McAuley, Kimberley Matthews, Veronica Richardson, Alice Agostino, Jason Bailie, Ross Edmond, Karen M. McAullay, Daniel affil: Medical School, The University of Western Australia, Crawley, Western Australia, Australia sug: subj: Primary Health Care Child Health Services Indigenous Health Anemia Prevention and Control Human Audit Odds Ratio Confidence Intervals Logistic Regression Descriptive Statistics Child Child Care Retrospective Design Cross Sectional Studies Data Analysis Software Child: 6-12 years ab: INTRODUCTION: Primary health care organisations need to continuously reform to more effectively address current health challenges, particularly for vulnerable populations. There is growing evidence that optimal health service structures are essential for producing positive outcomes. AIM: To determine if there is an association between process of care indicators (PoCIs) for important young indigenous child health and social issues and: (i) primary health-care service and child characteristics; and (ii) organisational health service structures. METHODS: This was a cross-sectional study of 1554 clinical child health audits and associated system assessments from 74 primary care services from 2012 to 2014. Composite PoCIs were developed for social and emotional wellbeing, child neurodevelopment and anaemia. Crude and adjusted logistic regression models were fitted, clustering for health services. Odds ratios and 95% confidence intervals were derived. RESULTS: Overall, 32.0% (449) of records had a social and emotional wellbeing PoCI, 56.6% (791) had an anaemia PoCI and 49.3% (430) had a child neurodevelopment PoCI. Children aged 12–23 months were significantly more likely to receive all PoCIs compared to children aged 24–59 months. For every one point increase in assessment scores for team structure and function (aOR 1.14, 95% CI 1.01–1.27) and care planning (aOR 1.14, 95% CI 1.01–1.29) items, there was a 14% greater odds of a child having an anaemia PoCI. Social and emotional wellbeing and child neurodevelopment PoCIs were not associated with system assessment scores. DISCUSSION: Ensuring young indigenous children aged 24–59 months are receiving quality care for important social and health indicators is a priority. Processes of care and organisational systems in primary care services are important for the optimal management of anaemia in indigenous children. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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