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Models of Health Service Delivery in Remote or Isolated Areas of Queensland: A Multiple Case Study

Australian Journal of Advanced Nursing, The
Volume 28 Issue 1 (Sept/Nov 2010)

Abstract: Objective: This paper reports on models of health service delivery in remote or isolated areas of Queensland. Background: There is little research that investigates current models of health service delivery in remote or isolated areas of Australia. Design: A multiple case study research design was employed that included interviews and focus groups. Setting: Three types of health care facilities in remote or isolated Queensland. Subjects: Thirty five registered nurses. Results: Findings indicated that nurses and Indigenous health workers are predominantly resident and provide health services in this environment, while medical and allied health care services are usually provided by non resident visiting specialists. Conclusions: Findings suggest that meeting the needs of communities in remote and isolated areas of Queensland requires a change in the focus of health service delivery to accommodate a primary health care philosophy. The introduction of a new model of health service delivery is recommended; however this will only occur if resources are harnessed to prepare staff to reprioritise services offered. Implications for Health Service Management: Supporting community partnerships with shared responsibility between health service providers and community members for increasing primary care prevention practices is advocated.

To cite this article: Birks, Melanie; Mills, Jane; Francis, Karen; Coyle, Meaghan; Davis, Jenny and Jones, Jan. Models of Health Service Delivery in Remote or Isolated Areas of Queensland: A Multiple Case Study [online]. Australian Journal of Advanced Nursing, The, Vol. 28, No. 1, Sept/Nov 2010: 25-34. Availability: <http://search.informit.com.au/documentSummary;dn=053136529452273;res=IELHEA> ISSN: 0813-0531. [cited 10 Dec 16].

Personal Author: Birks, Melanie; Mills, Jane; Francis, Karen; Coyle, Meaghan; Davis, Jenny; Jones, Jan; Source: Australian Journal of Advanced Nursing, The, Vol. 28, No. 1, Sept/Nov 2010: 25-34 Document Type: Journal Article ISSN: 0813-0531 EISSN: 1447-4328 Subject: Nurses; Health education; Aboriginal Australians--Health and hygiene; Primary health care; Rural health services; Peer Reviewed: Yes Affiliation: (1) Senior Lecturer, School of Nursing and Midwifery, Monash University, Gippsland Campus, Churchill, Victoria, Australia, email: Melanie.birks@monash.edu
(2) Senior Lecturer, James Cook University, School of Nursing, Midwifery and Nutrition, Queensland, Australia, email: Jane.mills@jcu.edu.au
(3) Senior Lecturer, School of Nursing and Midwifery, Monash University, Gippsland Campus, Churchill, Victoria, Australia, and Fellow, JBI, email: Karen.francis@monash.edu
(4) Senior Lecturer, School of Nursing and Midwifery, Monash University, Gippsland Campus, Churchill, Victoria, Australia, email: Meaghan.coyle@monash.edu
(5) Senior Lecturer, School of Nursing and Midwifery, Monash University, Gippsland Campus, Churchill, Victoria, Australia, email: Jenny.davis@monash.edu
(6) Senior Lecturer, School of Nursing and Midwifery, Monash University, Gippsland Campus, Churchill, Victoria, Australia, email: Janet.jones@monash.edu

Database: Health Collection