PCD Strategy Evaluation 2007.pdf - NT Health Digital Library ...

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Figure 4.1 New ESRF Patients by Region 1993-2005. Source: NTDH&CS (2)Total prevalent caseload represents existing surviving cases plus incident cases, and shows anincrease of more than 100 per cent over the period 1997-2006 (Figure 4.2). These increasesrepresent either better survival of patients on RRT, or a recent increase in incident cases, orboth.Figure 4.2Growth in the prevalence in end stage renal disease between 1997-2005, inCentral Australia and the Top End of the Northern Territory.Qualitative work carried out in Darwin in 2001 identified high levels of miscommunicationbetween Aboriginal renal patients and their health service providers (80, 81) . Following this work,Chapter 4: Clinical Outcomes – Evaluation of the NT Preventable Chronic Disease Strategy 2007 74
improvements have been made to service delivery, including interpreter services (82) . Although nocausal attribution can be made, it is possible that improvements to the service model for RRT forIndigenous clients, including improved communication and shared understanding of careprocesses, could be contributing to improved survival on RRT suggested by these data.Figure 4.3 Same-day renal treatment 2005-06 (2) .The number of same day renal treatments grew by 10.5 per cent from 2004-05 to 2005-06. Thenumber of treatments delivered increased by 14.5 per cent at Royal Darwin Hospital and 3.4 percent at Alice Springs Hospital (2) . The number of treatments for Aboriginal patients increased by12 per cent from 2004-05 to 2005-06. Gove District Hospital previously had no renal dialysisservices, however a one-chair home dialysis unit opened in August 2006 (2) .4.2 Primary Care Level Chronic Disease Care Processes andIntermediate Clinical Outcomes reported in the NT.There are no systematically collected and reported data from NTDH&CS on clinical care processesand intermediate client outcomes at Primary Care Level. Published reports in selected Top Endsites (on small numbers) do not go beyond 2003.Published reports identify short-term gains in quality of care at community level for diabetes (83)and renal disease in selected Top-End communities, but these have not been sustained for longerthan 2-3 years, and do not report beyond 2003 (84) .Chapter 4: Clinical Outcomes – Evaluation of the NT Preventable Chronic Disease Strategy 2007 75
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Pty LtdABN 82 147 637 101AN EVALUAT
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TABLE OF CONTENTSList of figuresLis
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6.6 Indigenous workforce 996.7 Prev
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List of AbbreviationsABCDACCHOsACIC
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ACKNOWLEDGEMENTSWe would like to ac
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However the extraordinary number of
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the establishment of the Sunrise He
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RECOMMENDATIONSGeneral recommendati
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Exploration of joint funding arrang
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CHAPTER 1. INTRODUCTION1.1 Backgrou
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Choosing the 5 chronic conditionsTh
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Table 1.1Key Result Areas + Best Bu
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prior to the launch of NTPCDS, such
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Year * Action Outcome1999 S NT Prev
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Year * Action Outcome2005 P Aborigi
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CHAPTER 2.EVALUATION METHODOLOGYThe
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2.2 Evaluation StagesThe NTPCDS eva
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chronic disease activities funded t
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internal project team. It was very
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Situation at Baseline1. The Guideli
Page 41 and 42: 3.1.2 Patient information and recal
Page 43 and 44: Ferret Miwatj, Numbulwar, Marngarr,
Page 45 and 46: Medicare information is not for pub
Page 47 and 48: was in place in Central Australia i
Page 49 and 50: What orientation and ongoing traini
Page 51 and 52: programs focus on chronic disease p
Page 53 and 54: The information collected as part o
Page 55 and 56: Assessment against objectiveMost se
Page 57 and 58: career development, and retention i
Page 59 and 60: are. Indigenous employment is NTDH&
Page 61 and 62: NTDH&CS Programs that encourage Hea
Page 63 and 64: 2002 Aboriginal and Torres Strait I
Page 65 and 66: delivering any prevention and healt
Page 67 and 68: The Community Services Division - A
Page 69 and 70: 1 x AHW Central Australia 2001 S100
Page 71 and 72: One clinic stated it had no care pl
Page 73 and 74: Identifies priority practices to in
Page 75 and 76: There has been a significant growth
Page 77 and 78: about 25 per cent of the hospital b
Page 79 and 80: The level of funding provided by th
Page 81 and 82: Central Australia and two zones cur
Page 83 and 84: The diabetes education teams at HLN
Page 85 and 86: maintenance group for people with l
Page 87 and 88: Rebates for participating or arrang
Page 89 and 90: Use of Medicine Programmes. Althoug
Page 91: CHAPTER 4. CLINICAL OUTCOMES OF THE
Page 95 and 96: A recent ten-year follow-up of a co
Page 97 and 98: The NTDH&CS also collect birthweigh
Page 99 and 100: Figure 5.3 Vaccination coverage for
Page 101 and 102: It is also important to note that k
Page 103 and 104: eported that 50 per cent of the Ind
Page 105 and 106: The current action plan identifies
Page 107 and 108: The availability and cost of health
Page 109 and 110: Hoy et al in 1995-2000 (100) , and
Page 111 and 112: 5.6 Best practice management5.6.1 P
Page 113 and 114: disease care in urban areas regardi
Page 115 and 116: PCIS was developed by NTDH&CS as th
Page 117 and 118: emote staff can access training and
Page 119 and 120: In the Top End there appeared to be
Page 121 and 122: APPENDIX 1EVALUATION OF THE NT PREV
Page 123 and 124: 2.10 Generally speaking, on a scale
Page 125 and 126: 4.4 Briefly recount any anecdotes y
Page 127 and 128: 5.9 Generally speaking, on a scale
Page 129 and 130: Section 8 • Summary questions8.1
Page 131 and 132: Preventable Chronic Disease Program
Page 133 and 134: Year Type Background What is it? /
Page 135 and 136: Year Type Background What is it? /
Page 137 and 138: An important background to this stu
Page 139 and 140: New beliefs do not replace the old,
Page 141 and 142: Other services are provided to the
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ecame the main priority in many peo
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to be healthy, how to get rid of di
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(Draft Version - © August 2006 Jan
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References1. Dunham, H., Ministeria
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35. Smith, J.D., Progress report fo
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Research Centre for Aboriginal Heal
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114. Senior, K., 'A Gudbala Laif? h
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