Curtin University Homepage
  • Library
  • Help
    • Admin

    espace - Curtin’s institutional repository

    JavaScript is disabled for your browser. Some features of this site may not work without it.
    View Item 
    • espace Home
    • espace
    • Curtin Research Publications
    • View Item
    • espace Home
    • espace
    • Curtin Research Publications
    • View Item

    Identifying culturally appropriate strategies for coronary heart disease secondary prevention in a regional Aboriginal Medical Service

    192127_192127.pdf (105.6Kb)
    Access Status
    Open access
    Authors
    Govil, Dhruv
    Lin, I.
    Dodd, T.
    Cox, R.
    Moss, Penny
    Thompson, S.
    Maiorana, Andrew
    Date
    2013
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Govil, Dhruv and Lin, Ivan and Dodd, Tony and Cox, Rhonda and Moss, Penny and Thompson, Sandra and Maiorana, Andrew. 2013. Identifying culturally appropriate strategies for coronary heart disease secondary prevention in a regional Aboriginal Medical Service. Australian Journal of Primary Health. 20 (3): pp. 266-272.
    Source Title
    Australian Journal of Primary Health
    DOI
    10.1071/PY12117
    ISSN
    1448-7527
    URI
    http://hdl.handle.net/20.500.11937/44913
    Collection
    • Curtin Research Publications
    Abstract

    Aboriginal Australians experience high rates of coronary heart disease (CHD) at an early age, highlighting the importance of effective secondary prevention. This study employed a two-stage process to evaluate CHD management in a regional Aboriginal Medical Service. Stage 1 involved an audit of 94 medical records of clients with documented CHD using the Audit and Best Practice in Chronic Disease approach to health service quality improvement. Results from the audit informed themes for focus group discussions with Aboriginal Medical Service clients (n = 6) and staff (n = 6) to ascertain barriers and facilitators to CHD management. The audit identified that chronic disease management was the focus of appointments more frequently than in national data (P < 0.05), with brief interventions for lifestyle modification occurring at similar or greater frequency. However, referrals to follow-up support services for secondary prevention were lower (P < 0.05). Focus groups identified psychosocial factors, systemic shortcomings, suboptimal medication use and variable awareness of CHD signs and symptoms as barriers to CHD management, whereas family support and culturally appropriate education promoted health care. To optimise CHD secondary prevention for Aboriginal people, health services require adequate resources to achieve best-practice systems of follow up. Routinely engaging clients is required to ensure services meet diverse community needs.

    Related items

    Showing items related by title, author, creator and subject.

    • Health information system linkage and coordination are critical for increasing access to secondary prevention in Aboriginal health: a qualitative study
      Digiacomo, Michelle; Davidson, Patricia; Taylor, Katherine; Smith, J.; Dimer, L.; Ali, Mohammed; Wood, M.; Leahy, T.; Thompson, Sandra (2010)
      Background: Aboriginal Australians have low rates of participation in cardiac rehabilitation (CR), despite having high rates of cardiovascular disease. Barriers to CR participation reflect multiple patient-related issues. ...
    • Towards understanding disparities in cancer outcomes for Aboriginal Australians: exploring Aboriginal perceptions and experiences of cancer in Western Australia
      Shahid, Shaouli (2010)
      Cancer has become one of the major chronic diseases among Aboriginal and Torres Strait Islander people of Australia, and was declared a health priority in the National Aboriginal and Torres Strait Islander Health Strategy ...
    • "I don't know why they don't come": barriers to participation in cardiac rehabilitation
      Digiacomo, Michelle; Thompson, S.; Smith, J.; Taylor, Kate; Dimer, L.; Ali, Mohammed; Wood, M.; Leahy, T.; Davidson, Patricia (2010)
      Objectives. To describe health professionals’ perceptions of Aboriginal people’s access to cardiac rehabilitation (CR) services and the role of institutional barriers in implementing the National Health and Medical Research ...
    Advanced search

    Browse

    Communities & CollectionsIssue DateAuthorTitleSubjectDocument TypeThis CollectionIssue DateAuthorTitleSubjectDocument Type

    My Account

    Admin

    Statistics

    Most Popular ItemsStatistics by CountryMost Popular Authors

    Follow Curtin

    • 
    • 
    • 
    • 
    • 

    CRICOS Provider Code: 00301JABN: 99 143 842 569TEQSA: PRV12158

    Copyright | Disclaimer | Privacy statement | Accessibility

    Curtin would like to pay respect to the Aboriginal and Torres Strait Islander members of our community by acknowledging the traditional owners of the land on which the Perth campus is located, the Whadjuk people of the Nyungar Nation; and on our Kalgoorlie campus, the Wongutha people of the North-Eastern Goldfields.