The Centre for Excellence for Indigenous Primary Care Intervention Research in Chronic Disease
The Kanyini Vascular Collaboration aims to identify and overcome barriers to best practice chronic disease care for Aboriginal and Torres Strait Islander people in primary care.
The George Institute for Global Health
Australian National University
As a member of the Kanyini Vascular Collaboration, Wardliparingga is working to develop a model of wellness for Aboriginal and Torres Strait Islander people, building better systems of chronic disease care, and furthering research into the interplay between psychosocial health and the burden and management of chronic disease. The team is also doing work around building capacity policy and decision makers in community, and with health professionals.
The Centre of Excellence for Indigenous Primary Care Intervention Research in Chronic Disease
Chronic diseases represent a significant contributor to the relative and absolute disparity in health status and life expectancy gap for Aboriginal and Torres Strait Islander Australians. The long-term and comorbid nature of chronic disease has a significant impact on individuals, families and community. Primary care is a critical element to improving care, reducing the prevalence and impact of chronic disease, and addressing the disparities.
The Kanyini Vascular Collaboration aims to identify and overcome barriers to best practice chronic disease care for Aboriginal and Torres Strait Islander people. Primary care is a critical element to improving chronic disease care, reducing the prevalence and impact of disease, and addressing the disparities. The collaboration aims to improve outcomes through four main objectives:
- To identify systemic barriers to health care for Aboriginal and Torres Strait Islander people with cardiovascular and chronic kidney diseases and diabetes, from the perspective of the patient, their community and health care providers;
- In collaboration with community-controlled primary health services and using rigorous methodology, to develop, implement and evaluate relevant health systems/services interventions across the continuum of care for CVD, CKD and diabetes;
- To build capacity within community-controlled health services and mainstream health services to meet chronic disease needs;
- To establish a coherent policy agenda and a strategy for dissemination.
Kanyini Wellness Model
The Kanyini Wellness Model seeks to identify essential elements of primary health care in chronic disease management, develop a rapid assessment tool, and build a foundation for a national chronic disease health system intervention trial.
The development of the Kanyini Wellness Model will be undertaken in several stages to incorporate a body of qualitative and quantitative data.
A retrospective audit of primary care records from Aboriginal Medical Services will identify the number of Aboriginal and Torres Strait Islander patients where a risk assessment has been performed, the spectrum of risk identified in these patients, and treatment gaps following assessment. This will be complemented by a systems level audit to identify and consider the availability, performance and accessibility of structures that support disease management for patients. The sites will then be re-audited to identify features which have supported improvements in identification and management of chronic diseases. This will be supported by a synthesis of the literature, which will inform of specific factors which define good features of a chronic care model. The final step will be to develop a conceptual framework to define the chronic care model for Aboriginal and Torres Strait Islander patients.
- Alan Cass,The George Institute
- Lavoie (Uni Nth British Colombia)
- Hackett (Usyd)
- Togni (Baker IDI)
Australian Primary Health Care Research Institute (APHCRI) Centre of Research Excellence Grant