Primary Health Care and Continuous Quality Improvement : An Evidence-Based Guide.

Format:

Book

Author/Creator:

Laycock, Alison.

Contributor:

Bailie, Ross.

O'Donoghue, Lynette.

Language:

English

Physical Description:

1 online resource (423 pages)

Edition:

1st ed.

Place of Publication:

Sydney : Sydney University Press, 2025.

Summary:

For most people, the main point of access to the health system is through primary health care (PHC). The fundamental premise of primary health care is that all people, everywhere, have the right to receive the appropriate care in their community. Primary health care attends to the majority of a person's health needs throughout their lifetime, including physical, mental and social wellbeing. PHC is people-centred rather than disease-centred. It is a whole-of-society approach that includes health promotion, disease prevention, treatment, rehabilitation and palliative care. Primary health care and continuous quality improvement: An evidence-based guide provides an accessible contemporary guide on implementing continuous quality improvement (CQI) in PHC settings. The authors draw together two decades of practical experience and established leadership in Aboriginal and Torres Strait Islander health in Australia to provide guidance for health services and their staff, policymakers, researchers, funders and support organisations in an international context. Primary health care and continuous quality improvement provides an in-depth understanding of how CQI can be used to strengthen health systems by: identifying core concepts underpinning CQI in PHC and how CQI can improve health care quality, health equity and population health; explaining how CQI data is used in a comprehensive approach to PHC to measure quality, and how data is generated and used for improving care; describing CQI tools and techniques used by PHC teams; offering guidance in interpreting data and addressing variation in care quality; providing case studies in maternal health, children's health, mental health and other areas, to describe the application of CQI to improve clinical care; guiding practitioners on how to collaborate and build data systems for CQI, and strengthen links between communities and PHC services. Continuous quality improvement is everybody's business, and Primary health care and continuous quality improvement explains the strategic use of CQI at different levels of the health system and across sectors to achieve and sustain large-scale health improvement.

Contents:

Cover

Copyright

Contents

List of Figures

List of Tables

Foreword

Adjunct Professor Tarun Weeramanthri

Professor Ian Anderson

About the authors

Acknowledgements

Chapter reviewers

People who shared experiences and stories, provided tips or project information

Thank you to peer reviewers

Use of terms

How to use this book

Part I

Part II

Part III

Part IV

List of abbreviations

Part I Core concepts in primary health care and continuous quality improvement

1 Primary health care

What is primary health care?

A comprehensive approach

Population health

The social, cultural, structural and environmental determinants of health

In Australia

The Aboriginal and Torres Strait Islander approach

PHC complexity and systems approaches

Health services as complex adaptive systems

Summary

2 Continuous quality improvement

What is quality in health care?

What is continuous quality improvement?

Origins and development

Quality improvement cycles

3 Adapting continuous quality improvement for primary health care

Why is adaption needed?

Applying CQI

An Indigenous context

Health equity

Comprehensive PHC

Part II Continuous quality improvement data, tools and processes for primary health care

4 Evidence to guide and improve care

The purpose of CQI data

Quality indicators

Clinical guidelines for best practice

Guidelines for best-practice health promotion

Types and sources of data

Data quality

Generating information to assess the quality of clinical care

5 Practical tools for CQI in primary health care

Different tools are used for different purposes

Tools assessing care structures, processes and outcomes

Tools and techniques to visualise the systems and processes.

Use of continuous quality improvement tools

Methodological approaches

6 Using CQI cycles, and understanding and presenting data

The CQI cycle

Data collection

Data analysis

Understanding variation in quality

Participatory interpretation

Goal setting

Action planning

Implementation

7 Facilitating CQI

What is facilitation?

Facilitation works to improve care

What does CQI facilitation look like?

What characterises a good facilitator?

Supporting continuous learning and improvement

Useful group techniques

Stakeholder mapping

Continuous quality improvement collaboratives

8 Embedding a culture of CQI

What is organisational culture in health care?

The look and feel of a continuous quality improvement culture

Embedding and sustaining the culture

Part II Summary

Using CQI in comprehensive PHC

Part III Using CQI to improve primary health care

9 The Audit and Best Practice for Chronic Disease CQI research program

A brief history

Clinical audit tools based on clinical practice guidelines

Systems assessment tool based on primary healthcare systems research

Using aggregated data for system improvement

International relevance of the ABCD research program

Presentation of research findings

10 Improving diabetes care

Diabetes

Aboriginal and Torres Strait Islander peoples

Recommended clinical care

Findings: quality of diabetes care

Improving diabetes care in Aboriginal and Torres Strait Islander PHC

11 Improving preventive health care

Preventive health care

Preventive health and Aboriginal and Torres Strait Islander peoples

Recommended preventive health care

Findings: quality of preventive care

Improving preventive care in Aboriginal and Torres Strait Islander PHC

12 Improving child health.

Children's health

Health of Aboriginal and Torres Strait Islander children

Findings: quality of child health care

Improving PHC for Aboriginal and Torres Strait Islander children

Reporting on other indicators of quality primary health care for children

13 Improving maternal health care

Maternal care in PHC

Health of Aboriginal and Torres Strait Islander mothers and their babies

Recommended maternal care

Findings: quality of maternal health care

Improving maternal care for Aboriginal and Torres Strait Islander women

14 Developing an audit tool to improve youth health care - a case study

Youth health

What we know about improving youth health through PHC

Young Aboriginal and Torres Strait Islander peoples

Developing a clinical audit tool to measure the quality of care for youth - an implementation case s

Conclusion

15 Improving mental health and wellbeing care

Mental health and wellbeing

Mental health and social and emotional wellbeing of Aboriginal and Torres Strait Islander peoples

Recommended mental health and social and emotional wellbeing care in clinical PHC

Findings: quality of mental health care

Findings: quality of screening and care for social and emotional wellbeing

Emerging patterns and recent developments

Improving mental health and wellbeing care in Aboriginal and Torres Strait Islander PHC

16 Improving cardiovascular health care

Cardiovascular health care and disease

Cardiovascular health and Aboriginal and Torres Strait Islander peoples

Findings: quality of cardiovascular health care

Improving cardiovascular care in Aboriginal and Torres Strait Islander PHC

17 Improving care for acute rheumatic fever and rheumatic heart disease

Acute rheumatic fever and rheumatic heart disease.

ARF/RHD and recommended care for Aboriginal and Torres Strait Islander peoples

Findings: quality of acute rheumatic fever and rheumatic heart disease prevention and care

Improving ARF/RHD care in Aboriginal and Torres Strait Islander PHC

18 Improving the quality of care for sexually transmissible infections

Sexual health and sexually transmissible infections

Improving STI care for Aboriginal and Torres Strait Islander peoples

Findings: quality of STI care

Sexual health (STI/BBV) clinical audit tool

Improving STI care in Aboriginal and Torres Strait Islander PHC

19 Improving eye health care

Eye health care

Findings: quality of eye health care

Improving eye health care in Aboriginal and Torres Strait Islander PHC

Part III Summary

Applying lessons learnt from CQI implementation

Consistent themes

Implementing improvement

Part IV Strengthening systems for PHC equity

20 Multi-level systems approaches

A systems framework for CQI in PHC services

A multi-level, system-wide approach to improvement

21 Centralising respect, equity and justice in health research

Equity- and systems-focused health research

Participatory and system-focused research approaches

22 Learning from two decades of CQI research in Indigenous PHC

Building on strengths to transform research

Centre for Research Excellence in Integrated Quality Improvement

Centre for Research Excellence: Strengthening Systems for Indigenous Health Care Equity

Part IV Summary: future directions and emerging challenges

Index.

Notes:

Description based on publisher supplied metadata and other sources.

ISBN:

1-74332-927-X

1-76154-010-6

OCLC:

1522801406