BMC Med Inform Decis Mak - Implementing computerised Aboriginal and Torres Strait Islander health checks in primary care for clinical care and research: a process evaluation.

Tópicos

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Resumo

CKGROUND: Paper-based Aboriginal and Torres Strait Islander health checks have promoted a preventive approach to primary care and provided data to support research at the Inala Indigenous Health Service, south-west Brisbane, Australia. Concerns about the limitations of paper-based health checks prompted us to change to a computerised system to realise potential benefits for clinical services and research capability. We describe the rationale, implementation and anticipated benefits of computerised Aboriginal and Torres Strait Islander health checks in one primary health care setting.METHODS: In May 2010, the Inala Indigenous Health Service commenced a project to computerise Aboriginal and Torres Strait Islander child, adult, diabetic, and antenatal health checks. The computerised health checks were launched in September 2010 and then evaluated for staff satisfaction, research consent rate and uptake. Ethical approval for health check data to be used for research purposes was granted in December 2010.RESULTS: Three months after the September 2010 launch date, all but two health checks (378 out of 380, 99.5%) had been completed using the computerised system. Staff gave the system a median mark of 8 out of 10 (range 5-9), where 10 represented the highest level of overall satisfaction. By September 2011, 1099 child and adult health checks, 138 annual diabetic checks and 52 of the newly introduced antenatal checks had been completed. These numbers of computerised health checks are greater than for the previous year (2010) of paper-based health checks with a risk difference of 0.07 (95% confidence interval 0.05, 0.10). Additionally, two research projects based on computerised health check data were underway.CONCLUSIONS: The Inala Indigenous Health Service has demonstrated that moving from paper-based Aboriginal and Torres Strait Islander health checks to a system using computerised health checks is feasible and can facilitate research. We expect computerised health checks will improve clinical care and continue to enable research projects using validated data, reflecting the local Aboriginal and Torres Strait Islander community's priorities.

Resumo Limpo

ckground paperbas aborigin torr strait island health check promot prevent approach primari care provid data support research inala indigen health servic southwest brisban australia concern limit paperbas health check prompt us chang computeris system realis potenti benefit clinic servic research capabl describ rational implement anticip benefit computeris aborigin torr strait island health check one primari health care settingmethod may inala indigen health servic commenc project computeris aborigin torr strait island child adult diabet antenat health check computeris health check launch septemb evalu staff satisfact research consent rate uptak ethic approv health check data use research purpos grant decemb result three month septemb launch date two health check complet use computeris system staff gave system median mark rang repres highest level overal satisfact septemb child adult health check annual diabet check newli introduc antenat check complet number computeris health check greater previous year paperbas health check risk differ confid interv addit two research project base computeris health check data underwayconclus inala indigen health servic demonstr move paperbas aborigin torr strait island health check system use computeris health check feasibl can facilit research expect computeris health check will improv clinic care continu enabl research project use valid data reflect local aborigin torr strait island communiti prioriti

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