Quality management systems in Aboriginal Community Controlled Health Services: a review of the literature
Background A national accreditation policy for the Australian primary healthcare (PHC) system was initiated in 2008. While certification standards are mandatory, little is known about their effects on the efficiency and sustainability of organisations, particularly in the Aboriginal Community Contro...
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crjcrbmj:10.1136/bmjoq-2020-001091 2024-06-23T07:52:52+00:00 Quality management systems in Aboriginal Community Controlled Health Services: a review of the literature Darr, Jenifer Olive Franklin, Richard C McBain-Rigg, Kristin Emma Larkins, Sarah Roe, Yvette Panaretto, Kathryn Saunders, Vicki Crowe, Melissa 2021 http://dx.doi.org/10.1136/bmjoq-2020-001091 https://syndication.highwire.org/content/doi/10.1136/bmjoq-2020-001091 en eng BMJ http://creativecommons.org/licenses/by-nc/4.0/ BMJ Open Quality volume 10, issue 3, page e001091 ISSN 2399-6641 journal-article 2021 crjcrbmj https://doi.org/10.1136/bmjoq-2020-001091 2024-05-24T13:15:33Z Background A national accreditation policy for the Australian primary healthcare (PHC) system was initiated in 2008. While certification standards are mandatory, little is known about their effects on the efficiency and sustainability of organisations, particularly in the Aboriginal Community Controlled Health Service (ACCHS) sector. Aim The literature review aims to answer the following: to what extent does the implementation of the International Organisation for Standardization 9001:2008 quality management system (QMS) facilitate efficiency and sustainability in the ACCHS sector? Methods Thematic analysis of peer-reviewed and grey literature was undertaken from Australia and New Zealand PHC sector with a focus on First Nations people. The databases searched included Medline, Scopus and three Informit sites (AHB-ATSIS, AEI-ATSIS and AGIS-ATSIS). The initial search strategy included quality improvement, continuous quality improvement, efficiency and sustainability. Results Sixteen included studies were assessed for quality using the McMaster criteria. The studies were ranked against the criteria of credibility, transferability, dependability and confirmability. Three central themes emerged: accreditation (n=4), quality improvement (n=9) and systems strengthening (n=3). The accreditation theme included effects on health service expenditure and clinical outcomes, consistency and validity of accreditation standards and linkages to clinical governance frameworks. The quality improvement theme included audit effectiveness and value for specific population health. The theme of systems strengthening included prerequisite systems and embedded clinical governance measures for innovative models of care. Conclusion The ACCHS sector warrants reliable evidence to understand the value of QMSs and enhancement tools, particularly given ACCHS (client-centric) services and their specialist status. Limited evidence exists for the value of standards on health system sustainability and efficiency in Australia. Despite a mandatory ... Article in Journal/Newspaper First Nations The BMJ New Zealand BMJ Open Quality 10 3 e001091 |
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crjcrbmj |
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English |
description |
Background A national accreditation policy for the Australian primary healthcare (PHC) system was initiated in 2008. While certification standards are mandatory, little is known about their effects on the efficiency and sustainability of organisations, particularly in the Aboriginal Community Controlled Health Service (ACCHS) sector. Aim The literature review aims to answer the following: to what extent does the implementation of the International Organisation for Standardization 9001:2008 quality management system (QMS) facilitate efficiency and sustainability in the ACCHS sector? Methods Thematic analysis of peer-reviewed and grey literature was undertaken from Australia and New Zealand PHC sector with a focus on First Nations people. The databases searched included Medline, Scopus and three Informit sites (AHB-ATSIS, AEI-ATSIS and AGIS-ATSIS). The initial search strategy included quality improvement, continuous quality improvement, efficiency and sustainability. Results Sixteen included studies were assessed for quality using the McMaster criteria. The studies were ranked against the criteria of credibility, transferability, dependability and confirmability. Three central themes emerged: accreditation (n=4), quality improvement (n=9) and systems strengthening (n=3). The accreditation theme included effects on health service expenditure and clinical outcomes, consistency and validity of accreditation standards and linkages to clinical governance frameworks. The quality improvement theme included audit effectiveness and value for specific population health. The theme of systems strengthening included prerequisite systems and embedded clinical governance measures for innovative models of care. Conclusion The ACCHS sector warrants reliable evidence to understand the value of QMSs and enhancement tools, particularly given ACCHS (client-centric) services and their specialist status. Limited evidence exists for the value of standards on health system sustainability and efficiency in Australia. Despite a mandatory ... |
format |
Article in Journal/Newspaper |
author |
Darr, Jenifer Olive Franklin, Richard C McBain-Rigg, Kristin Emma Larkins, Sarah Roe, Yvette Panaretto, Kathryn Saunders, Vicki Crowe, Melissa |
spellingShingle |
Darr, Jenifer Olive Franklin, Richard C McBain-Rigg, Kristin Emma Larkins, Sarah Roe, Yvette Panaretto, Kathryn Saunders, Vicki Crowe, Melissa Quality management systems in Aboriginal Community Controlled Health Services: a review of the literature |
author_facet |
Darr, Jenifer Olive Franklin, Richard C McBain-Rigg, Kristin Emma Larkins, Sarah Roe, Yvette Panaretto, Kathryn Saunders, Vicki Crowe, Melissa |
author_sort |
Darr, Jenifer Olive |
title |
Quality management systems in Aboriginal Community Controlled Health Services: a review of the literature |
title_short |
Quality management systems in Aboriginal Community Controlled Health Services: a review of the literature |
title_full |
Quality management systems in Aboriginal Community Controlled Health Services: a review of the literature |
title_fullStr |
Quality management systems in Aboriginal Community Controlled Health Services: a review of the literature |
title_full_unstemmed |
Quality management systems in Aboriginal Community Controlled Health Services: a review of the literature |
title_sort |
quality management systems in aboriginal community controlled health services: a review of the literature |
publisher |
BMJ |
publishDate |
2021 |
url |
http://dx.doi.org/10.1136/bmjoq-2020-001091 https://syndication.highwire.org/content/doi/10.1136/bmjoq-2020-001091 |
geographic |
New Zealand |
geographic_facet |
New Zealand |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
BMJ Open Quality volume 10, issue 3, page e001091 ISSN 2399-6641 |
op_rights |
http://creativecommons.org/licenses/by-nc/4.0/ |
op_doi |
https://doi.org/10.1136/bmjoq-2020-001091 |
container_title |
BMJ Open Quality |
container_volume |
10 |
container_issue |
3 |
container_start_page |
e001091 |
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1802644284400205824 |