The barriers and enablers of primary healthcare service transition from government to community control in Yarrabah: A grounded theory study
Introduction: Consistent with the aspirations of First Nations Australians for community control of healthcare services, 123/196 (63%) of Australia's First Nations-specific primary health care services are community-controlled. Yet despite policy commitment over 30 years, the transition of gove...
Main Authors: | , , , , , |
---|---|
Format: | Other Non-Article Part of Journal/Newspaper |
Language: | unknown |
Published: |
2021
|
Subjects: | |
Online Access: | http://hdl.handle.net/10779/cqu.19401122.v1 |
id |
ftcquniportalfig:oai:figshare.com:article/19401122 |
---|---|
record_format |
openpolar |
spelling |
ftcquniportalfig:oai:figshare.com:article/19401122 2023-05-15T16:15:23+02:00 The barriers and enablers of primary healthcare service transition from government to community control in Yarrabah: A grounded theory study Janya Mccalman Crystal Sky Jongen Sandra Campbell Ruth Fagan Kingsley Pearson Suzanne Andrews 2021-10-14T00:00:00Z http://hdl.handle.net/10779/cqu.19401122.v1 unknown https://figshare.com/articles/journal_contribution/The_barriers_and_enablers_of_primary_healthcare_service_transition_from_government_to_community_control_in_Yarrabah_A_grounded_theory_study/19401122 http://hdl.handle.net/10779/cqu.19401122.v1 CC BY 4.0 CC-BY Aboriginal and Torres Strait Islander Health Community control Governance Indigenous Self-determination Transition Humans Government Community Health Services Primary Health Care Australia Grounded Theory Text Journal contribution 2021 ftcquniportalfig 2022-08-05T11:53:02Z Introduction: Consistent with the aspirations of First Nations Australians for community control of healthcare services, 123/196 (63%) of Australia's First Nations-specific primary health care services are community-controlled. Yet despite policy commitment over 30 years, the transition of government-run First Nations' primary healthcare services to First Nations community control has been slow. This paper identifies the barriers and enablers to transitioning the delivery of primary healthcare services from Queensland Health to Gurriny Yealamucka community-controlled health service in Yarrabah. Methods: Grounded theory methods were used to select 14 Gurriny and Queensland Health (QH) personnel involved in the transition for interview and to analyse these interview transcripts and 88 Gurriny organisational documents. Results: Barriers and enablers to transition were identified at three levels: those internal factors within Gurriny, external factors directly related to the government handover, and broader structural and policy factors outside the control of either Gurriny or QH. Barriers at the Gurriny organisational level were an internal lack of experience and capacity, and varying levels of community confidence; enablers were leadership stability and capacity, community mandate, relationships with partner organisations, and ability to provide service continuity. Barriers in Gurriny's relationship with QH were a lack of certainty, transparency and prioritisation of the transition process; systemic racism; difficulties obtaining and maintaining the necessary workforce; limited resources including insufficient, unstable and inappropriate funding support; and problems with information sharing; enablers were performance frameworks to keep transition progress on track. Barriers in broad policy environment were an unsupportive Queensland government policy environment; government bureaucracy; and delays, conflicts and divisions; enablers were high-level government support and commitment. Conclusions: The evaluation of ... Other Non-Article Part of Journal/Newspaper First Nations CQUniversity: acquire Queensland |
institution |
Open Polar |
collection |
CQUniversity: acquire |
op_collection_id |
ftcquniportalfig |
language |
unknown |
topic |
Aboriginal and Torres Strait Islander Health Community control Governance Indigenous Self-determination Transition Humans Government Community Health Services Primary Health Care Australia Grounded Theory |
spellingShingle |
Aboriginal and Torres Strait Islander Health Community control Governance Indigenous Self-determination Transition Humans Government Community Health Services Primary Health Care Australia Grounded Theory Janya Mccalman Crystal Sky Jongen Sandra Campbell Ruth Fagan Kingsley Pearson Suzanne Andrews The barriers and enablers of primary healthcare service transition from government to community control in Yarrabah: A grounded theory study |
topic_facet |
Aboriginal and Torres Strait Islander Health Community control Governance Indigenous Self-determination Transition Humans Government Community Health Services Primary Health Care Australia Grounded Theory |
description |
Introduction: Consistent with the aspirations of First Nations Australians for community control of healthcare services, 123/196 (63%) of Australia's First Nations-specific primary health care services are community-controlled. Yet despite policy commitment over 30 years, the transition of government-run First Nations' primary healthcare services to First Nations community control has been slow. This paper identifies the barriers and enablers to transitioning the delivery of primary healthcare services from Queensland Health to Gurriny Yealamucka community-controlled health service in Yarrabah. Methods: Grounded theory methods were used to select 14 Gurriny and Queensland Health (QH) personnel involved in the transition for interview and to analyse these interview transcripts and 88 Gurriny organisational documents. Results: Barriers and enablers to transition were identified at three levels: those internal factors within Gurriny, external factors directly related to the government handover, and broader structural and policy factors outside the control of either Gurriny or QH. Barriers at the Gurriny organisational level were an internal lack of experience and capacity, and varying levels of community confidence; enablers were leadership stability and capacity, community mandate, relationships with partner organisations, and ability to provide service continuity. Barriers in Gurriny's relationship with QH were a lack of certainty, transparency and prioritisation of the transition process; systemic racism; difficulties obtaining and maintaining the necessary workforce; limited resources including insufficient, unstable and inappropriate funding support; and problems with information sharing; enablers were performance frameworks to keep transition progress on track. Barriers in broad policy environment were an unsupportive Queensland government policy environment; government bureaucracy; and delays, conflicts and divisions; enablers were high-level government support and commitment. Conclusions: The evaluation of ... |
format |
Other Non-Article Part of Journal/Newspaper |
author |
Janya Mccalman Crystal Sky Jongen Sandra Campbell Ruth Fagan Kingsley Pearson Suzanne Andrews |
author_facet |
Janya Mccalman Crystal Sky Jongen Sandra Campbell Ruth Fagan Kingsley Pearson Suzanne Andrews |
author_sort |
Janya Mccalman |
title |
The barriers and enablers of primary healthcare service transition from government to community control in Yarrabah: A grounded theory study |
title_short |
The barriers and enablers of primary healthcare service transition from government to community control in Yarrabah: A grounded theory study |
title_full |
The barriers and enablers of primary healthcare service transition from government to community control in Yarrabah: A grounded theory study |
title_fullStr |
The barriers and enablers of primary healthcare service transition from government to community control in Yarrabah: A grounded theory study |
title_full_unstemmed |
The barriers and enablers of primary healthcare service transition from government to community control in Yarrabah: A grounded theory study |
title_sort |
barriers and enablers of primary healthcare service transition from government to community control in yarrabah: a grounded theory study |
publishDate |
2021 |
url |
http://hdl.handle.net/10779/cqu.19401122.v1 |
geographic |
Queensland |
geographic_facet |
Queensland |
genre |
First Nations |
genre_facet |
First Nations |
op_relation |
https://figshare.com/articles/journal_contribution/The_barriers_and_enablers_of_primary_healthcare_service_transition_from_government_to_community_control_in_Yarrabah_A_grounded_theory_study/19401122 http://hdl.handle.net/10779/cqu.19401122.v1 |
op_rights |
CC BY 4.0 |
op_rightsnorm |
CC-BY |
_version_ |
1766001127846838272 |