Data_Sheet_1_The Barriers and Enablers of Primary Healthcare Service Transition From Government to Community Control in Yarrabah: A Grounded Theory Study.PDF
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...
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ftsmithonian:oai:figshare.com:article/16808386 2023-05-15T16:15:46+02:00 Data_Sheet_1_The Barriers and Enablers of Primary Healthcare Service Transition From Government to Community Control in Yarrabah: A Grounded Theory Study.PDF Janya McCalman (5005082) Crystal Sky Jongen (8281080) Sandy Campbell (4525030) Ruth Fagan (7587200) Kingsley Pearson (7587197) Suzanne Andrews (11561491) 2021-10-14T04:21:37Z https://doi.org/10.3389/fpubh.2021.616742.s001 unknown https://figshare.com/articles/dataset/Data_Sheet_1_The_Barriers_and_Enablers_of_Primary_Healthcare_Service_Transition_From_Government_to_Community_Control_in_Yarrabah_A_Grounded_Theory_Study_PDF/16808386 doi:10.3389/fpubh.2021.616742.s001 CC BY 4.0 CC-BY Mental Health Nursing Midwifery Nursing not elsewhere classified Aboriginal and Torres Strait Islander Health Aged Health Care Care for Disabled Community Child Health Environmental and Occupational Health and Safety Epidemiology Family Care Health and Community Services Health Care Administration Health Counselling Health Information Systems (incl. Surveillance) Health Promotion Preventive Medicine Primary Health Care Public Health and Health Services not elsewhere classified Nanotoxicology Health and Safety Medicine Nursing and Health Curriculum and Pedagogy community control self-determination governance transition Indigenous Dataset 2021 ftsmithonian https://doi.org/10.3389/fpubh.2021.616742.s001 2021-12-20T00:16:54Z 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 Yarrabah's transition process suggests that future such transitions will require planning and commitment to a long-term, multi-faceted and complex process, encompassing the required level of authorisation and resourcing. This case example of a transition from government to community control of PHC highlighted the ongoing power issues that are faced every day by community-controlled organisations that co-exist with mainstream health systems within a colonial power structure. Dataset First Nations Unknown Queensland |
institution |
Open Polar |
collection |
Unknown |
op_collection_id |
ftsmithonian |
language |
unknown |
topic |
Mental Health Nursing Midwifery Nursing not elsewhere classified Aboriginal and Torres Strait Islander Health Aged Health Care Care for Disabled Community Child Health Environmental and Occupational Health and Safety Epidemiology Family Care Health and Community Services Health Care Administration Health Counselling Health Information Systems (incl. Surveillance) Health Promotion Preventive Medicine Primary Health Care Public Health and Health Services not elsewhere classified Nanotoxicology Health and Safety Medicine Nursing and Health Curriculum and Pedagogy community control self-determination governance transition Indigenous |
spellingShingle |
Mental Health Nursing Midwifery Nursing not elsewhere classified Aboriginal and Torres Strait Islander Health Aged Health Care Care for Disabled Community Child Health Environmental and Occupational Health and Safety Epidemiology Family Care Health and Community Services Health Care Administration Health Counselling Health Information Systems (incl. Surveillance) Health Promotion Preventive Medicine Primary Health Care Public Health and Health Services not elsewhere classified Nanotoxicology Health and Safety Medicine Nursing and Health Curriculum and Pedagogy community control self-determination governance transition Indigenous Janya McCalman (5005082) Crystal Sky Jongen (8281080) Sandy Campbell (4525030) Ruth Fagan (7587200) Kingsley Pearson (7587197) Suzanne Andrews (11561491) Data_Sheet_1_The Barriers and Enablers of Primary Healthcare Service Transition From Government to Community Control in Yarrabah: A Grounded Theory Study.PDF |
topic_facet |
Mental Health Nursing Midwifery Nursing not elsewhere classified Aboriginal and Torres Strait Islander Health Aged Health Care Care for Disabled Community Child Health Environmental and Occupational Health and Safety Epidemiology Family Care Health and Community Services Health Care Administration Health Counselling Health Information Systems (incl. Surveillance) Health Promotion Preventive Medicine Primary Health Care Public Health and Health Services not elsewhere classified Nanotoxicology Health and Safety Medicine Nursing and Health Curriculum and Pedagogy community control self-determination governance transition Indigenous |
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 Yarrabah's transition process suggests that future such transitions will require planning and commitment to a long-term, multi-faceted and complex process, encompassing the required level of authorisation and resourcing. This case example of a transition from government to community control of PHC highlighted the ongoing power issues that are faced every day by community-controlled organisations that co-exist with mainstream health systems within a colonial power structure. |
format |
Dataset |
author |
Janya McCalman (5005082) Crystal Sky Jongen (8281080) Sandy Campbell (4525030) Ruth Fagan (7587200) Kingsley Pearson (7587197) Suzanne Andrews (11561491) |
author_facet |
Janya McCalman (5005082) Crystal Sky Jongen (8281080) Sandy Campbell (4525030) Ruth Fagan (7587200) Kingsley Pearson (7587197) Suzanne Andrews (11561491) |
author_sort |
Janya McCalman (5005082) |
title |
Data_Sheet_1_The Barriers and Enablers of Primary Healthcare Service Transition From Government to Community Control in Yarrabah: A Grounded Theory Study.PDF |
title_short |
Data_Sheet_1_The Barriers and Enablers of Primary Healthcare Service Transition From Government to Community Control in Yarrabah: A Grounded Theory Study.PDF |
title_full |
Data_Sheet_1_The Barriers and Enablers of Primary Healthcare Service Transition From Government to Community Control in Yarrabah: A Grounded Theory Study.PDF |
title_fullStr |
Data_Sheet_1_The Barriers and Enablers of Primary Healthcare Service Transition From Government to Community Control in Yarrabah: A Grounded Theory Study.PDF |
title_full_unstemmed |
Data_Sheet_1_The Barriers and Enablers of Primary Healthcare Service Transition From Government to Community Control in Yarrabah: A Grounded Theory Study.PDF |
title_sort |
data_sheet_1_the barriers and enablers of primary healthcare service transition from government to community control in yarrabah: a grounded theory study.pdf |
publishDate |
2021 |
url |
https://doi.org/10.3389/fpubh.2021.616742.s001 |
geographic |
Queensland |
geographic_facet |
Queensland |
genre |
First Nations |
genre_facet |
First Nations |
op_relation |
https://figshare.com/articles/dataset/Data_Sheet_1_The_Barriers_and_Enablers_of_Primary_Healthcare_Service_Transition_From_Government_to_Community_Control_in_Yarrabah_A_Grounded_Theory_Study_PDF/16808386 doi:10.3389/fpubh.2021.616742.s001 |
op_rights |
CC BY 4.0 |
op_rightsnorm |
CC-BY |
op_doi |
https://doi.org/10.3389/fpubh.2021.616742.s001 |
_version_ |
1766001631997984768 |