Understanding the structure and processes of primary health care for young indigenous children

Natalie A. Strobel, Kimberley McAuley, Veronica Matthews, Alice Richardson, Jason Agostino, Ross Bailie, Karen M. Edmond, Daniel McAullay

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

INTRODUCTION: Primary health care organisations need to continuously reform to more effectively address current health challenges, particularly for vulnerable populations. There is growing evidence that optimal health service structures are essential for producing positive outcomes. AIM: To determine if there is an association between process of care indicators (PoCIs) for important young indigenous child health and social issues and: (i) primary health-care service and child characteristics; and (ii) organisational health service structures. METHODS: This was a cross-sectional study of 1554 clinical child health audits and associated system assessments from 74 primary care services from 2012 to 2014. Composite PoCIs were developed for social and emotional wellbeing, child neurodevelopment and anaemia. Crude and adjusted logistic regression models were fitted, clustering for health services. Odds ratios and 95% confidence intervals were derived. RESULTS: Overall, 32.0% (449) of records had a social and emotional wellbeing PoCI, 56.6% (791) had an anaemia PoCI and 49.3% (430) had a child neurodevelopment PoCI. Children aged 12-23 months were significantly more likely to receive all PoCIs compared to children aged 24-59 months. For every one point increase in assessment scores for team structure and function (aOR 1.14, 95% CI 1.01-1.27) and care planning (aOR 1.14, 95% CI 1.01-1.29) items, there was a 14% greater odds of a child having an anaemia PoCI. Social and emotional wellbeing and child neurodevelopment PoCIs were not associated with system assessment scores. DISCUSSION: Ensuring young indigenous children aged 24-59 months are receiving quality care for important social and health indicators is a priority. Processes of care and organisational systems in primary care services are important for the optimal management of anaemia in indigenous children.

Original languageEnglish
Pages (from-to)267-278
Number of pages12
JournalJournal of Primary Health Care
Volume10
Issue number3
DOIs
Publication statusPublished - 1 Sep 2018

Fingerprint

Primary Health Care
Health Services
Anemia
Logistic Models
Quality of Health Care
Health
Vulnerable Populations
Cluster Analysis
Cross-Sectional Studies
Odds Ratio
Confidence Intervals

Cite this

@article{e97fb4d4280a4f539cd13515e209e831,
title = "Understanding the structure and processes of primary health care for young indigenous children",
abstract = "INTRODUCTION: Primary health care organisations need to continuously reform to more effectively address current health challenges, particularly for vulnerable populations. There is growing evidence that optimal health service structures are essential for producing positive outcomes. AIM: To determine if there is an association between process of care indicators (PoCIs) for important young indigenous child health and social issues and: (i) primary health-care service and child characteristics; and (ii) organisational health service structures. METHODS: This was a cross-sectional study of 1554 clinical child health audits and associated system assessments from 74 primary care services from 2012 to 2014. Composite PoCIs were developed for social and emotional wellbeing, child neurodevelopment and anaemia. Crude and adjusted logistic regression models were fitted, clustering for health services. Odds ratios and 95{\%} confidence intervals were derived. RESULTS: Overall, 32.0{\%} (449) of records had a social and emotional wellbeing PoCI, 56.6{\%} (791) had an anaemia PoCI and 49.3{\%} (430) had a child neurodevelopment PoCI. Children aged 12-23 months were significantly more likely to receive all PoCIs compared to children aged 24-59 months. For every one point increase in assessment scores for team structure and function (aOR 1.14, 95{\%} CI 1.01-1.27) and care planning (aOR 1.14, 95{\%} CI 1.01-1.29) items, there was a 14{\%} greater odds of a child having an anaemia PoCI. Social and emotional wellbeing and child neurodevelopment PoCIs were not associated with system assessment scores. DISCUSSION: Ensuring young indigenous children aged 24-59 months are receiving quality care for important social and health indicators is a priority. Processes of care and organisational systems in primary care services are important for the optimal management of anaemia in indigenous children.",
keywords = "epidemiology, health services, health systems, Indigenous health, paediatrics",
author = "Strobel, {Natalie A.} and Kimberley McAuley and Veronica Matthews and Alice Richardson and Jason Agostino and Ross Bailie and Edmond, {Karen M.} and Daniel McAullay",
year = "2018",
month = "9",
day = "1",
doi = "10.1071/HC18006",
language = "English",
volume = "10",
pages = "267--278",
journal = "Journal of Primary Health Care",
issn = "1172-6156",
publisher = "The Royal New Zealand College of General Practitioners",
number = "3",

}

Understanding the structure and processes of primary health care for young indigenous children. / Strobel, Natalie A.; McAuley, Kimberley; Matthews, Veronica; Richardson, Alice; Agostino, Jason; Bailie, Ross; Edmond, Karen M.; McAullay, Daniel.

In: Journal of Primary Health Care, Vol. 10, No. 3, 01.09.2018, p. 267-278.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Understanding the structure and processes of primary health care for young indigenous children

AU - Strobel, Natalie A.

AU - McAuley, Kimberley

AU - Matthews, Veronica

AU - Richardson, Alice

AU - Agostino, Jason

AU - Bailie, Ross

AU - Edmond, Karen M.

AU - McAullay, Daniel

PY - 2018/9/1

Y1 - 2018/9/1

N2 - INTRODUCTION: Primary health care organisations need to continuously reform to more effectively address current health challenges, particularly for vulnerable populations. There is growing evidence that optimal health service structures are essential for producing positive outcomes. AIM: To determine if there is an association between process of care indicators (PoCIs) for important young indigenous child health and social issues and: (i) primary health-care service and child characteristics; and (ii) organisational health service structures. METHODS: This was a cross-sectional study of 1554 clinical child health audits and associated system assessments from 74 primary care services from 2012 to 2014. Composite PoCIs were developed for social and emotional wellbeing, child neurodevelopment and anaemia. Crude and adjusted logistic regression models were fitted, clustering for health services. Odds ratios and 95% confidence intervals were derived. RESULTS: Overall, 32.0% (449) of records had a social and emotional wellbeing PoCI, 56.6% (791) had an anaemia PoCI and 49.3% (430) had a child neurodevelopment PoCI. Children aged 12-23 months were significantly more likely to receive all PoCIs compared to children aged 24-59 months. For every one point increase in assessment scores for team structure and function (aOR 1.14, 95% CI 1.01-1.27) and care planning (aOR 1.14, 95% CI 1.01-1.29) items, there was a 14% greater odds of a child having an anaemia PoCI. Social and emotional wellbeing and child neurodevelopment PoCIs were not associated with system assessment scores. DISCUSSION: Ensuring young indigenous children aged 24-59 months are receiving quality care for important social and health indicators is a priority. Processes of care and organisational systems in primary care services are important for the optimal management of anaemia in indigenous children.

AB - INTRODUCTION: Primary health care organisations need to continuously reform to more effectively address current health challenges, particularly for vulnerable populations. There is growing evidence that optimal health service structures are essential for producing positive outcomes. AIM: To determine if there is an association between process of care indicators (PoCIs) for important young indigenous child health and social issues and: (i) primary health-care service and child characteristics; and (ii) organisational health service structures. METHODS: This was a cross-sectional study of 1554 clinical child health audits and associated system assessments from 74 primary care services from 2012 to 2014. Composite PoCIs were developed for social and emotional wellbeing, child neurodevelopment and anaemia. Crude and adjusted logistic regression models were fitted, clustering for health services. Odds ratios and 95% confidence intervals were derived. RESULTS: Overall, 32.0% (449) of records had a social and emotional wellbeing PoCI, 56.6% (791) had an anaemia PoCI and 49.3% (430) had a child neurodevelopment PoCI. Children aged 12-23 months were significantly more likely to receive all PoCIs compared to children aged 24-59 months. For every one point increase in assessment scores for team structure and function (aOR 1.14, 95% CI 1.01-1.27) and care planning (aOR 1.14, 95% CI 1.01-1.29) items, there was a 14% greater odds of a child having an anaemia PoCI. Social and emotional wellbeing and child neurodevelopment PoCIs were not associated with system assessment scores. DISCUSSION: Ensuring young indigenous children aged 24-59 months are receiving quality care for important social and health indicators is a priority. Processes of care and organisational systems in primary care services are important for the optimal management of anaemia in indigenous children.

KW - epidemiology

KW - health services

KW - health systems

KW - Indigenous health

KW - paediatrics

UR - http://www.scopus.com/inward/record.url?scp=85052923226&partnerID=8YFLogxK

U2 - 10.1071/HC18006

DO - 10.1071/HC18006

M3 - Article

VL - 10

SP - 267

EP - 278

JO - Journal of Primary Health Care

JF - Journal of Primary Health Care

SN - 1172-6156

IS - 3

ER -