PCD Strategy Evaluation 2007.pdf - NT Health Digital Library ...

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This Evaluation Report of the Northern Territory Preventative Chronic Disease Strategy (NTPCDS)was written by, and contributed to, two different groups – NT Department of Health andCommunity Services and Ruralhealth Education Development (RhED) Consulting Pty Ltd.2007– RhED Consulting teamAssociate Professor Janie Dade Smith, Director, RhED Consulting Pty LtdMs Barbara Schmidt, Director, Barbara Schmidt and Associates Pty LtdProfessor Robyn McDermott, Pro Vice Chancellor, University of South Australia2006 – NT Department of Health and Community ServicesThe NTPCDS Steering CommitteeDr Christine Connors, Director of the NT Preventative Chronic Disease Program, NTDHCSDr Jenni Judd, Senior Health Promotion & Policy Officer, Preventative Chronic DiseaseProgram, NTDHCS2005 – Dr Michael Lowe, Community Physician, NTDHCSMs Michel Burgum, Project Officer, Preventative Chronic Disease Program, NTDHCSSuggested citation:RhED Consulting & NTDH&CS, 2007, Evaluation of the Northern Territory Preventable ChronicDisease Strategy, RhED Consulting Pty Ltd, Ocean Shores NSW.Evaluation of the NT Preventable Chronic Disease Strategy 2007ii
TABLE OF CONTENTSList of figuresList of tablesList of abbreviationsAcknowledgementsPagevviviiixEXECUTIVE SUMMARY AND RECOMMENDATIONSRecommendationsxxvCHAPTER 1. INTRODUCTION 11.1 Background 11.2 Overview – NT Preventable Chronic Disease Strategy 21.3 Summary of factors impacting on the PCDS development and implementation 6CHAPTER 2. EVALUATION METHODOLOGY 132.1 The evaluation framework 132.2 Evaluation stages 152.3 Limitations 18CHAPTER 3. PROGRESS AGAINST PCDS OBJECTIVES 203.1 Clinical systems 203.1.1 Best practice guidelines 203.1.2 Patient information and recall systems 233.2 Workforce 293.2.1 Staff orientation and training 303.2.1.1 Orientation 313.2.1.2 Professional development 323.2.1.3 Training needs 343.2.2 Whole of government approach 373.2.2.1 Indigenous employment opportunities 383.3 Prevention and health promotion programs 413.3.1 Health promotion program funding 423.3.2 Prevention policy environment 433.4 Chronic Disease Programs – GP & Health centres 473.4.1 Development of chronic disease programs since 1999 483.4.2 Staffing chronic disease programs 503.4.3 Chronic disease programs in non-NTDH&CS clinics 523.5 Funding and Indigenous governance 58Evaluation of the NT Preventable Chronic Disease Strategy 2007iii
Page 1: Pty LtdABN 82 147 637 101AN EVALUAT
Page 5 and 6: 6.6 Indigenous workforce 996.7 Prev
Page 7 and 8: List of AbbreviationsABCDACCHOsACIC
Page 9 and 10: ACKNOWLEDGEMENTSWe would like to ac
Page 11 and 12: However the extraordinary number of
Page 13 and 14: the establishment of the Sunrise He
Page 15 and 16: RECOMMENDATIONSGeneral recommendati
Page 17 and 18: Exploration of joint funding arrang
Page 19 and 20: CHAPTER 1. INTRODUCTION1.1 Backgrou
Page 21 and 22: Choosing the 5 chronic conditionsTh
Page 23 and 24: Table 1.1Key Result Areas + Best Bu
Page 25 and 26: prior to the launch of NTPCDS, such
Page 27 and 28: Year * Action Outcome1999 S NT Prev
Page 29 and 30: Year * Action Outcome2005 P Aborigi
Page 31 and 32: CHAPTER 2.EVALUATION METHODOLOGYThe
Page 33 and 34: 2.2 Evaluation StagesThe NTPCDS eva
Page 35 and 36: chronic disease activities funded t
Page 37 and 38: internal project team. It was very
Page 39 and 40: Situation at Baseline1. The Guideli
Page 41 and 42: 3.1.2 Patient information and recal
Page 43 and 44: Ferret Miwatj, Numbulwar, Marngarr,
Page 45 and 46: Medicare information is not for pub
Page 47 and 48: was in place in Central Australia i
Page 49 and 50: What orientation and ongoing traini
Page 51 and 52: programs focus on chronic disease p
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The information collected as part o
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Assessment against objectiveMost se
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career development, and retention i
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are. Indigenous employment is NTDH&
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NTDH&CS Programs that encourage Hea
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2002 Aboriginal and Torres Strait I
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delivering any prevention and healt
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The Community Services Division - A
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1 x AHW Central Australia 2001 S100
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One clinic stated it had no care pl
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Identifies priority practices to in
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There has been a significant growth
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about 25 per cent of the hospital b
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The level of funding provided by th
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Central Australia and two zones cur
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The diabetes education teams at HLN
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maintenance group for people with l
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Rebates for participating or arrang
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Use of Medicine Programmes. Althoug
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CHAPTER 4. CLINICAL OUTCOMES OF THE
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improvements have been made to serv
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A recent ten-year follow-up of a co
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The NTDH&CS also collect birthweigh
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Figure 5.3 Vaccination coverage for
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It is also important to note that k
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eported that 50 per cent of the Ind
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The current action plan identifies
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The availability and cost of health
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Hoy et al in 1995-2000 (100) , and
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5.6 Best practice management5.6.1 P
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disease care in urban areas regardi
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PCIS was developed by NTDH&CS as th
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emote staff can access training and
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In the Top End there appeared to be
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APPENDIX 1EVALUATION OF THE NT PREV
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2.10 Generally speaking, on a scale
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4.4 Briefly recount any anecdotes y
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5.9 Generally speaking, on a scale
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Section 8 • Summary questions8.1
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Preventable Chronic Disease Program
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Year Type Background What is it? /
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Year Type Background What is it? /
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An important background to this stu
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New beliefs do not replace the old,
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Other services are provided to the
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ecame the main priority in many peo
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to be healthy, how to get rid of di
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(Draft Version - © August 2006 Jan
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References1. Dunham, H., Ministeria
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35. Smith, J.D., Progress report fo
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Research Centre for Aboriginal Heal
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114. Senior, K., 'A Gudbala Laif? h
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