PCD Strategy Evaluation 2007.pdf - NT Health Digital Library ...
PCD Strategy Evaluation 2007.pdf - NT Health Digital Library ... PCD Strategy Evaluation 2007.pdf - NT Health Digital Library ...
Figure 4.1 New ESRF Patients by Region 1993-2005. Source: NTDH&CS (2)Total prevalent caseload represents existing surviving cases plus incident cases, and shows anincrease of more than 100 per cent over the period 1997-2006 (Figure 4.2). These increasesrepresent either better survival of patients on RRT, or a recent increase in incident cases, orboth.Figure 4.2Growth in the prevalence in end stage renal disease between 1997-2005, inCentral Australia and the Top End of the Northern Territory.Qualitative work carried out in Darwin in 2001 identified high levels of miscommunicationbetween Aboriginal renal patients and their health service providers (80, 81) . Following this work,Chapter 4: Clinical Outcomes – Evaluation of the NT Preventable Chronic Disease Strategy 2007 74
improvements have been made to service delivery, including interpreter services (82) . Although nocausal attribution can be made, it is possible that improvements to the service model for RRT forIndigenous clients, including improved communication and shared understanding of careprocesses, could be contributing to improved survival on RRT suggested by these data.Figure 4.3 Same-day renal treatment 2005-06 (2) .The number of same day renal treatments grew by 10.5 per cent from 2004-05 to 2005-06. Thenumber of treatments delivered increased by 14.5 per cent at Royal Darwin Hospital and 3.4 percent at Alice Springs Hospital (2) . The number of treatments for Aboriginal patients increased by12 per cent from 2004-05 to 2005-06. Gove District Hospital previously had no renal dialysisservices, however a one-chair home dialysis unit opened in August 2006 (2) .4.2 Primary Care Level Chronic Disease Care Processes andIntermediate Clinical Outcomes reported in the NT.There are no systematically collected and reported data from NTDH&CS on clinical care processesand intermediate client outcomes at Primary Care Level. Published reports in selected Top Endsites (on small numbers) do not go beyond 2003.Published reports identify short-term gains in quality of care at community level for diabetes (83)and renal disease in selected Top-End communities, but these have not been sustained for longerthan 2-3 years, and do not report beyond 2003 (84) .Chapter 4: Clinical Outcomes – Evaluation of the NT Preventable Chronic Disease Strategy 2007 75
- Page 41 and 42: 3.1.2 Patient information and recal
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- Page 121 and 122: APPENDIX 1EVALUATION OF THE NT PREV
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improvements have been made to service delivery, including interpreter services (82) . Although nocausal attribution can be made, it is possible that improvements to the service model for RRT forIndigenous clients, including improved communication and shared understanding of careprocesses, could be contributing to improved survival on RRT suggested by these data.Figure 4.3 Same-day renal treatment 2005-06 (2) .The number of same day renal treatments grew by 10.5 per cent from 2004-05 to 2005-06. Thenumber of treatments delivered increased by 14.5 per cent at Royal Darwin Hospital and 3.4 percent at Alice Springs Hospital (2) . The number of treatments for Aboriginal patients increased by12 per cent from 2004-05 to 2005-06. Gove District Hospital previously had no renal dialysisservices, however a one-chair home dialysis unit opened in August 2006 (2) .4.2 Primary Care Level Chronic Disease Care Processes andIntermediate Clinical Outcomes reported in the <strong>NT</strong>.There are no systematically collected and reported data from <strong>NT</strong>DH&CS on clinical care processesand intermediate client outcomes at Primary Care Level. Published reports in selected Top Endsites (on small numbers) do not go beyond 2003.Published reports identify short-term gains in quality of care at community level for diabetes (83)and renal disease in selected Top-End communities, but these have not been sustained for longerthan 2-3 years, and do not report beyond 2003 (84) .Chapter 4: Clinical Outcomes – <strong>Evaluation</strong> of the <strong>NT</strong> Preventable Chronic Disease <strong>Strategy</strong> 2007 75
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