Critical Indigenist examination of the impact on efficiency and sustainability of quality management systems in the Aboriginal primary health care.
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2024
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Financial support for this project was provided by the Lowitja Institute.
Abstract
Background: Two streams of business are primarily responsible for providing primary health care (PHC) at the first tier of the Australian health industry. These are general practice health services and Aboriginal community-controlled organisations (ACCOs). In 2008, the Australian federal government legislated a national framework for the Australian healthcare industry. In 2010, the Aboriginal community-controlled health sector (ACCHS) was mandated to apply a second certification standard known as ISO 9001:2015 to their business. Over the ensuing decade, our research explored the types of quality frameworks in practice and learned that general practice health services apply one accreditation standard: the Royal Australian College of General Practice (RACGP) Standard. Conversely, the ACCHS applies up to 11 mandated, multiple, yet different accreditation standards. There is an underlying assumption that quality management system (QMS) improves ACCO service performance, and this research tests this assumption.
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Health policy