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Syphilis testing performance in Aboriginal primary health care: exploring impact of continuous quality improvement over time.

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dc.contributor.authorAdily A.
dc.contributor.authorGirgis S.
dc.contributor.authorD'Este C.
dc.contributor.authorMatthews V.
dc.contributor.authorWard J.E.
dc.date.accessioned2024-11-19T05:30:31Z
dc.date.available2024-11-19T05:30:31Z
dc.date.copyright2020
dc.date.issued2020-05-12en
dc.description.abstractData from 110 primary healthcare clinics participating in two or more continuous quality improvement (CQI) cycles in preventive care, which included syphilis testing performance (STP) for Aboriginal and Torres Strait Islander people aged between 15 and 54 years, were used to examine whether the number of audit cycles including syphilis testing was associated over time with STP improvement at clinic level in this specific measure of public health importance. The number of cycles per clinic ranged from two to nine (mode 3). As shown by medical record audit at entry to CQI, only 42 (38%) clinics had tested or approached 50% or more of their eligible clients for syphilis in the prior 24 months. Using mixed effects logistic regression, it was found that the odds of a clinic's STP relative to its first cycle increased only modestly. Counterintuitively, clinics undertaking the most preventive health CQI cycles tended to have the lowest STP throughout. Participation in a general preventive care CQI tool was insufficient to achieve and sustain high rates of STP for Aboriginal and Torres Strait Islander people required for public health benefit. Improving STP requires dedicated effort and greater understanding of barriers to effective CQI within and beyond clinic control.Copyright © 2020 La Trobe University.
dc.description.grantOrganisation: (NHMRC) National Health and Medical Research Council Organisation No: 501100000925 Country: Australia
dc.description.grantThe ABCD National Research Partnership Project was supported by funding from the National Health and Medical Research Council (#545267) and the Lowitja Institute, and by in-kind and financial support from a range of Community-Controlled and Government agencies.
dc.identifier.citationAustralian Journal of Primary Health. Vol.26(2), 2020, pp. 178-183.
dc.identifier.doihttps://dx.doi.org/10.1071/PY19070
dc.identifier.institution(Adily) Kirby Institute, UNSW Sydney, Wallace Wurth Building, Sydney, NSW 2052, Australia
dc.identifier.institution(Girgis) SandK Girgis Medical Service, 1/13-15 Kingsway, Cronulla, NSW 2230, Australia
dc.identifier.institution(D'Este) National Centre for Epidemiology and Population Health, Australian National University, 62 Mills Road, Canberra, ACT 0200, Australia
dc.identifier.institution(Matthews) University Centre for Rural Health, University of Sydney, 61 Uralba Street, Lismore, NSW 2480, Australia
dc.identifier.institution(Ward) Nulungu Research Institute, University of Notre Dame, 88 Guy Street, Broome, WA 6725, Australia
dc.identifier.pubmedid32007130 [https://www.ncbi.nlm.nih.gov/pubmed/?term=32007130]
dc.identifier.urihttps://lowitja.intersearch.com.au/handle/1/792
dc.relation.ispartofAustralian Journal of Primary Health
dc.subject.keywordsQuality improvement
dc.subject.keywordsPublic health
dc.subject.keywordsInfectious diseases
dc.subject.keywordsSexual health
dc.titleSyphilis testing performance in Aboriginal primary health care: exploring impact of continuous quality improvement over time.
dc.typeArticle
dc.type.studyortrialObservational study (cohort, case-control, cross sectional, or survey)

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