Care for chronic conditions for indigenous Australians: key informants' perspectives on policy.
BACKGROUND
The WHO's 2002 global report, Innovative Care for Chronic Conditions proposes a comprehensive framework for health systems to meet the challenges posed by chronic conditions. This paper uses the policy environment component of the WHO framework as a lens through which to examine key informants' perspectives on the management and prevention of chronic conditions in rural and remote Aboriginal communities in Australia.


METHODS
Twenty one semi-structured telephone interviews were conducted with a purposive sample of stakeholders, including senior commonwealth, state/territory and regional public servants and health service staff. All of the interviews were audio recorded, from which written summaries were produced. These summaries were then content analysed to build a composite picture of this area.


RESULTS
The results indicate substantial success in developing national and sub-national strategies and refining funding and reporting arrangements. But much work remains to be done in strengthening partnerships, developing and retaining the workforce, and further shifting the focus from acute to chronic conditions.


CONCLUSIONS
This paper provides a snapshot of the main policy issues, as identified by key informants, facing chronic disease management in rural and remote Indigenous communities in Australia. It has the potential to contribute to new national policy directions in Indigenous health.
Baeza
Juan
J
King's College London, Department of Management, School of Social Science and Public Policy, Franklin-Wilkins Building, 150 Stamford Street, London SE1 9NH, United Kingdom. juan.baeza@kcl.ac.uk
Bailie
Ross
R
Lewis
Jenny M
JM
D001315:Australia; D002908:Chronic Disease / Q000208:ethnology* / Q000628:therapy; D006291:Health Policy; D006293:Health Promotion; D006801:Humans; D044382:Population Groups; D011320:Primary Health Care / Q000592:standards*; D011785:Quality Assurance, Health Care / Q000379:methods*