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Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care
RESEARCH ARTICLE (Open Access)

Indicators for continuous quality improvement for otitis media in primary health care for Aboriginal and Torres Strait Islander children

Beverly Sibthorpe A , Jason Agostino B G , Harvey Coates C , Sharon Weeks D , Deborah Lehmann D , Marianne Wood E , Francis Lannigan C and Daniel McAullay F
+ Author Affiliations
- Author Affiliations

A 14 The Mainsail, Port Macquarie, NSW 2444, Australia.

B Academic Unit of General Practice, Australian National University, PO Box 11, Woden, ACT 2606, Australia.

C School of Paediatrics and Child Health, University of Western Australia, GPO Box D184, Perth, WA 6840, Australia.

D Telethon Kids Institute, University of Western Australia, PO Box 855, WA 6872, Australia.

E Aboriginal Health Council of Western Australia, 450 Beaufort Street, Highgate, WA 6003, Australia.

F Edith Cowan University, 2 Bradfield Street, Mount Lawley, WA 6050, Australia.

G Corresponding author. Email: jason.agostino@anu.edu.au

Australian Journal of Primary Health 23(1) 1-9 https://doi.org/10.1071/PY16096
Submitted: 8 August 2016  Accepted: 24 November 2016   Published: 16 January 2017

Journal Compilation © La Trobe University 2017 Open Access CC BY-NC-ND

Abstract

Otitis media is a common, generally self-limiting childhood illness that can progress to severe disease and have lifelong sequelae, including hearing loss and developmental delays. Severe disease is disproportionately prevalent among Aboriginal and Torres Strait Islander children. Primary health care is at the frontline of appropriate prevention and treatment. Continuous quality improvement in the prevention and management of important causes of morbidity in client populations is accepted best practice in primary health care and now a requirement of Australian Government funding to services providing care for Aboriginal and Torres Strait Islander children. To date, there have been no indicators for continuous quality improvement in the prevention and management of otitis media and its sequelae in primary health care. Through an expert group consensus process, seven evidence-based indicators, potentially extractable from electronic health records, have been developed. The development process and indicators are described.

Additional keywords: Indigenous health.


References

Aithal S, Yonovitz A, Aithal V (2008) Perceptual consequences of conductive hearing loss: speech perception in Indigenous students learning English as a ‘school’ language. Australian and New Zealand Journal of Audiology 30, 1–18.
Perceptual consequences of conductive hearing loss: speech perception in Indigenous students learning English as a ‘school’ language.Crossref | GoogleScholarGoogle Scholar |

Australian Institute of Health and Welfare and Australian Institute of Family Studies (2014) Ear disease in Aboriginal and Torres Strait Islander children. Resource Sheet number 35. (Closing the Gap Clearing House: Canberra, ACT, Australia) Available at http://www.aihw.gov.au/uploadedFiles/ClosingTheGap/Content/Our_publications/2014/ctgc-rs35.pdf [Verified 12 December 2016]

Crampton P, Perera R, Crengle S, Dowell A, Howden-Chapman P, Kearns R, Love T, Sibthorpe B, Southwick M (2004) What makes a good performance indicator? Devising primary care performance indicators for New Zealand. The New Zealand Medical Journal 117, U820

Davis S, Reeve C, Humphreys JS (2015) How good are routinely collected primary healthcare data for evaluating the effectiveness of health service provision in a remote Aboriginal community? Rural and Remote Health 15, 2804

Department of Health and Ageing (2011) The eHealth readiness of Australia’s medical specialists. (Commonwealth of Australia, Canberra, ACT, Australia) Available at https://www.health.gov.au/internet/publications/publishing.nsf/Content/ehealth-readiness-medical-specialists-toc/$FILE/Medical%20Specialist%20ehealth%20readiness%20survey%20report.pdf [Verified 12 December 2016]

Department of Health and Ageing and Menzies School of Health Research (2011) Recommendations for Clinical Care Guidelines on the Management of Otitis Media in Aboriginal and Torres Strait Islander Populations 2010. (Commonwealth of Australia, Canberra, ACT, Australia). Available at https://www.health.gov.au/internet/main/publishing.nsf/Content/B8A6602C7714B46FCA257EC300837185/$File/Recommendation-for-clinical-guidelines-Otitis-Media.pdf [Verified 12 December 2016]

Donabedian A (1988) The quality of care: how can it be assessed? Journal of the American Medical Association 260, 1743–1748.
The quality of care: how can it be assessed?Crossref | GoogleScholarGoogle Scholar |

Gordon J, Miller G, Britt H (2016) Reality check – reliable national data from general practice electronic health records. Issues Brief number 18. (Deeble Institute for Health Policy Research) Available at https://ahha.asn.au/system/files/docs/publications/deeble_institue_issues_brief_no_18.pdf [Verified 1 August 2016]

Gunasekera H, Knox S, Morris P, Britt H, McIntyre P, Craig JC (2007) The spectrum and management of otitis media in Australian Indigenous and nonindigenous children: a national study. The Pediatric Infectious Disease Journal 26, 689–692.
The spectrum and management of otitis media in Australian Indigenous and nonindigenous children: a national study.Crossref | GoogleScholarGoogle Scholar |

Howard D, Quinn S, Blokland J, Flynn M (1993) Aboriginal hearing loss and the criminal justice system. Aboriginal Law Bulletin 3(65). Available at https://njca.com.au/wp-content/uploads/documents/Indigenous%20Justice%20Committee/Papers/Links/Criminal%20Justice%20article.pdf [Verified 12 December 2012]

Kong K, Coates H (2009) Natural history, definitions, risk factors and burden of otitis media. Otitis Media 2009: an update. The Medical Journal of Australia 191, S39–S43.

Leach A (2016) Bulging ear drums and hearing loss: Aboriginal kids have the highest otitis media rates in the world. The Conversation, 16 September 2016. (The Conversation Media Group: Melbourne, Vic. Australia) Available at http://theconversation.com/bulging-ear-drums-and-hearing-loss-aboriginal-kids-have-the-highest-otitis-media-rates-in-the-world-64165 [Verified 12 December 2016]

Peiris D, Usherwood T, Panaretto K, Harris M, Hunt J, Redfern J, Zwar N, Colagiuri S, Hayman N, Lo S, Patel B, Lyford M, MacMahon S, Neal B, Sullivan D, Cass A, Jackson R, Patel A (2015) Effect of a computer-guided, quality improvement program for cardiovascular disease risk management in primary health care. The treatment of cardiovascular risk using electronic decision support cluster-randomized trial. Circulation: Cardiovascular Quality and Outcomes 8, 87–95.
Effect of a computer-guided, quality improvement program for cardiovascular disease risk management in primary health care. The treatment of cardiovascular risk using electronic decision support cluster-randomized trial.Crossref | GoogleScholarGoogle Scholar |

Senate Community Affairs References Committee (2010) Hear us: inquiry into hearing health in Australia. Parliament of Australia, Canberra. Available at http://www.aph.gov.au/Parliamentary_Business/Committees/ Senate/Community_Affairs/Completed_inquiries/2008-10/hearing_health/report/index [Verified 12 December 2016]

Sibthorpe B, Gardner K (2007) A conceptual framework for performance assessment in primary health care. Australian Journal of Primary Health 13, 96–103.
A conceptual framework for performance assessment in primary health care.Crossref | GoogleScholarGoogle Scholar |

Sibthorpe B, Gardner K, McAullay D (2016) Furthering the quality agenda in Aboriginal community controlled health services: understanding the relationship between accreditation, continuous quality improvement and national key performance indicator reporting. Australian Journal of Primary Health 22, 270–275.
Furthering the quality agenda in Aboriginal community controlled health services: understanding the relationship between accreditation, continuous quality improvement and national key performance indicator reporting.Crossref | GoogleScholarGoogle Scholar |

Vanerpoll T, Howard D (2011) Investigation into hearing impairment among Indigenous prisoners within the Northern Territory Correctional Services. Available at http://www.healthinfonet.ecu.edu.au/uploads/resources/21173_21173.pdf [Verified 1 August 2016]

Verhoeff M, van der Veen EL, Rovers MM, Sanders EAM, Schilder AGM (2006) Chronic suppurative otitis media: a review. International Journal of Pediatric Otorhinolaryngology 70, 1–12.
Chronic suppurative otitis media: a review.Crossref | GoogleScholarGoogle Scholar |

Williams CJ, Jacobs A (2009) The impact of otitis media on cognitive and educational outcomes. The Medical Journal of Australia 191, S69–S72.