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Updated: May 21, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Published on: April 12, 2021

The Chronic Care for Aboriginal People program in NSW.

Raylene Gordon¹, Natalie Richards

¹Community Partnerships and Chronic Disease Management Branch, NSW Ministry of Health. rgord@doh.health.nsw.gov.au

New South Wales Public Health Bulletin

|June 16, 2012

Summary

A new NSW Health program, Chronic Care for Aboriginal People, improves chronic disease management for Aboriginal individuals. This initiative refines service delivery based on evidence from existing projects and evaluations.

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Last Updated: May 21, 2026

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Digital Home-Monitoring of Patients after Kidney Transplantation: The MACCS Platform

Published on: April 12, 2021

Area of Science:

Public Health
Indigenous Health
Chronic Disease Management

Background:

Aboriginal people in NSW face significant health disparities compared to non-Aboriginal Australians, including higher health risks and shorter life expectancies.
Existing health initiatives provided a foundation for a targeted program to address these inequities.

Purpose of the Study:

To develop and implement an improved model of care for Aboriginal people living in NSW with chronic diseases.
To enhance the delivery of chronic care services by building on existing projects and incorporating evaluation findings.

Main Methods:

The Chronic Care for Aboriginal People program was established by NSW Health, integrating and refocusing existing initiatives.
Evidence from Aboriginal communities was gathered to inform the program's development.
Two evaluations were conducted to identify areas for improvement in service delivery.

Main Results:

A new model of care specifically designed for Aboriginal people with chronic disease has been developed.
NSW Health has established an evidence base detailing effective strategies within Aboriginal communities.
Recommendations from evaluations have guided further enhancements to chronic care service delivery.

Conclusions:

The Chronic Care for Aboriginal People program represents a significant step towards reducing health inequities for Aboriginal individuals in NSW.
Ongoing improvements in chronic disease management are supported by program evaluations and integrated into Local Health District Service Agreements.
The program's success is linked to its evidence-based approach and focus on community needs.