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Incorporating indigenous knowledge in health services: a consumer partnership framework
R Kirkham1, L J Maple-Brown2, N Freeman3
1Menzies School of Health Research, Charles Darwin University, Darwin, NT, Australia.
Indigenous Australians with chronic kidney disease (CKD) co-designed service improvements. This partnership framework successfully integrated patient priorities, enhancing healthcare delivery and satisfaction.
Area of Science:
- Indigenous Health
- Health Services Research
- Chronic Kidney Disease Management
Background:
- Healthcare policy requires user-provider partnerships, especially for frequent users like Indigenous Australians with high chronic kidney disease (CKD) burden.
- Effective healthcare planning necessitates incorporating patient expectations and satisfaction.
Purpose of the Study:
- To explore optimal methods for enhancing renal services in Australia's Northern Territory.
- To incorporate the expectations and satisfaction of renal patients into service enhancement strategies.
Main Methods:
- Participatory action research framework.
- An Indigenous Reference Group of six end-stage kidney disease patients provided input.
- Bimonthly meetings (April-November 2017) structured as focus groups.
- Findings were fed back to health policy and planners.
Main Results:
- Indigenous knowledge guided project priorities.
- Timely feedback informed health service strengths and priorities.
- Identified changes were addressed promptly.
Conclusions:
- This qualitative framework effectively generates local data for patient-centered health system change.
- Consumer partnership models should be embedded in operational structures for sustainability.
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