Linda G Medlin1, Anne B Chang1, Kwun Fong2, Rebecca Jackson3, Penny Bishop4, Annette Dent5, Deb C Hill2, Stephen Vincent6, Kerry-Ann F O'Grady1. 1. Queensland Children's Medical Research Institute, Queensland University of Technology, Level 4, Foundation Building, Herston Road, Herston, 4029, Qld, Australia. Email: ; 2. School of Medicine, The University of Queensland, St Lucia, Qld 4072, Australia. Email: ; 3. Department of Respiratory Medicine, Queensland Childrenâ??s Health Services, Level 5, Woolworths Building, Herston Road, Herston, Qld 4029, Australia. Email: 4. Adult Community Health, Helensvale Community Health Centre, 105 Lindfield Road, Helensvale, Qld 4212, Australia. Email: 5. The Prince Charles Hospital, Pulmonary Malignancy Unit, Thoracic Medicine, Chermside, Qld 4032, Australia.Email: 6. Department of Respiratory Medicine, Cairns Base Hospital, PO Box 902, Cairns, Qld 4870, Australia. Email:
Abstract
OBJECTIVE: Respiratory diseases are a leading cause of morbidity and mortality in Indigenous Australians. However, there are limited approaches to specialist respiratory care in rural and remote communities that are culturally appropriate. A specialist Indigenous Respiratory Outreach Care (IROC) program, developed to address this gap, is described. METHODS: The aim of the present study was to implement, pilot and evaluate multidisciplinary specialist respiratory outreach medical teams in rural and remote Indigenous communities in Queensland, Australia. Sites were identified based on a perception of unmet need, burden of respiratory disease and/or capacity to use the clinical service and capacity building for support offered. RESULTS: IROC commenced in March 2011 and, to date, has been implemented in 13 communities servicing a population of approximately 43000 Indigenous people. Clinical service delivery has been possible through community engagement and capacity building initiatives directed by community protocols. CONCLUSION: IROC is a culturally sensitive and sustainable model for adult and paediatric specialist outreach respiratory services that may be transferrable to Indigenous communities across Queensland and Australia.
OBJECTIVE:Respiratory diseases are a leading cause of morbidity and mortality in Indigenous Australians. However, there are limited approaches to specialist respiratory care in rural and remote communities that are culturally appropriate. A specialist Indigenous Respiratory Outreach Care (IROC) program, developed to address this gap, is described. METHODS: The aim of the present study was to implement, pilot and evaluate multidisciplinary specialist respiratory outreach medical teams in rural and remote Indigenous communities in Queensland, Australia. Sites were identified based on a perception of unmet need, burden of respiratory disease and/or capacity to use the clinical service and capacity building for support offered. RESULTS: IROC commenced in March 2011 and, to date, has been implemented in 13 communities servicing a population of approximately 43000 Indigenous people. Clinical service delivery has been possible through community engagement and capacity building initiatives directed by community protocols. CONCLUSION: IROC is a culturally sensitive and sustainable model for adult and paediatric specialist outreach respiratory services that may be transferrable to Indigenous communities across Queensland and Australia.
Authors: Andrew J Collaro; Anne B Chang; Julie M Marchant; Ian B Masters; Leanne T Rodwell; Allan J Takken; Margaret S McElrea Journal: Lung Date: 2020-02-20 Impact factor: 2.584
Authors: Anne B Chang; Robyn L Marsh; John W Upham; Lucas R Hoffman; Heidi Smith-Vaughan; Deborah Holt; Maree Toombs; Catherine Byrnes; Stephanie T Yerkovich; Paul J Torzillo; Kerry-Ann F O'Grady; Keith Grimwood Journal: Front Pediatr Date: 2015-02-13 Impact factor: 3.418
Authors: Andrew J Collaro; Anne B Chang; Julie M Marchant; Mark D Chatfield; Annette Dent; Tamara Blake; Patsi Mawn; Kwun Fong; Margaret S McElrea Journal: Lung Date: 2021-07-03 Impact factor: 2.584