Click here for information on the Engaging Stakeholders in Identifying Priority Evidence-Practice Gaps and Strategies for Improvement (the ESP Project).
The ABCD National Research Partnership (The Partnership) works across states and territories in Australia to improve the quality of primary health care available to Indigenous people. Using participatory action research approaches, The Partnership aims to:
- investigate the variation in quality of care in Indigenous primary health care (PHC) centres
- explore the underlying factors associated with variation at the health centre and regional level
- identify and examine specific strategies that have been effective in improving primary care clinical performance
- work with health service staff, management and policy makers to enhance the effective implementation of successful strategies.
Click here to download a printable version of the project information sheet.
The ABCD project originated in 2002 in the Northern Territory with the ABCDE project continuing this work from 2005-2009. By the end of 2009 over 140 health centres around Australia were using ABCD tools and processes to improve their quality of care.
The projects provided support for the development and use of audit tools and processes and a web-based database and reporting system for Primary Health Care centres around Australia. Following requests from users for continued use of the tools and processes, One21Seventy, the National Centre for Quality Improvement in Indigenous Health was established in November 2009. This organisation, based in Menzies, provides tools and processes, including training, to support primary health care providers to carry out Continuous Quality Improvement (CQI) using clinical audits, systems assessment, web-based data analysis and reporting to inform goal setting and action planning.
The Partnership works alongside One21Seventy to continue to develop the evidence-base available to One21Seventy and to answer key questions relevant to quality improvement in the sector. The Partnership accesses data collected in routine CQI activities from services that have consented to participate with the Partnership for research.
Timeline progression of the ABCD Partnership Project:
How researchers can get involved:
Researchers with an interest in being involved in the work of The Partnership are encouraged to discuss their interests with the National Project Leader, Ross Bailie. Researchers may request access to data available through the project by following the steps outlined in the ABCD National Research Partnership Research and Publication Approval Policy and Procedures .
Some data analysis support is available for priority projects. All research conducted through The Partnership needs to go through an approval process to ensure that research is consistent with the project aims and participatory processes, meets required ethical standards and does not result in duplication.
Click here to download a printable version of the research information sheet .
Our funders, supporters and partners:
The ABCD National Research Partnership Project is supported by funding from the National Health and Medical Research Council and the Lowitja Institute, and by in-kind and financial support from a range of Aboriginal Community Controlled organisations and Government agencies. The Lowitja Institute provides support to employ research officers in two jurisdictions and to support the development of audit tools and processes. beyondblue has provided funding for the development and implementation of the Youth Health tool.
We work in partnership with partners from Aboriginal Community Controlled Health Organisation peak bodies, government health departments, academic institutions, and Primary Health Care (PHC) services in five states and territories: the Northern Territory, Queensland, South Australia, Western Australia and New South Wales. Many of the partners participated in the ABCD project and have maintained their engagement in improving the quality of care through the current Partnership project.
Partner organisations :
- University of Queensland
- Department of Health
- Queensland Aboriginal and Islander Health Council
- James Cook University.
Northern Territory (NT):
Western Australia (WA):
South Australia (SA):
Far West NSW:
Project management committee:
The committee is chaired by Professor Ross Bailie and comprises State and Territory Project Leaders, representatives from health departments, Aboriginal Community Controlled Health Organisations peak bodies and academic organisations, and the project manager. Meetings are held quarterly.
Responsibilities of the project management committee:
- provide strategic direction
- monitor progress
- foster communication between partners and stakeholders
- support translation of research findings into policy and practice.
Project Co-ordinating Centre:
The project is co-ordinated by the Project Co-ordinating Centre (PCC), based in the Menzies School of Health Research Brisbane office. The PCC operates under the direction of Project Leader, Professor Ross Bailie, with a staff comprising the project manager, senior research fellow, senior research officer and research assistant.
Responsibilities of the project co-ordinating centre:
- coordinate the day to day operational management nationally and across all jurisdictions
- management of project budget, funding arrangements and reporting
- data analysis - national and regional
- coordination of dissemination and communication activity
- coordination of management committee meetings, national research meetings and annual project planning meetings.
State and Territory Steering Committees:
Each participating state and territory has a steering committee (except Far West NSW) led by a regional project leader and includes members drawn from academic organisations, Aboriginal Community Controlled Health Organisations, state and territory health agencies, Project Co-ordinating Centre personnel and other key stakeholders.
The committees meet every one to three months by teleconference. The committee is supported by a state and territory research officer employed by a local academic organisation.
Responsibilities of the State and Territory Steering Committees:
Provide oversight, support and advice on all operational aspects of the project in their jurisdiction including:
- establishment and running of the project in their region
- gaining regional ethical clearance and ensuring ongoing adherence to high ethical standards
- fostering regional partnerships
- engagement of participating primary health care services
- maximising the value of research from the project to Indigenous primary health care services in their region, through setting of research priorities, action research activity and research transfer
- management of regional project funds, including identifying opportunities for funding to enhance the potential scope and impact of the project.
State and Territory Project Leaders and Overviews:
- Leader - Professor Tricia Nagel
- Click here to download a printable version of the Northern Territory Overview
- Leader - Associate Professor Sarah Larkins
- Click here to download a printable version of the Queensland Overview
- Leader - Dr David Scrimgeour
- Click here to download a printable version of the South Australia Overview
- Leader - Dr Sandra Thompson
- Click here to download a printable version of the Western Australia Overview
Far West NSW:
- Leader - Dr Hugh Burke
- Click here to download a printable version of the Far West NSW Overview.
State and Territory Research Officers:
A Research Officer (RO) is employed in each participating state and territory and works under the guidance of the State and Territory Steering Committee and Project Leader to develop and implement a program of action research that addresses the state and territories' priorities and fits within the broad framework of the Partnership.
Researchers are encouraged to utilise the data to undertake research projects that meet the aims of the project and have the best possible impact on policy and practice. All researchers are required to adhere to the principles in the National Statement on Ethics and Values for Indigenous Health Research. Students are also encouraged to undertake projects. Click here to download the notice to prospective researchers.
National and regional research program:
The Partnershp aims to:
- investigate the variation in quality of care in Indigenous primary health care (PHC) centre
- explore the underlying factors associated with variation at the health centre and regional level
- identify and examine specific strategies that have been effective in improving primary care clinical performance.
Click here to download a Research Focus 2010-2014 brochure.
The research program utilises expertise and skills from academia, policy and service levels across Australia and is focussed on the project objectives. The Partnership provides a structure that facilitates service and policy driven research that is cross jurisdictional, cross sector and trans-disciplinary. This collaborative approach and access to a national data set provides opportunity for analysis at a national level and for more in-depth research to achieve the objectives of the project.
National research priorities are identified through analysis of the national data set, consideration of emerging health issues, and areas of common interest across jurisdictions. Regional research priorities are identified by state and territory steering committees supported by State and Territory Research Officers who facilitate this process through consultation with service providers and policy makers.
A collaborative approach that includes active involvement of end users throughout the process, from identification of research topics to implementation, is used to develop and implement research projects to address identified priorities. Each project has an advisory/reference group comprising end users, key stakeholders and experts, including service providers, clinical experts, policy makers and quality improvement experts.
Data are extracted from the One21seventy web-based database for services who have agreed to participate in the Partnership. Individual client data and service names are de-identified and any identifying information is not published without the prior consent of the service. Data at the national and jurisdictional level are available to researchers for projects that have been approved by the Research sub-committee and have ethics approval.
Research under the Partnership must have ethics clearance from the relevant ethics committee and be approved by the Partnership Research Subcommittee. This committee consists of seven members including academics and health department researchers from NT, WA, Qld and the PCC, and oversees all aspects of the research program, strengthening research projects through feedback to researchers. This includes providing advice and support on the development and implementation of projects, assessing and approving projects, monitoring progress and advice and approval of manuscripts for publication, policy briefs, or research reports. Researchers need to submit an Expression of Interest to the Research Subcommittee prior to accessing data.
Click on the following poster links for further details of the national and regional research program:
- CQI + Research + Change Advocates = Improvements in Primary Health Care
- How PHC services can improve quality of care through CQI research and shared learning.
Participating Primary Health Care (PHC) Centres:
As at July 2013, 165 PHC centres (132 Government health services and 33 community controlled services) have agreed to participate in the research project. This is formalised by signing the ABCD National Research Partnership Agreement between Menzies, the PHC centre or Health Department and the Regional Project Leader. The PHC centres agree to contribute their de-identified CQI data from the One21seventy data base into a national pool for broad analysis of variation in health care delivery and to answer key questions of relevance to policy and practice. They also have an option to participate in more in-depth studies and to lead and/or participate in research driven by locally identified needs.
This map gives an overview of the location of the health services in the Partnership:
Routine analysis of variation in care:
- Analysis of national and jurisdictional data, Menzies School of Health Research
- Extent of screening for post natal depression in Aboriginal and Torres Strait Island women, Combined Universities Centre for Rural Health (CUCRH)
- Longitudinal analysis of maternal health data, Monash University.
Factors underlying variation / Contextual analysis:
- Childhood anaemia, Menzies School of Health Research
- Competing demands in primary care – the case of depression in diabetes, Menzies School of Health Research
- What are the characteristics of health services who demonstrate improvement in quality of care? CUCHR, James Cook University
- Realist Analysis - effectiveness of CQI in complex primary health care environments, Menzies School of Health Research
- Community environmental conditions and risk factors for cardio metabolic disease, University of South Australia.
Analysis of what kinds of interventions work:
- Investigating the barriers and enablers to Continuous Quality Improvement (CQI) within Aboriginal primary health care services in South Australia, Aboriginal Health Council of South Australia
- Qualitative strengths-based evaluation of Indigenous health centre participation in CQI in Australia, International student Menzies. CQI success stories summary
- Supporting CQI within Indigenous PHC – identifying and exploring effective strategies, University of South Australia.
- ABCD NRP: development of conceptual model incorporating practice-based research networks, system-based PAR and CQI in community-based PHC (incorporates literature review of all elements), Menzies School of Health Research
- TRAK - Talking about Raising Aboriginal Kids - an evaluation of an early childhood education intervention for remote Aboriginal Health Workers, Menzies School of Health Research.
- ABCD National Research Partnership – Research Focus 2010-2014 brochure
- ABCD National Research Partnership – Improving Practice through Research brochure
- Data Dictionary
- Information for prospective researchers - National Research Partnership to improve primary health care performance and outcomes for Indigenous peoples flyer.
- Matthews, V., Schierhout, G., McBroom, J., Connors, C., Kennedy, C., Kwedza, R., Larkins, S., Moore, E., Thompson, S., Scrimgeour, D., & Bailie R. (2014). Duration of CQI participation: a key factor explaining improvement in delivery of Type 2 diabetes services to Aboriginal and Torres Strait Islander communities. BMC Health Services Research,14, 578.
- O’Donoghue, L., Percival, N., Laycock, A., McCalman, J., Tsey, K., Armit, C., & Bailie, R. (2014). Evaluating Aboriginal and Torres Strait Islander health promotion activities using audit and feedback. Australian Journal of Primary Health, 20, 339-344.
- Bailie, R., Matthews, V., Brands, J., & Schierhout, G.(2013). A systems-based partnership learning model for strengthening primary health care. Implementation Science, 8,143.
- Ralph, A., Fittock, M., Schultz, R., Thompson, D., Dowden, M., Clemens, T., Parnaby, M., Clark, M., McDonald, E., Edwards, K., Carapetis, J., & Bailie, R. (2013). Improvement in rheumatic fever and rheumatic heart disease management and prevention using a health centre-based continuous quality improvement approach. BMC Health Services Research, 13, 25.
- Schierhout, G., Hains, J., Si, D., Kennedy, C., Cox, R., Kwedza, R., O’Donoghue, L., Fittock, M., Brands, J., Lonergan, K., Dowden, M., & Bailie, R. (2013). Evaluating the effectiveness of a multifaceted, multilevel continuous quality improvement program in primary health care: developing a realist theory of change. Implementation Science, 8,119.
- Schierhout, G., Nagel, T., Si, D., Connors, C., Brown, A., & Bailie, R. (2013). Do competing demands of physical illness in Type 2 diabetes influence depression screening, documentation and management in primary care: a cross-sectional analytic study in Aboriginal and Torres Strait Islander primary health care settings. International Journal of Mental Health Systems, 7,16.
- Si, D., Dowden, M., Kennedy, C., Cox, R., O’Donoghue, L., Liddle, H., Kwedza, R., Connors, C., Thompson, S., Burke, H., Brown, A., Weeramanthri, T., Schierhout, G., & Bailie, R. (2011). Indigenous community care: Documented depression in patients with diabetes. Australian Family Physician, 40(5),331-333.
- Bailie, R., Si, D., Connors, C., Kwedza, R., O'Donoghue, L., Kennedy, C., et al. (2011). Variation in quality of preventive care for well adults in Indigenous community health centres in Australia. BMC Health Services Research, 11(1) 139.
- Rumbold, A., Bailie, R., Si, D., Dowden, M., Kennedy, C., Cox, R., et al. (2011). Delivery of maternal health care in Indigenous primary care services: baseline data for an ongoing quality improvement initiative. Pregnancy and Childbirth, 11(1),16.
- Bailie, R., Si, D., Shannon, C., Semmens, J., Rowley, K., Scrimgeour, D.J., et al. (2010). Study protocol: national research partnership to improve primary health care performance and outcomes for Indigenous peoples. BMC Health Services Research,10,129.
National project leader:
- Professor Ross Bailie, senior principal research fellow.
National project leader:
- General enquiries
- Senior research officer, Dr Veronica Matthews
- Senior research fellow, Dr Gill Schierhout.
State/territory project leaders:
- Northern Territory: Associate professor Tricia Nagel, email
- Queensland: Associate professor Sarah Larkins, email
- South Australia: Dr David Scrimgeour, email
- Western Australia: Dr Sandra Thompson, email
- Far West NSW: Dr Hugh Burke, email.
Click here to download the notice to prospective postgraduate students.