ID-5184 Wonca Abstracts supplement L-Z 13-10-23 - Flipbook - Page 13
WONCA 2023 Supplement 2: WONCA 2023 abstracts (L–Z)
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Exploring the views of justice health stakeholders regarding
high-quality indicators and the use of
QUEST PHC
Dr Phyllis Lau1,2, Dr Samantha Ryan1,2, Dylan Pakkiam1, Jack Sun1, E/Prof Jennifer Reath1
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School of Medicine, Western Sydney University, 2Translational Health Research Institute, Western
Sydney University
Background
There is currently no agreement on what constitutes high-quality primary healthcare (PHC) in Australia.
The Quality, Equity and Systems Transformation in Primary Health Care (QUEST PHC) project has
developed a suite of 79 evidence-based indicators and corresponding 128 measures of high-quality
general practice to address this gap. Consultations were conducted to establish the content validity of
the indicators and measures in different healthcare settings, including the prison health sector.
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To canvas views of PHC clinicians and staff working in Australian prisons on the use of the QUEST
PHC suite.
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Methods
One focus group and one interview were conducted online with five participants from three states.
Participants were asked about their views of the high-quality healthcare measures relevant to justice
health, and the possible use of the QUEST PHC suite in justice health. Data were analysed thematically
using a mixed inductive–deductive approach.
Key findings
Four themes emerged: (1) ‘current PHC in justice health’ noted the differences in PHC delivery across
prisons in different states, constraints of the prison system and the high proportion of Aboriginal and
Torres Strait Islander inmates; (2) ‘measuring quality within justice health’ described the complex
prison environment impacting quality measurements, quality of existing indicators and the need to
incorporate Aboriginal and Torres Strait Islander cultural perspectives into quality measurements; (3)
‘QUEST indicators for justice health’ talked about the relevance of the indicators in justice health and
missing indicators specific to justice health; and (4) ‘recommendations for measuring quality in justice
health’ included benchmarking across states, developing efficient coding systems, integrating into
existing workflow and improving staff training.
Discussion
Although quality indicators are important and needed in Australian prisons, there are many challenges
to implementing a universal tool in a diverse system. Potential application of QUEST PHC in Australian
prisons should include indicators unique to that setting and strategies to overcome barriers to
implementation.
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