
%0 Journal Article
%A Coombe, Leanne L 
%T The challenges of change management in Aboriginal community-controlled health organisations. Are there learnings for Cape York health reform?
%J Australian Health Review
%D 2008/12/01
%V 32
%N 4
%P 639-647
%K 
%R https://doi.org/10.1071/AH080639
%U https://www.publish.csiro.au/paper/AH080639 
%X The health status of Aboriginal and Torres Strait Islander peoples continues to be significantly poorer than Australia?s general population. Clearly there is a need for change, hence the renewed interest in transitioning to a community control model for health services as a health intervention. Yet this requires a significant change management process, which is a process developed using Western business philosophies, and may not be applicable for community-controlled services that need to operate within the Aboriginal cultural domain. This paper examines the literature on organisational change management processes, and features of Aboriginal community-controlled health organisations and Aboriginal management styles. It identifies challenges and synergies that can be used to inform more effective transition processes to a community-control model for health services. The findings also highlight the need for a fundamental systems change approach to achieve such major reform agendas through the creation of a ?collective responsibility? to achieve the vision for change, utilising participatory change management processes both internally and externally. 
