Does attending Work It Out – a chronic disease self-management program – affect the use of other health services by urban Aboriginal and Torres Strait Islander people with or at risk of chronic disease? A comparison between program participants and non-participants
Jie Hu A , Tabinda Basit A , Alison Nelson A B D , Emma Crawford C and Lyle Turner A
+ Author Affiliations
- Author Affiliations
A The Institute for Urban Indigenous Health, 22 Cox Road, Windsor, Brisbane, Qld 4030, Australia.
B The University of Queensland, Poche Centre for Indigenous Health, 31 Upland Road, St Lucia, Qld 4067, Australia.
C The University of Queensland, School of Health and Rehabilitation Science, Services Road, St Lucia, Qld 4072, Australia.
D Corresponding author. Email: alison.nelson@iuih.org.au
Australian Journal of Primary Health 25(5) 464-470 https://doi.org/10.1071/PY18089
Submitted: 14 June 2018 Accepted: 28 February 2019 Published: 12 June 2019
Abstract
Work It Out is a holistic chronic disease self-management program for urban Aboriginal and Torres Strait Islander people in Queensland, which is part of an integrated and comprehensive system of care for chronic disease management. This study examines differences in primary healthcare services use between Work It Out participants and non-participants. This retrospective observational study of services use, analysed data extracted from the clinical medical records system and Work It Out program assessments. General practitioner and allied health services use were compared among the participants and non-participants using logistic regression models and zero-truncated Poisson and negative binomial regression models. Compared with non-participants, Work It Out participants were more likely to use GP management plans, GP team care arrangements, GP mental health consultation and subsequent allied health services. Among those who used the services more than once, Work It Out participants had higher service use rates than non-participants for Aboriginal and Torres Strait Islander health assessments, GP management plans, team care arrangements and podiatry, physiotherapy and dietetic services. Engagement in Work It Out can facilitate the use of primary healthcare services, which are important for chronic disease management for urban Aboriginal and Torres Strait Islander people.
Additional keywords: chronic disease management, Indigenous Australians, integrated care, primary health care.
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