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Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care
RESEARCH ARTICLE (Open Access)

Healthy ageing in remote Cape York: a co-designed Integrated Allied Health Service Model

Alice Cairns https://orcid.org/0000-0002-3943-1444 A B * , Danielle Rodda A C , Frances Wymarra D and Katrina Bird https://orcid.org/0000-0001-7017-6683 A
+ Author Affiliations
- Author Affiliations

A Murtupuni Centre for Rural and Remote Health, James Cook University, Mount Isa, Qld, Australia.

B Australian Institute of Tropical Health and Medicine, James Cook University, Mount Isa, Qld, Australia.

C Torres and Cape Hospital and Health Service, Weipa Integrated Health Service, Weipa, Qld, Australia.

D Department of Seniors, Disability Services and Aboriginal and Torres Strait Islander Partnerships, Weipa, Qld, Australia.

* Correspondence to: alice.cairns@jcu.edu.au

Australian Journal of Primary Health 30, PY23135 https://doi.org/10.1071/PY23135
Submitted: 25 July 2023  Accepted: 4 January 2024  Published: 19 January 2024

© 2024 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of La Trobe University. This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND)

Abstract

Allied health services in rural and remote hospitals often work in siloed and solo discipline-specific positions. They are often part of general multi-disciplinary teams without a clearly articulated service model that integrates care for individuals and addresses broader community health needs. Integrated care service models for clients with complex disabilities or chronic health needs have demonstrated improved outcomes, but feasible service models are rarely described in the context of rural, remote and Aboriginal and Torres Strait Islander communities. Integration can support primary health care in remote communities where resources are thin, and the breadth of multidisciplinary service providers is not available. A remote health service, in collaboration with a University Department of Rural Health and community partners, developed a community rehabilitation and lifestyle service for adults who experience chronic disease, disability or were at risk of functional decline due to frailty. Using an integrated approach, this model of care improves access to specialist and primary healthcare services, delivers targeted group-based rehabilitation and preventative activities, and addresses community and workforce capacity to meet the needs of the remote community. This paper describes a remote primary health care, Integrated Allied Health Service Model, developed with a focus on the co-ordination and integration of care and resources between the health service, education and community.

Keywords: Aboriginal and Torres Strait Islander peoples, allied health services, community health care, consumer participation, delivery of health care, healthy ageing, integrated, rural and remote health services, student health services.

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