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Table 2 Sustainability Domain

From: Study protocol: Evaluating the impact of a rural Australian primary health care service on rural health

Components Reason for selection Sentinel indicator items Data source References
Workforce The importance of having a workforce that is appropriate in number, volume and distribution and is responsive to emerging needs. • Staff profile- Numbers and FTE.
• Staff length of stay
• Succession planning
• CPD activities
Audit
Interview
Audit
AIHW [21] Wakerman[22] RACGP [20]
Linkages Efficient and effective co-ordination between providers and between services is essential for continuity of care and service sustainability. • Centralised electronic medical records
• Care integrated with external agencies and mainstream programs
Audit/Interview Wakerman et al [22]; CIHI[18];
Infrastructure Infrastructure and ICT needs to be appropriate to the service, its catchment population and monitoring and reporting requirements. • Uptake of Information and Communication Technology (ICT) Audit CIHI [18]; Wakerman et al [22]
Funding Financing and provider remuneration should be appropriate, sustainable and clearly identified within program budgets to maximise service efficiencies and adequate to meet identified community health needs. • Funding sources: public, private, other
• Service providers' remuneration methods
Audit
Audit
Wakerman et al [22] CIHI [18]
Governance, management and leadership Good governance and leadership have been identified to be integral to service sustainability • Governance structure and processes and a risk management plan in relation to service sustainability need to be clearly defined, implemented and reviewed. Interview/documentation RACGP [20], Wakerman et al [22]
   • Level of accreditation Audit NHPC [19]