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Table 1 Themes, barriers and solutions for improving co-ordination of Aboriginal and Torres Strait Islander peoples’ eye care

From: Local co-ordination and case management can enhance Indigenous eye care – a qualitative study

Themes

Barriers

Solutions

Pathways of care

Service system complexity

Establish local referral pathways and service directories

 

– multiple people

 

– multiple locations

 

– multiple visits

 

Knowledge of pathways

Ensure local referral pathways are known to all service providers

Co-ordination workforce

Wide range of tasks

Sufficient people in each area are appropriately designated, trained and funded to organise services and co-ordinate patients

Inadequate resources

Sufficient workforce and funding are available to meet population needs

 

Inconsistency of roles

Ensure each local area identifies personnel and positions required for proper co-ordination and organisation

Case management

Designation of responsibility

Establish case co-ordination strategy within each Aboriginal Health Service for all patients at high need or referred for surgery

Local eye care co-ordination

Fragmented system elements

Establish mechanisms for co-ordination within local population health structures

Informal organisational arrangements

Local co-ordination is built on partnerships and agreements with local providers and visiting eye services

 

Community engagement

Eye care services are developed and delivered with the engagement of the local community