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 |