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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