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Introduction
—Background
—The Aboriginal health workforce
—The roles of Aboriginal Health Workers
—Methods
—The case study
—Participant selection
—Data collection
—Analysis
—Findings
—Implementation and policy change
—Barriers to implementation
—What facilitated implementation?
—Policy goals and the workforce
—Discussion
—The workforce required to effectively implement policy
—Aboriginal people in the health workforce
—The relationship between the workforce and capacity to improve Aboriginal health
—The relationship between policy goals, the composition of the workforce and implementation
—Strengths and weaknesses of this research
—Conclusion
—Acknowledgement
—Competing interests
—References
—Author details
Thirty-five interviews were conducted in a case study on the implementation of the Northern Territory Preventable Chronic Disease Strategy (PCDS) to explore the role of the health workforce in the implementation of Aboriginal health policy. There was a tendency for the workforce to implement those aspects of the policy that drew on existing skills in treatment and management and to avoid or delay implementation that required the acquisition of new skills in primary prevention. Factors that facilitated the implementation of the PCDS included the addition of new resources, employment of additional staff, training, increased commitment from managers, and the creation of dedicated chronic disease positions. Factors impeding implementation included insufficient numbers of service providers, too little support for current Aboriginal Health Workers, and high staff turnover.
©Aust Health Rev 2008 www.aushealthreview.com.au PRINT ISSN: 0156-5788 ONLINE ISSN: 1449-8944