The Medical journal of Australia
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Multicenter Study
A multifaceted health-service intervention in remote Aboriginal communities: 3-year follow-up of the impact on diabetes care.
To examine the trends in processes of diabetes care and in participant outcomes after an intervention in two remote regions of Australia. ⋯ Multifaceted interventions can improve quality of care in this environment, but achieving sustainable, high-quality care in a range of services and local conditions presents particular challenges. Developing and testing strategies for consistent and sustained improvement should be a priority for service providers and researchers.
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To examine whether hospital patients with cancer who were identified as Indigenous were as likely to receive surgery for the cancer as non-Indigenous patients. ⋯ These results indicate a different pattern of surgical care for Indigenous patients in relation to lung and prostate, but not breast, cancer. Reasons for these disparities, such as treatment choice and barriers to care, require further investigation.