Research Projects

Health checks to prevent chronic disease in Indigenous primary health care: a realist review

Project Summary

Chronic disease remains the leading cause of morbidity and mortality among Aboriginal and Torres Strait Islander peoples in Australia. Regular, structured, comprehensive health assessments are available to Aboriginal people as annual health checks funded through the Medicare Benefits Schedule. We are undertaking a review of literature to identify context-specific enablers and tensions in undertaking these annual health checks and working closely with key stakeholders to bring a lived-experience perspective. We will develop an evidence framework to guide future implementation of health checks for prevention and early detection of chronic diseases for Aboriginal and Torres Strait Islander people.

Our Investigators

  • Emma Walke
  • Professor Megan Passey

Project leads

The project is led by researchers at the Australian National University (Uday Yadav, Leonie Williamson, Rosemary Wyber, Danielle Butler, Stefan Thottunkal, Matthew Smith, Raymond Lovett and Kirsty Douglas), in collaboration with Jason Agostino (National Aboriginal Community Controlled Health Organisation), Victoria Sinka (University of Sydney) and colleagues from Royal Australian College of General Practitioners (Belinda Hammond, Mary Belfrage and Kate Freeman).

Status/timing

The project started in 2022 and will be completed in 2024.

What does the Project focus on?

The project is developing a better understanding of what works, what doesn’t, in what circumstances, and why, with regard to providing annual health checks for Aboriginal people. What are the contextual factors and causal mechanisms that lead to success or failure in implementing effective health checks to prevent and detect chronic disease among Aboriginal people?

What type of project/study?

This is a realist literature review, combining learnings from published literature with experiences of key stakeholders to provide a holistic view and understanding of the provision of these health checks.

What do you expect to achieve with this project when complete?

Improving the health and wellbeing of Aboriginal people is a priority in Australia, and annual health checks are a major policy initiative of the Commonwealth Government. This study will inform ongoing implementation of health checks to maximise their benefit.

Notable insight? Unexpected direction?

Findings so far reinforce the notion that there are many factors contributing to the success or otherwise of these health checks. These factors include practice level systems and processes, organisational culture, relationships between staff and patients and between the services and the community, ways of working (at multiple levels) and ability to work across differing world views.