Facilitators and barriers to the implementation of primary health care interventions for Aboriginal and Torres Strait Islander people with chronic diseases: a systematic review protocol

Abstract

The specific purpose of this review is to systematically examine the scientific literature in order to examine factors that facilitate and/or inhibit the implementation of interventions aimed at improving primary health care provided to Indigenous patients with chronic disease. More specifically, to fully encompass the factors of interest, the questions asked by this review are: • What attitudes, beliefs, expectations, understandings, perceptions, experiences and knowledge of Indigenous communities support (facilitators) or inhibit (barriers) the implementation of interventions aimed at improving chronic disease care for Indigenous people within the primary health care setting? • What attitudes, beliefs, expectations, understandings, perceptions, experiences and knowledge of health care providers support (facilitators) or inhibit (barriers) the implementation of interventions aimed at improving chronic disease care for Indigenous people within the primary health care setting? • What attitudes, beliefs, expectations, understandings, perceptions, experiences and knowledge of policy and decision makers support (facilitators) or inhibit (barriers) the implementation of interventions aimed at improving chronic disease care for Indigenous people within the primary health care setting? INCLUSION CRITERIA TYPES OF PARTICIPANTS This review will consider studies that have included Indigenous people of any age receiving treatment for chronic disease (cardiovascular disease, chronic kidney disease, chronic respiratory disease, diabetes, depression, HIV/AIDS) in the primary health care setting. Participants of interest in this review include Indigenous people with chronic illness, their family or members of the community, as well as all primary health care providers (e.g. doctors, nurses, administrators, health care workers) and other policy and decision makers in indigenous health. PHENOMENA OF INTEREST The phenomena of interest are the attitudes, beliefs, expectations, understandings and knowledge about chronic disease health care that support or inhibit the implementation of interventions aimed at managing chronic disease. CONTEXT The context of the review is the provision of health care in the primary health care/community/outpatient setting.