Study protocol: Return to Country, an Australia-wide prospective observational study about returning First Nations renal patients home

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dc.contributor.authorJones, Y.
dc.contributor.authorTruong, M.
dc.contributor.authorPreece, C.
dc.contributor.authorCass, A.
dc.contributor.authorHeerink, F.
dc.contributor.authorMcDonald, S.
dc.contributor.authorJones, S.
dc.contributor.authorMallett, A.J.
dc.contributor.authorMajoni, S.W.
dc.contributor.authorSajiv, C.
dc.contributor.authorPatankar, K.
dc.contributor.authorMulholland, E.
dc.contributor.authorWoldeyohannes, S.
dc.contributor.authorLawton, P.
dc.date.issued2024
dc.description.abstractIntroduction In Australia, kidney failure treatment disparities exist between Aboriginal and/or Torres Strait Islander (First Nations) and non-First Nations people. Despite persistent calls from First Nations patients with kidney failure, they are less likely to have treatment that allows them to live at home. Methods and analysis This is a prospective, multicentre study based in Australia. The aim of the study is to characterise the socioeconomic, environmental, health service and biomedical factors driving the health outcomes and patterns of health service utilisation experienced by First Nations patients and investigate whether health service changes to address these identified barriers can achieve higher rates of renal replacement therapy at home on country. This will be achieved by mixed-methods data collection at health service (audit and process data), staff (surveys and qualitative interviews) and patient (survey testing, feedback sessions, health outcomes) levels. A process evaluation will identify barriers and enablers to health services changes in relation to cultural safety. Baseline and follow-up data will be compared to assess the extent to which health services change their service delivery and the impact on health outcomes for First Nations patients with kidney failure. Qualitative and quantitative data will be integrated to provide an in-depth understanding of project outcomes and impacts.
dc.description.statementofresponsibilityYomei Jones, Mandy Truong, Cecilia Preece, Alan Cass, Fiona Heerink, Stephen McDonald, Scott Jones, Andrew John Mallett, Sandawana William Majoni, Cherian Sajiv, Khalil Patankar, Eddie Mulholland, Solomon Woldeyohannes, Paul Lawton
dc.identifier.citationBMJ Open, 2024; 14(11):e095727-1-e095727-11
dc.identifier.doi10.1136/bmjopen-2024-095727
dc.identifier.issn2044-6055
dc.identifier.issn2044-6055
dc.identifier.orcidMcDonald, S. [0000-0001-6103-1386]
dc.identifier.urihttps://hdl.handle.net/2440/144060
dc.language.isoen
dc.publisherBMJ Publishing Group
dc.relation.granthttp://purl.org/au-research/grants/nhmrc/GNT1158075
dc.rights© Author(s) (or their employer(s)) 2024. Re-use permitted under CC BY. Published by BMJ.
dc.source.urihttp://dx.doi.org/10.1136/bmjopen-2024-095727
dc.subjectkidney failure; treatment; Aboriginal and Torres Strait Islander Peoples; disparities
dc.subject.meshHumans
dc.subject.meshRenal Replacement Therapy
dc.subject.meshProspective Studies
dc.subject.meshHealth Services, Indigenous
dc.subject.meshHealth Services Accessibility
dc.subject.meshAustralia
dc.subject.meshRenal Insufficiency
dc.subject.meshMulticenter Studies as Topic
dc.subject.meshObservational Studies as Topic
dc.subject.meshAustralian Aboriginal and Torres Strait Islander Peoples
dc.titleStudy protocol: Return to Country, an Australia-wide prospective observational study about returning First Nations renal patients home
dc.typeJournal article
pubs.publication-statusPublished

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