A systems approach to strengthening health service delivery in catastrophic injury related disability
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Brightwater Care Group Brightwater Research Centre, Brightwater Care Group, Inglewood, Australia; Curtin Medical School, Curtin University, Bentley, Australia; Brightwater Research Centre Brightwater Central 2A Walter Road West Inglewood WA 6052, Australia
Brightwater Care Group Brightwater Research Centre, Brightwater Care Group, Inglewood, Australia; The University of Western Australia, Crawley, Australia Brightwater Research Centre, Brightwater Central, 2A Walter Road West Inglewood WA 6052, Australia Australia
Publication date: 2023-04-26
Popul. Med. 2023;5(Supplement):A994
Background and Objectives:
Despite widespread application of the systems approach to tackle several public health problems -tobacco control, obesity, and chronic diseases, its application in injury related disability is limited. This study will describe a systems approach to disability and health service delivery derived from the World Health Organisation (WHO) Health Systems Strengthening framework for use by practitioners. The premise of the proposed health system framework is that an effective systems approach to public health issues such as disability, is a result of continuous interaction and interconnectedness of the building blocks, namely - service delivery, financing, governance, the health workforce, information systems, and supply management systems. The study aims to develop an injury related disability service delivery model that applies systems approach for desired health outcomes and with the potential to strengthen the health systems.

Based on pilot work conducted in 2019, current study will synthesise diverse insights from injury related disability service delivery experiences and observations, review of the literature and the findings of the pilot study.

Informed by the WHO framework for strengthening health systems and the nine key areas of the framework for implementation of the WHO Ouagadougou Declaration on primary health care and health systems, the study will present findings under the key elements required to underpin optimal delivery of injury rehabilitative service: (i) Leadership and governance; (ii) Service delivery; (iii) Workforce; (iv) Financing; (v) Technical equipment and supplies (Health technologies); (vi) Health information; (viii) Community participation; ( viii) Social determinants of health; (ix) Partnerships (xi) Co-designed research.

The Service Delivery Model is a tool which will deliver a base of evidence, quality measures and innovation to guide practitioners and policy makers in planning, developing, and implementing an integrated approach to strengthening health systems for delivery of injury and disability related rehabilitative services.

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