What constitutes the minimum standard of care within an Aboriginal health service? What resources and support do services need in order to provide the minimum standard of care to their patients? How does this differ from – and what additional resources are required to adhere to – best practice? Researchers within CREATE will identify and combine evidence that helps define what minimum standards and best practice are within the Aboriginal health sector, what resources and support services need in order to adhere to these standards, and how service delivery can be optimized in order to focus more on outcomes and less on funding issues and navigating bureaucracy.
At the heart of the framework, and embedded in every stage of the program, lies CREATEs four core principles: Leadership, Culture, Values and Ethics. The sector will lead in the development and implementation of the framework, which will be populated with a diverse range of evidence, gathered and presented in an ethical way that respects Aboriginal ways of knowing, being and doing.
Extending from the core principles are seven key domains that, when taken together, present a holistic approach to the delivery of care within Aboriginal health services. Significant evidence exists for many of these domains; however gaps remain – particularly in the Best Practice Care, Workforce and Funding domains – and the disparate domains need to be pulled together into a single comprehensive framework.
Translational health science envelops the seven domains. Through use of a cyclical process – involving the identification and synthesis of evidence, development of evidence-based guidance, implementation of this guidance within services, and evaluation of results, a comprehensive evidence-based model of minimum standards and best practice standards can be developed.
This model will inform the development of evidence based tools and resources, which will empower services by providing them with the means of evaluating current practice and determining what resources and support are needed in order to meet minimum standards and best practice, as defined by the evidence. The resulting output could be tailored to individual services based on applicability and need, irrespective of service size, location or available resources.