Heart, Lung and Circulation

A Strategy for Translating Evidence Into Policy and Practice to Close the Gap - Developing Essential Service Standards for Aboriginal and Torres Strait Islander Cardiovascular Care

Published:October 17, 2014DOI:
      The development and application of essential standards for cardiovascular care for Aboriginal and Torres Strait Islander people creates a strategic platform on which to systematically close the gap in the health outcomes and life expectancy between Aboriginal and Torres Strait Islander and non-Indigenous people in Australia. We outline six developmental stages that can be used to enhance the effective translation of evidence into practice that reduces life expectancy differentials. Focussing efforts where the biggest gain can be made; considering how to make a policy-relevant difference with an emphasis on translation into policy and practice; establishing a foundation for action by engaging with stakeholders throughout the process; developing a framework to guide action; drafting policy-relevant and framework-appropriate essential service standards; and defining standards that help policy decision makers achieve current priority policy targets.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Heart, Lung and Circulation
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Australian Institute of Health and Welfare
        The health and welfare of Australia's Aboriginal and Torres Strait Islander people: an overview 2011.
        AIHW, Canberra2011
        • Council of Australian Governments
        National Indigenous Reform Agreement (Closing the Gap).
        COAG, Canberra2012
        • Australian Health Ministers’ Advisory Council
        Aboriginal and Torres Strait Islander health performance framework report 2010.
        AHMAC, Canberra2011
        • Australian Health Minister's Advisory Council
        Aboriginal and Torres Strait Islander health performance framework 2012 report.
        AHMAC, Canberra2012
        • Aboriginal and Torres Strait Islander Social Justice Commissioner and the Steering Committee for Indigenous Health Equality
        Close the Gap: National Indigenous health equality targets.
        Human Rights and Equal Opportunity Commission, Sydney2008
        • Lloyd J.E.
        • Wise M.J.
        Efficient funding: a path to improving Aboriginal healthcare in Australia?.
        Aust Health Rev. 2010; 34: 430-434
        • Durey A.
        • Thompson S.C.
        Reducing the health disparities of Indigenous Australians: time to change focus.
        BMC Health Serv Res. 2012; 12: 11
        • Pholi K.
        • Black D.
        • Richards C.
        Is ‘Close the Gap’ a useful approach to improving the health and wellbeing of Indigenous Australians?.
        Australian Review of Public Affairs. 2009; 9: 1-13
        • Vos T.
        • Barker B.
        • Stanley L.
        • Lopez A.
        The burden of disease and injury in Aboriginal and Torres Strait Islander peoples 2003.
        School of Population Health, The University of Queensland, Brisbane2007
        • Penm E.
        Cardiovascular disease and its associated risk factors in Aboriginal and Torres Strait Islander peoples, 2004-05.
        AIHW, Canberra2008
        • Australian Institute of Health and Welfare
        Contribution of chronic disease to the gap in adult mortality between Aboriginal and Torres Strait Islander and other Australians.
        AIHW, Canberra2010
        • Straus S.
        • Tetroe J.
        • Graham I.D.
        Knowledge translation in health care: Moving from evidence to practice.
        John Wiley & Sons, Chichester2013
        • Canadian Institutes of Health Research
        Knowledge translation strategy 2004-2009.
        CIHR, Ottawa2004
        • Mitton C.
        • Adair C.E.
        • McKenzie E.
        • Patten S.B.
        • Perry B.W.
        Knowledge transfer and exchange: Review and synthesis of the literature.
        Milbank Q. 2007; 85: 729-768
        • Kitson A.
        • Powell K.
        • Hoon E.
        • Newbury J.
        • Wilson A.
        • Beilby J.
        Knowledge translation within a population health study: How do you do it?.
        Implementation Science. 2013; 8: 1-9
        • Estabrooks C.A.
        • Thompson D.S.
        • Lovely J.J.
        • Hofmeyer A.
        A guide to knowledge translation theory.
        J Contin Educ Health Prof. 2006; 26: 25-36
        • Kritharides L.
        • Brown A.
        • Brieger D.
        • Ridell T.
        • Zeitz C.
        • Jeremy R.
        • et al.
        Recommendations arising from the Inaugural CSANZ Conference on Indigenous Cardiovascular Health.
        Heart Lung Circ. 2010; 19: 269-272
        • Brown A.
        • Kritharides L.
        Overview: The 2nd Indigenous Cardiovascular Health Conference of the Cardiac Society of Australia and New Zealand.
        Heart Lung Circ. 2012; 21: 615-617
        • Grimshaw J.
        • Russell I.
        Achieving health gain through clinical guidelines. I: Developing scientifically valid guidelines.
        Qual Health Care. 1993; 2: 243-248
      1. Field M.J. Lohr K.N. Guidelines for clinical practice: From development to use. The National Academies Press, Washington DC1992
      2. Field M.J. Lohr K.N. Clinical practice guidelines: Directions for a new program. The National Academies Press, Washington DC1990
        • Andrea P.
        • Fergusson C.
        Human rights, health and poverty reduction strategies.
        World Health Organisation, Geneva2008
        • Minas H.
        • Jorm A.F.
        Where there is no evidence: Use of expert consensus methods to fill the evidence gap in low-income countries and cultural minorities.
        Int J Ment Health Syst. 2010; 4: 1-6
        • Irvine D.
        • Donaldson L.
        Quality and standards in health care.
        Proceedings of the Royal Society of Edinburgh Section B: Biological Sciences. 1993; 101 (1993 Jan.): 1-30
        • World Health Organisation
        Monitoring the building blocks of health systems: A handbook of indicators and their measurement strategies.
        WHO, Geneva2010
        • Boddington P.
        • Raisanen U.
        Theoretical and practical issues in the definition of health: Insights from Aboriginal Australia.
        J Med Philos. 2009; 34: 49-67
        • National Institute for Health and Clinical Excellence
        Healthcare quality standards: process guide (draft for consultation).
        NICE, Manchester2012
        • Holloway R.G.
        • Vickrey B.G.
        • Benesch C.
        • Hinchey J.A.
        • Bieber J.
        Development of performance measures for acute ischemic stroke.
        Stroke. 2001; 32: 2058-2074
        • Brown A.
        Acute coronary syndromes in Indigenous Australians: Opportunities for improving outcomes across the continuum of care.
        Heart Lung Circ. 2010; 19: 325-336
        • Brieger D.
        • Kelly A.-M.
        • Aroney C.
        • Tideman P.
        • Freedman S.B.
        • Chew D.
        • et al.
        Acute coronary syndromes: consensus recommendations for translating knowledge into action.
        The Med J Aust. 2009; 191: 334-338
        • Jiang F.
        • Zhang J.
        • Wang X.
        • Shen X.
        Important steps to improve translation from medical research to health policy.
        J Transl Med. 2013; 11: 1-4
        • Australian Commission on Safety and Quality in Health Care
        National Safety and Quality Health Service Standards.
        ACSQHC, Sydney2011
        • Australian Commission on Safety and Quality in Health Care
        Australian Commission on Safety and Quality in Health Care Annual Report 2011/12.
        ACSQHC, Sydney2012