լе

Primary health care and continuous quality improvement

Primary health care and continuous quality improvement

An evidence-based guide

Alison Laycock, Lynette O’Donoghue and Ross Bailie

Regular price $80.00 $80.00 Sale

Format: paperback
422 pages
ISBN: 9781743329269

Publication: 01 Jun 2025

Publisher: լе

Buy ebook:

Open Access:

For most people, the main point of access to the health system is through primary health care (PHC). The fundamental premise of primary health care is that all people, everywhere, have the right to receive the appropriate care in their community. Primary health care attends to the majority of a person’s health needs throughout their lifetime, including physical, mental and social wellbeing. PHC is people-centred rather than disease-centred. It is a whole-of-society approach that includes health promotion, disease prevention, treatment, rehabilitation and palliative care.

Primary health care and continuous quality improvement: An evidence-based guide provides an accessible contemporary guide on implementing continuous quality improvement (CQI) in PHC settings. The authors draw together two decades of practical experience and established leadership in Aboriginal and Torres Strait Islander health in Australia to provide guidance for health services and their staff, policymakers, researchers, funders and support organisations in an international context.

Primary health care and continuous quality improvement provides an in-depth understanding of how CQI can be used to strengthen health systems by:

  • identifying core concepts underpinning CQI in PHC and how CQI can improve health care quality, health equity and population health;
  • explaining how CQI data is used in a comprehensive approach to PHC to measure quality, and how data is generated and used for improving care;
  • describing CQI tools and techniques used by PHC teams;
  • offering guidance in interpreting data and addressing variation in care quality;
  • providing case studies in maternal health, children’s health, mental health and other areas, to describe the application of CQI to improve clinical care;
  • guiding practitioners on how to collaborate and build data systems for CQI, and strengthen links between communities and PHC services.

Continuous quality improvement is everybody’s business, and Primary health care and continuous quality improvement explains the strategic use of CQI at different levels of the health system and across sectors to achieve and sustain large-scale health improvement.


Alison Laycock is a research fellow at the University Centre for Rural Health, University of լе. Alison has worked collaboratively with community, research and health service partners to develop quality improvement tools and training resources, and guides for health promotion practice and health research in Aboriginal and Torres Strait Islander primary health care settings.

Ross Bailie is professor of rural health with the University of լе School of Public Health and the University Centre for Rural Health, based in Lismore, Northern NSW. Ross’s research has been centred on increasing availability of information for policy and service planning for Aboriginal and Torres Strait Islander health and for rural and remote communities.

Lynette O’Donoghue is a proud Yankunytjatjara and Warumungu-Warlpiri woman, and a research fellow at the University Centre for Rural Health, University of լе. She has contributed significantly to Indigenous leadership of the NHMRC-funded Centre for Research Excellence in Strengthening Systems for Indigenous Health Care Equity, advocating meaningful engagement of Aboriginal and Torres Strait Islander communities and services in the design, implementation and translation of research activities.

  • Foreword
  • լе the authors
  • Acknowledgements
  • Use of terms
  • How to use this book
  • List of abbreviations

  • Part I: Core concepts in primary health care and continuous quality improvement
    • Chapter 1: Primary health care
    • Chapter 2: Continuous quality improvement
    • Chapter 3: Adapting continuous quality improvement for primary health care
  • Part II: Continuous quality improvement data, tools and processes for primary health care
    • Chapter 4: Evidence to guide and improve care
    • Chapter 5: Practical tools for CQI in primary health care
    • Chapter 6: Using CQI cycles, and understanding and presenting data
    • Chapter 7: Facilitating CQI
    • Chapter 8: Embedding a culture of CQI
  • Part III: Using CQI to improve primary health care
    • Chapter 9: The Audit and Best Practice for Chronic Disease CQI research program
    • Chapter 10: Improving diabetes care
    • Chapter 11: Improving preventive health care
    • Chapter 12: Improving children’s health
    • Chapter 13: Improving maternal health care
    • Chapter 14: Developing an audit tool to improve youth health care
    • Chapter 15: Improving mental health and wellbeing care
    • Chapter 16: Improving cardiovascular health care
    • Chapter 17: Improving care for acute rheumatic fever and rheumatic heart disease
    • Chapter 18: Improving the quality of care for sexually transmissible infections
    • Chapter 19: Improving eye health care
  • Part IV: Strengthening systems for PHC equity
    • Chapter 20: Multi-level systems approaches
    • Chapter 21: Centralising respect, equity and justice in health research
    • Chapter 22: Learning from two decades of CQI research in Indigenous PHC

“An important and much needed compendium of wisdom [from] authoritative sources in primary healthcare and continuous quality improvement.” – Professor Andrew Carson-Stevens, Cardiff University

“Draws extensively on good quality applied research [and] provides many important and useful lessons for applying and improving approaches to CQI.” – Professor Lilian Dudley, Stellenbosch University

“I was fortunate to be part of the ABCD research team when it commenced in the NT. As a GP and public health physician, my focus was on research translation and improved outcomes for the NT population. The benefits of applying a continuous quality improvement (CQI) approach in primary health care was a slow, steady improvement in the delivery of care with corresponding improvement in client outcomes. This has led to significant improvements in life expectancy for Aboriginal people in the NT. The CQI approach teaches us that small changes in practice, applied consistently for large groups of clients, can result in significant and sustained health changes. If you are new to CQI, this book steps you through the process in clear, precise language with everything you need to know. For more experienced practitioners in CQI, this book will be a useful resource to refresh your knowledge, explore a new aspect or use as a training tool. The authors have summarised the knowledge and wisdom from thousands of PHC practitioners and clients so you can start applying this knowledge directly in your health service.” – Adjunct Professor Christine Connors OAM, Chief Health Officer NT Health

Format: paperback
Size: 297 x 210 mm
Pages: 422
ISBN: 9781743329269
Publication: 01 Jun 2025