Supporting reorientation of health services in Indigenous Australian communities: the health promotion systems assessment tool.

The article focuses on the development and application of the Health Promotion Systems Assessment Tool (HPSAT) designed to support the reorientation of Indigenous Australian primary health care (PHC) services towards health promotion. Developed through a participatory, iterative process involving Indigenous and non-Indigenous stakeholders and tested in four Indigenous PHC services, the HPSAT assesses four key health system components: organizational environment, service delivery systems, information systems and decision support, and adaptability and integration. Used within a continuous quality improvement (CQI) framework, the tool facilitates collective appraisal and guides health teams in identifying and implementing system improvements to enhance health promotion capacity. While initial testing showed promise, further evaluation across diverse PHC settings is needed to confirm its broader applicability.