Table 5 Examples of comments on organisational influence

"Staff come out to the bush and put their career on hold because in this job there is no support for formal training. It seems that when resources are short training is one of the first things to be struck off the list".

"The health centre has two staff members who coordinate the chronic disease care, and their designated time working on chronic disease is 40%".

"There is a shortage of equipment for chronic illness care. Have one of everything but not enough for good service – have to carry from room to room. Do not have enough of everything – need more sphygmomanometers, otoscopes, a BSL machine, scales, and more of the basics".

"Public health nurse comes and does an external audit. This is good, encourages performance and is educative. If you do audits yourself it is easier to dismiss or overlook things. If the audit is external then things are called to our attention".

"A nurse has been trained to get Medicare claims but misses a lot. Hard work and onus on the doctor. Money goes elsewhere. Medicare claim opportunities are being missed".