“Better health in the bush”: why we urgently need a national rural and remote health strategy

Wakerman, John; Humphreys, John Stirling

doi:10.5694/mja2.50041

Cited by 42 publications

(52 citation statements)

References 12 publications

(16 reference statements)

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“…Humphreys, Wakerman and Wells argue that a sustainable rural health system requires a sustainable 'fit-for-purpose' health workforce [33]. To achieve this, policies that support an integrated training pipeline for all the health professions as well as an 'effective, flexible, bundled retention strategy' [34] are needed. The author argues that the latter is always contextual and a redistribution of Australia's health funding is needed at both national and state levels to allow health services and communities to implement strategies that can respond to the particular local challenges and opportunities affecting the recruitment and retention of health staff.…”

Section: Review Of Findingsmentioning

confidence: 99%

“…The author argues that the latter is always contextual and a redistribution of Australia's health funding is needed at both national and state levels to allow health services and communities to implement strategies that can respond to the particular local challenges and opportunities affecting the recruitment and retention of health staff. Rigorous evaluation of these local endeavours may assist in identifying successful initiatives that have potential to be scaled up and contribute to the evidence-base for other health services and communities to use, as well as generally strengthen Australia's rural health system [34]. The next part of this research study is an evaluation involving analyses of the recommendations' utility for improving AH retention by two Victorian rural public health services.…”

Section: Review Of Findingsmentioning

confidence: 99%

See 1 more Smart Citation

Context Matters: Findings from a Qualitative Study Exploring Service and Place Factors Influencing the Recruitment and Retention of Allied Health Professionals in Rural Australian Public Health Services

Cosgrave

2020

IJERPH

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Chronic health workforce shortages significantly contribute to unmet health care needs in rural and remote communities. Of particular and growing concern are shortages of allied health professionals (AHPs). This study explored the contextual factors impacting the recruitment and retention of AHPs in rural Australia. A qualitative approach using a constructivist-interpretivist methodology was taken. Semi-structured interviews (n = 74) with executive staff, allied health (AH) managers and newly recruited AHPs working in two rural public health services in Victoria, Australia were conducted. Data was coded and categorised inductively and analysed thematically. The findings suggest that to support a stable and sustainable AH workforce, rural public sector health services need to be more efficient, strategic and visionary. This means ensuring that policies and procedures are equitable and accessible, processes are effective, and action is taken to develop local programs, opportunities and supports that allow AH staff to thrive and grow in place at all grade levels and life stages. This study reinforces the need for a whole-of-community approach to effectively support individual AH workers and their family members in adjusting to a new place and developing a sense of belonging in place. The recommendations arising from this study are likely to have utility for other high-income countries, particularly in guiding AH recruitment and retention strategies in rural public sector health services. Recommendations relating to community/place will likely benefit broader rural health workforce initiatives.

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Section: Review Of Findingsmentioning

confidence: 99%

Section: Review Of Findingsmentioning

confidence: 99%

Context Matters: Findings from a Qualitative Study Exploring Service and Place Factors Influencing the Recruitment and Retention of Allied Health Professionals in Rural Australian Public Health Services

Cosgrave

2020

IJERPH

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“…Indigenous patients also face difficulties accessing hospital settings for elective and semi‐elective procedures, resulting in fewer ICU admissions, particularly private ICU admissions in which elective procedures predominate. Given the difficulties in accessing specialist services in rural and remote areas, this observation is tautologous for many Indigenous patients . However, for the greater number of Indigenous patients living in urban areas, the access barriers could be explained by cultural and language difficulties in navigating what is an increasingly complex and siloed medical system.…”

Section: Critical Care Data: Evidence Of Access Barriers To Primary Amentioning

confidence: 99%

Equity for Indigenous Australians in intensive care

Secombe

Brown

Bailey

et al. 2019

Medical Journal of Australia

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“…Twenty years later, the pharmacy profession has witnessed major developments in health service delivery, especially in metropolitan cities, although these advancements are often not apparent in rural and remote areas [ 4 ]. For those living rurally, complex health profiles, shorter life expectancies, higher rates of disease and injury, and poorer access to and use of health services is accepted as the norm [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Role Theory: A Framework to Explore Health Professional Perceptions of Expanding Rural Community Pharmacists’ Role

2020

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Pharmaceutical care is a concept which has moved the pharmacy profession from their primary focus on the product to optimising drug therapy for the individual patient. Expanded pharmacy practice beyond pharmaceutical care will further challenge the role perceptions that other health professionals have about pharmacists. Role theory as a philosophical perspective was used to explore rural and remote health professionals’ beliefs on pharmacists expanding their clinical role by conducting twenty-three semi-structured interviews. Five role theory categories described the data, role ambiguity, role conflict, role overload, role identity and role insufficiency. The health professionals interviewed were found to be uncertain about the boundaries between the traditional roles of the pharmacist compared to that of the expanded roles. A perceived lack of accountability by pharmacists was seen as a major contributor to role conflict, which in turn was found to impact the ability of pharmacists and other health professionals to work collaboratively. Perspectives of other health professionals on pharmacists adopting expanded practice models has highlighted significant concerns with role conflict and role identity. Acknowledging and developing clear strategies to address these concerns is essential to ensure that expanded pharmacy practice can be effectively integrated to improve access to health services and thus health outcomes for rural Australians.

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“Better health in the bush”: why we urgently need a national rural and remote health strategy

Cited by 42 publications

References 12 publications

Context Matters: Findings from a Qualitative Study Exploring Service and Place Factors Influencing the Recruitment and Retention of Allied Health Professionals in Rural Australian Public Health Services

Context Matters: Findings from a Qualitative Study Exploring Service and Place Factors Influencing the Recruitment and Retention of Allied Health Professionals in Rural Australian Public Health Services

Equity for Indigenous Australians in intensive care

Role Theory: A Framework to Explore Health Professional Perceptions of Expanding Rural Community Pharmacists’ Role

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