Building rural health research and scholarship – NHMRC Open access revisions and impact on rural health outcomes

Roberts, Russell

doi:10.1111/ajr.12769

Cited by 5 publications

(5 citation statements)

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“…While such models might provide research and career opportunities for clinicians and support their retention in rural areas, the adoption has been ad hoc. The findings indicate the importance of these roles in rural health services and the benefits of developing local clinician‐researchers 32 . Currently, the proportion of National Health and Medical Research Council (NHMRC)–funded hospital‐based researchers is only 0.6%, 1 with few rurally based.…”

Section: Discussionmentioning

confidence: 96%

“…The findings indicate the importance of these roles in rural health services and the benefits of developing local clinician‐researchers. 32 Currently, the proportion of National Health and Medical Research Council (NHMRC)–funded hospital‐based researchers is only 0.6%, 1 with few rurally based. There is a need for greater investment in rural health service research roles as both a strategy for recruitment and retention and for progression of the rural health research agenda.…”

Section: Discussionmentioning

confidence: 99%

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What shapes research and research capacity building in rural health services? Context matters

Shee

Quilliam

Corboy

et al. 2022

Australian J Rural Health

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Objective: To determine the contextual factors influencing research and research capacity building in rural health settings.Design: Qualitative study using semi-structured telephone interviews to collect data regarding health professionals' research education and capacity building.Analysis involved inductive coding using Braun and Clark's thematic analysis; and deductive mapping to the Consolidated Framework for Implementation Research (CFIR). Setting: Victorian rural health services and university campuses. Participants: Twenty senior rural health managers, academics and/or research coordinators. Participants had at least three years' experience in rural public health, health-related research or health education settings. Main outcome measures: Contextual factors influencing the operationalisation and prioritisation of research capacity building in rural health services. Results: Findings reflected the CFIR domains and constructs: intervention characteristics (relative advantage); outer setting (cosmopolitanism, external policies and incentives); inner setting (implementation climate, readiness for implementation); characteristics of individuals (self-efficacy); and process (planning, engaging). Findings illustrated the implementation context and the complex contextual tensions, which either prevent or enhance research capacity building in rural health services. Conclusions: Realising the Australian Government's vision for improved health service provision and health outcomes in rural areas requires a strong culture of research and research capacity building in rural health services. Low levels of rural research funding, chronic workforce shortages and the tension between undertaking research and delivering health care, all significantly impact the operationalisation and prioritisation of research capacity building in rural health | 411 WONG SHEE et al.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 99%

What shapes research and research capacity building in rural health services? Context matters

Shee

Quilliam

Corboy

et al. 2022

Australian J Rural Health

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“… 36 Drawing on relational concepts from Rycroft-Malone et al , 33 establishing and maintaining iKT teams consisting of researchers and knowledge-partners within different rural locations prior to their need could enable a more timely and effective response to urgent demands to address evidence gaps. In Australia, the Rural Health Multidisciplinary Training Programme funded through the federal government situated in regional, rural and remote locations across Australia 37 is uniquely positioned to support the development and maintenance of these networks. Importantly, these networks must operate with a culture of reciprocity to ensure health services and health professionals are true partners.…”

Section: Discussionmentioning

confidence: 99%

Using integrated knowledge translation to address a rurally based time-critical knowledge gap during the COVID-19 pandemic: a multimethods study in Victoria, Australia

Bishop,

Quilliam,

Wong Shee

2023

BMJ Open

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ObjectivesThe aim of this study was to explore the intention of health professionals to use evidence generated through an integrated knowledge translation (iKT) activity undertaken during the COVID-19 pandemic to answer a time-critical research question about the delivery of community-based group programmes to rural clients via virtual technology, and describe the participating health professionals and researchers’ perceptions of the iKT partnership.DesignMultimethod study incorporating qualitative and quantitative approaches.SettingTwo regional health services in Victoria (Australia).Participants26 allied health professionals (knowledge-partners) from eight disciplines across two regional health services and eight researchers from five Victorian universities.InterventionAn iKT approach was used to facilitate problem identification, evidence synthesis and adaption of evidence to the local context.Data collection and analysisParticipants were invited to complete a survey (knowledge-partners) and undertake a semistructured interview (knowledge-partners and researchers) on their experiences. A process log of collaborative activities tracked the type of engagement activities, who attended and the outcomes. The survey and process log results were analysed descriptively, the interviews using thematic analysis and a comparison of results approach applied to evaluate similarities and differences in the perception of the partnership from separate data collection and analysis processes.ResultsThe survey indicated strong positive attitudes towards using research evidence in practice as well as strong intentions to use it in the future by knowledge-partners. Knowledge-partners indicated that their expertise was used in the research process, although there was greater collaboration in some steps of iKT. The context of COVID-19 facilitated collaboration between knowledge-partners and researchers through a sense of urgency and shared purpose. Rapid team development was a key mechanism that enabled iKT. Team participation was necessarily pragmatic and flexible in nature to facilitate knowledge-partner involvement. Participants suggested the iKT process was likely to result in greater end-user buy in and a powerful example of how to upskill health professionals without a significant impact on their day-to-day workload. This project was considered by knowledge-partners to be more likely to have an impact compared with other projects without a research partner.ConclusionsThis study highlights how researchers and knowledge-partners can work effectively and rapidly to address a time-sensitive problem of mutual interest. Establishing and nurturing rural-based researcher and knowledge-partner networks is key to enabling agile and timely responses to the changing evidence needs of the health system.

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“…In Australia, immense inequities in research funding targeting rural health strongly diminish the capacity for rural health research supported by an integrated academic infrastructure. 3 A large portion of the research being conducted in rural communities depends upon busy clinician researchers, who work within the local health and medical workforce. 4 Improving sustainability of rural focused researchers and clinician academics thus requires a focused approach to providing critical skills development and communitycentred research opportunities that are integrated within the medical curriculum.…”

Section: Introductionmentioning

confidence: 99%

A retrospective descriptive analysis of community-engaged research projects improving rural health outcomes

Nasir,

Chater,

McGrail

et al. 2023

Preprint

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Background: Most rural populations experience significant health disadvantages. Community-engaged research can facilitate the translation of scientific knowledge to improving their health status. Connecting scholars with community based frontline practices address local health and medical needs helps establish a robust pipeline for research that can inform community priorities. This study aims to provide an understanding of the health status of the local rural communities through community-engaged Rural Health Projects (RHPs) conducted as part of a Doctor of Medicine program. The RHPs identify issues of health concern, to then develop future localised solutions. Methods: This study conducted a retrospective analysis of RHPs conducted between 2011 and 2021 in rural and remote Australian communities. Descriptive analyses were used to present RHP locations by their geographical classification and disease/research categorisation using the International Classification of Diseases and Related Health Problems – 10th Revision (ICD-10) codes and the Human Research Classification System (HRCS) categories. Results: There were a total of 2806 eligible RHPs conducted between 2011 and 2021, predominantly in Queensland (n=2728, 97·2%). These were mostly conducted in small rural towns (under 5,000 population, n=1044, 37·2%) or other rural towns up to 15,000 population (n=842, 30·0%). Projects mostly addressed individual care needs (n=1233, 43·9%) according to HRCS categories, or were related to factors influencing health status and contact with health services (n=1012, 36·1%) according to ICD-10 classification. Conclusions: Conducting community focused RHPs demonstrates a valuable approach to foster improved rural health outcomes by engaging medical students in research projects while simultaneously enhancing their research skills.

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Building rural health research and scholarship – NHMRC Open access revisions and impact on rural health outcomes

Cited by 5 publications

References 12 publications

What shapes research and research capacity building in rural health services? Context matters

What shapes research and research capacity building in rural health services? Context matters

Using integrated knowledge translation to address a rurally based time-critical knowledge gap during the COVID-19 pandemic: a multimethods study in Victoria, Australia

A retrospective descriptive analysis of community-engaged research projects improving rural health outcomes

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