Enablers and Barriers to the Implementation of the Allied Health Rural Generalist Education and Training Scheme in Rural and Remote Private and Non-Government Contexts in Australia.

Abstract

Introduction: Australian rural and remote communities face challenges accessing allied health services due to a range of workforce, funding and service challenges. The Allied Health Rural Generalist Education and Training Scheme (TAHRGETS) was introduced to provide training, supervision and workplace project opportunities for early career allied health professionals across rural and remote private and non-government services in Australia. The purpose of this study was to explore the enablers and barriers to implementing rural generalist training positions in private and non-government settings and make recommendations for sustainable implementation.

Methods: A qualitative study utilising semi-structured interviews was undertaken utilising thematic analysis which was then mapped against the Integrated-Promoting Action on Research Implementation in Health Services (i-PARIHS) framework.

Results: Twenty-five allied health professionals, 21 managers and supervisors and five project team members were interviewed. Twenty-six characteristics were identified including 19 enablers and 11 barriers to implementation. Enablers included the structured nature of the training positions, study time at work, funding provided to organisations, facilitation of the programme and support provided by managers and supervisors. Barriers included recruiting participants while transitioning into the workforce, time constraints, workload pressures and limited incentive for completion.

Conclusion: Rural generalist training positions for private and non-government organisations across rural and remote Australia were enabled through tailored support mechanisms and robust facilitation; however, policy level recognition is required for ongoing sustainability.