Australian Journal of Rural Health最新文献

{"title":"How First Nations peoples living in the Torres Strait and Northern Peninsula Area describe and discuss social and emotional well-being.","authors":"Torres Webb, Kathryn Meldrum, Chenoa Wapau, Betty Sagigi, Rachel Quigley, Edward Strivens, Sarah Russell","doi":"10.1111/ajr.13196","DOIUrl":"https://doi.org/10.1111/ajr.13196","url":null,"abstract":"<p><strong>Objective: </strong>This study was the first phase of a broader project designed to develop a new tool to screen social and emotional well-being (SEWB). Its objective was to identify words used by First Nations people living in the Torres Strait (Zenadth Kes) and Northern Peninsula Area (NPA) to describe and discuss SEWB. We pay our respects to Elders past and present. We acknowledge the First Nations peoples who took part in this project as holders of their cultural knowledge now and forevermore.</p><p><strong>Setting: </strong>This study took place in community and primary health care settings located on islands of the Torres Strait and NPA of Australia.</p><p><strong>Participants: </strong>Twelve yarns with 35 community members and health professionals were led by Torres Strait Islander members of the project team between August and December 2022.</p><p><strong>Design: </strong>This study employed a descriptive qualitative design. Yarning, an Australian First Nations relational method, was used to share stories about SEWB. All but one yarn was audio recorded and subsequently professionally transcribed. Inductive thematic analysis was used to analyse the yarns.</p><p><strong>Results: </strong>Worry, sad and stress were the words most often used by participants to describe feelings of low SEWB. Signs of low SEWB included behaviour change, particularly significantly reduced community engagement.</p><p><strong>Conclusions: </strong>Worry is not a word that is used in Australian mainstream tools that screen for psychological distress. Findings of this study indicate that a question that asks about worries should be included when screening for low SEWB in Australian First Nations peoples living in the Torres Strait and NPA.</p>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Growing the peer workforce in rural mental health and social and emotional well-being services: A scoping review of the literature.","authors":"Bróna Nic Giolla Easpaig, Melissa A Lindeman, Penny Watson, Xianliang Liu","doi":"10.1111/ajr.13192","DOIUrl":"https://doi.org/10.1111/ajr.13192","url":null,"abstract":"<p><strong>Introduction: </strong>Growing the mental health peer workforce holds promise for rural communities, but we currently lack an understanding of the guidance available to support the development, implementation and sustainability of this workforce in rural settings.</p><p><strong>Objective: </strong>Study aims are to: (1) determine the extent and nature of the literature that provides guidance for growing the peer workforce in rural mental health services; and (2) identify and explore any guidance relevant to rural peer work services dedicated to First Nations communities, including those promoting social and emotional well-being within this body of literature.</p><p><strong>Design: </strong>A scoping review method was employed to identify relevant peer-reviewed and grey literature published between 2013 and 2022 across PsychInfo, Medline, Embase and CINAHL, Scopus and Informit HealthInfoNet databases, as well as targeted organisation websites and Google Advanced Search.</p><p><strong>Findings: </strong>A total of 26 unique studies/projects were included from the US, UK, Canada and Australia with public mental health, non-government/for purpose and private sector service settings represented in the literature. Grey literature, such as reports of evaluations and frameworks, formed the majority of included texts. While there is a lesser volume of rurally focused literature relative to the general peer work literature, this is a rich body of knowledge, which includes guidance concerning services dedicated to First Nations communities. Via synthesis critical considerations were identified for the development, implementation and sustainability of peer work in rural mental health services across six domains: 'Working with community members and stakeholders', 'Organisational culture and governance', Working with others and in teams, Professional expertise and experience, Being part of and working in the community and 'Local mental health services capacity'.</p><p><strong>Discussion: </strong>While there are considerations relevant across a range of settings, the domains of: 'working with community members and stakeholders', 'being part of and working in the community' and 'local mental health services capacity', capture additional, distinct and nuanced challenges and opportunities for growing the peer work in rural services.</p><p><strong>Conclusion: </strong>The literature offers insights valuable for service planning, policy development and the allocation of resources to support rural peer workforce growth.</p>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding the professional factors that impact the retention of pathology workers in regional, rural and remote Australia.","authors":"Kirrily Werth, Tiana Gurney","doi":"10.1111/ajr.13191","DOIUrl":"https://doi.org/10.1111/ajr.13191","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study was to determine what professional factors impact the retention of pathology workers in regional, rural and remote Australia.</p><p><strong>Design: </strong>A cross-sectional survey was used to collect data regarding the professional factors that impact the retention of regional, rural and remote pathology workers in Australia (n = 95). The survey focused on pathology workers' satisfaction with specific professional factors and how long they intended to stay in their current position.</p><p><strong>Setting: </strong>Regional, rural and remote (MM2-7) pathology laboratories in Australia.</p><p><strong>Participants: </strong>There were a total of 95 participants, including 24 phlebotomists/laboratory assistants, 34 medical laboratory scientists and 29 supervisors/managers, with the majority of participants being from New South Wales, Queensland and Western Australia.</p><p><strong>Results: </strong>Significant positive associations were found between satisfaction with career advancement opportunities, workplace culture and maintaining professional skills with the retention of regional, rural and remote pathology workers. Open-ended responses indicated that personal factors also played an important role in pathology worker retention in regional, rural and remote communities.</p><p><strong>Conclusion: </strong>This study provides important insights into the professional factors that impact the retention of pathology workers in regional, rural and remote Australia. Personal factors were also found to play an important role in retention. These findings have highlighted the need for further research to be conducted to explore the relationship between professional and personal factors and how this impacts the retention of pathology workers in regional, rural and remote Australia.</p>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142481591","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of nurse practitioners' extended scope of practice in a regional hospital emergency department in tropical Australia.","authors":"Angela Jackson, Chris Hawkins, Theona Stone, Petra Anderson, Frances Wilesmith, Mark Little","doi":"10.1111/ajr.13190","DOIUrl":"https://doi.org/10.1111/ajr.13190","url":null,"abstract":"<p><strong>Objectives: </strong>There is very little literature examining the workload and impact of nurse practitioners (NPs) working in emergency departments (ED) in regional and rural Australia. The aim of this paper was to review the ED NPs scope of practice in the ED discharge stream and patient outcomes at Cairns Hospital over a 7-month period.</p><p><strong>Methods: </strong>This retrospective study examined the ED electronic medical record between 14 May 2019 and 31 December 2019. Cases managed by ED NPs, referrals, procedures performed, representations and disposition data were collected. Adverse events were sought from the Qld Health adverse events register (Riskman), the department complaints register and the ED M&M meeting minutes.</p><p><strong>Results: </strong>A total of 1443 patients were treated by NPs, with ages ranging from 0 to 98 years (median 40 years). Australasian Triage Score (ATS) 3 cases made up 30% of the workload. Other than ATS 3 cases, time to being seen was better than the general department. There were very few unexpected representations, complaints or adverse events.</p><p><strong>Conclusions: </strong>This study supports the view that NPs working in a regional emergency department can safely manage a variety of patients outside a fast-track model, with a wide age range and a variety of triage categories and diagnoses. We believe this has important implications for the provision of emergency care, especially in regional and rural Australia.</p>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142395522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Real change for primary care is likely to be dependent on the next National Health Reform Agreement","authors":"Margaret Deerain BBus (Mgmt), MLitt, MLS","doi":"10.1111/ajr.13193","DOIUrl":"https://doi.org/10.1111/ajr.13193","url":null,"abstract":"&lt;p&gt;The Australian primary care system is currently in the storm of several government reviews which could reform the way primary care is delivered in the future.&lt;/p&gt;&lt;p&gt;In the Primary Care Division of the Department of Health and Aged Care, reviews are examining general practice incentives and after-hours primary care policies and programs. In Health Workforce Division, two significant reviews underway are the Scope of Practice Review examining the barriers and incentives health practitioners face working to their full scope of practice in primary care. There is also the Working Better for Medicare Review which has examined workforce distribution levers and how this impacts the distribution of health professionals to rural locations examining such factors as Monash Modified Model; Districts of Workforce Shortage; Distribution Priority Areas and use of Sections 19AA and 19AB of the &lt;i&gt;Health Insurance Act&lt;/i&gt; 1973, which outline the geographic locations where doctors are allowed to use Medicare based on their level of training in Australia or overseas. This is in addition to various reviews and introduction of legislation for the aged care and disability sectors which also impact rural service delivery.&lt;/p&gt;&lt;p&gt;All the reviews are in their concluding phases with a suite of recommendations being put on the table for government to consider. We all know something needs to be done, in particular, for rural, remote and regional Australia. No doubt there will be some significant changes, because of these reviews and there does seem to be an optimistic feeling in the air that the primary care sector is ready to act. However, even in the optimist camp, there is a sense that change will need to be ‘changed managed’ and if it needs to be ‘change managed’ the change will need to be scheduled over a period of time. In fact, the GP Incentives Consultation paper which is in line with the Government's &lt;b&gt;Primary Health Care 10 Year Plan 2022–2032&lt;/b&gt;&lt;span&gt;&lt;sup&gt;1&lt;/sup&gt;&lt;/span&gt; anticipates changes over the best part of the next decade (up to 2032). Given the extent of the recommendations proposed, it is no doubt realistic, that significant change is not going to be in the short term.&lt;/p&gt;&lt;p&gt;There is one other major policy and funding piece that has the potential to lead on reforming how health, and importantly primary care, can be supported in rural communities.&lt;/p&gt;&lt;p&gt;&lt;b&gt;The National Health Reform Agreement (NHRA)&lt;/b&gt; is an agreement between the Australian Government and all state and territory governments and through this agreement, the Australian Government contributes funds to the states and territories for public hospital services. This includes services delivered through emergency departments, hospitals and community health settings.&lt;/p&gt;&lt;p&gt;To date there has only been limited scope in these agreements for innovation particularly in the area of primary health care. The current NRHA covers the period 2020–2025. A mid-term review of this current set of agreements was ","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajr.13193","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142429092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Differences in survival of patients with multiple myeloma in rural versus metropolitan regions: Analysis of population data of an Australian local health district.","authors":"Sylvia Ai, Amarinder Thind, Gurdeep Parmar","doi":"10.1111/ajr.13189","DOIUrl":"https://doi.org/10.1111/ajr.13189","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study is to determine if there are differences in outcome for patients diagnosed with multiple myeloma in a rural setting compared to a metropolitan setting and which factors influence these outcomes.</p><p><strong>Design: </strong>Retrospective cohort study.</p><p><strong>Setting: </strong>Illawarra Shoalhaven Local Health District.</p><p><strong>Participants: </strong>A total of 391 patients diagnosed with multiple myeloma between 2000 and 2022.</p><p><strong>Main outcome measures: </strong>Treatment and survival outcomes of these patients.</p><p><strong>Results: </strong>Patients being treated in a rural cancer care centre had lower overall survival compared to those treated at a metropolitan cancer care centre (median OS = 44.4 months vs. 80.2 months, p = 0.002), despite access to similar treatments by the same group of haematologists. There was a significantly higher rate of upfront autologous transplantation (38% vs. 20%, p = 0.001) and higher rate of inclusion in clinical trials (16% vs. 7%, p = 0.021) in patients treated at a metropolitan cancer care centre compared to the rural cancer care centre.</p><p><strong>Conclusions: </strong>Multiple myeloma patients treated at a rural centre had shorter survival compared to patients treated at a metropolitan centre, and this may be related to lower rates of autologous transplantation and inclusion in clinical trials.</p>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Features of culturally and linguistically relevant speech-language assessments for Indigenous children: A scoping review.","authors":"Zoe E Higgins, Pascal Lefebvre","doi":"10.1111/ajr.13188","DOIUrl":"https://doi.org/10.1111/ajr.13188","url":null,"abstract":"<p><strong>Introduction: </strong>Indigenous children may be at higher risk of being misdiagnosed with speech-language difficulties due to Eurocentric practices in health care and education. The use of conventional speech pathology assessment practices contributes to inappropriate disorder identification, further stigmatising a vulnerable population. Few resources are available for speech pathologists, which examine the cultural and linguistic relevance of assessments for this population.</p><p><strong>Objective: </strong>To provide important features for speech pathologists to account for when building assessment plans for Indigenous children.</p><p><strong>Design: </strong>This comprehensive scoping literature review was completed using the Arksey and O'Malley 6-step methodological framework, including the optional consultation exercise, and reported using the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. To be included, studies needed to have been published since 2000, discuss speech-language assessments and involve a significant proportion of Indigenous participants under 7 years old.</p><p><strong>Findings: </strong>Three features were extracted from 32 studies that discussed First Nations, Métis, Inuit, Native American, Aboriginal and Torres Strait Islander communities: using a battery of resources including alternative approaches, ensuring authenticity and cultural relevance, and considering a child's linguistic characteristics.</p><p><strong>Conclusion: </strong>While there remains a need to adapt according to a specific child's reality, this study provides a guideline for all allied health clinicians when they are building their culturally and linguistically relevant assessment plans.</p>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142332876","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The role of the play therapist in supporting children and families following a natural disaster: A scoping review","authors":"Nicole Nilsson MCPT,&nbsp;Natalie Hadiprodjo PhD,&nbsp;Judi Parson PhD","doi":"10.1111/ajr.13186","DOIUrl":"10.1111/ajr.13186","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The predicted rise in weather-related disasters indicates that many Australian children and their families will be affected by these events in the future. Play therapy, an emerging profession in Australia, may provide valuable support to children exposed to these events.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A scoping review was designed to map the existing literature and the role of the play therapist in supporting children (aged 3–12 years) and families following natural disasters, and to formulate a model to guide play therapists in the future.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A systematic search of the literature was performed and a total of 25 articles were identified as relevant to the role of the play therapist in response to natural disasters.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Play therapists must be mindful of the different phases of natural disaster response and how their role may vary across these phases. In the early stages post-disaster, a play therapist may be involved in psychoeducation, facilitating therapeutic play and community involvement. More formal clinical play therapy interventions that focus on the individual child or family are better suited to the latter stages of disaster response. There is a need for further research into the impact of natural disasters on children and families and interventions that aid mental health and well-being, especially for children who may be more vulnerable and potentially overlooked in the wake of such disasters. Further research is also needed into the effectiveness of play therapy as a post-disaster intervention for children.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajr.13186","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301516","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Key success factors in implementing allied health outreach services","authors":"Julie Cullenward B.Appl.Sci(OccTher),&nbsp;Lisa Hall B.Appl.Sci(SpeechPath),&nbsp;Amanda Cook B.Appl.Sci(OccTher),&nbsp;Donna Ambler MA(OrgComm),&nbsp;Brittany Cleary MA(SocialImpact),&nbsp;Tim Smith,&nbsp;Matt Thomas PhD(ClinPsych)","doi":"10.1111/ajr.13183","DOIUrl":"10.1111/ajr.13183","url":null,"abstract":"&lt;p&gt;Clinicians who provide outreach services to remote communities often encounter barriers to engaging with local people.&lt;span&gt;&lt;sup&gt;1, 2&lt;/sup&gt;&lt;/span&gt; Factors contributing to poor engagement include unwelcoming health settings, inflexible approaches to service delivery, a sense of alienation, poor understanding of services and referral pathways, long wait lists, inadequate care coordination and mistrust of mainstream health care.&lt;span&gt;&lt;sup&gt;1-3&lt;/sup&gt;&lt;/span&gt; However, there are effective ways of working with people in remote communities, which can build trust and authentic engagement.&lt;span&gt;&lt;sup&gt;4-6&lt;/sup&gt;&lt;/span&gt; This article provides a case study that highlights some key success factors that enabled engagement, and positive outcomes and experiences for people needing to access health and disability services in a remote community.&lt;/p&gt;&lt;p&gt;In 2023, our organisation was approached by Birrang Enterprise Development to provide Allied Health (Occupational Therapy [OT] and Speech Pathology [SP]) services in a remote rural community in NSW. Our approach to developing and delivering our clinical outreach services was drawn from the Wobbly Hub Rural and Remote Person-Centred Approach model.&lt;span&gt;&lt;sup&gt;7&lt;/sup&gt;&lt;/span&gt; This model enables people in remote communities to access the health and disability services they want and need by first asking ‘What would make a good life?’&lt;span&gt;&lt;sup&gt;8&lt;/sup&gt;&lt;/span&gt; In summary, our Allied Health clinicians used this model to take a flexible person-centred approach with each person seeking a service and sought to understand what existed locally, what the outreach service brings, what we travel for and what can be accessed online.&lt;span&gt;&lt;sup&gt;7, 8&lt;/sup&gt;&lt;/span&gt;&lt;/p&gt;&lt;p&gt;Prior to implementing outreach services, our approach first focused on engaging at an organisational level with local service providers and leaders to clarify the local needs, budget available and agree on the scope of the outreach service to be delivered, through a codesign process.&lt;span&gt;&lt;sup&gt;9&lt;/sup&gt;&lt;/span&gt; This was an important first step that established the scope and expectations of the Allied Health outreach service and enabled our clinicians to maximise the effectiveness of their work within the community using the principles of the Wobbly Hub model.&lt;/p&gt;&lt;p&gt;Our Allied Health clinicians travelled to the community across two phases. In Phase 1, outreach clinicians conducted two visits to the remote community. In these first two visits, the outreach clinicians met with the clients who were referred (children and adults, hereafter referred to as person we are working with, or person/people). The clinicians had conversations in which each person identified what they wanted to talk about. The clinicians aimed to build rapport and trust by listening and respecting the person and asking what they wanted or needed to do.&lt;span&gt;&lt;sup&gt;7, 8&lt;/sup&gt;&lt;/span&gt; The outreach clinicians made a plan with each person for ‘What's next’. This was documented in a one-page easy English Assessment Sum","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajr.13183","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Building the private practice workforce in the Northern Territory: Barriers and facilitators for implementation of the allied health assistant role.","authors":"Lori Roberts, Bea Staley, John Callanan, Kristy Logan","doi":"10.1111/ajr.13187","DOIUrl":"https://doi.org/10.1111/ajr.13187","url":null,"abstract":"<p><strong>Objective: </strong>To identify barriers and facilitators contributing to the successful implementation of the allied health assistant role in private disability practice to better meet population needs.</p><p><strong>Design: </strong>A qualitative case study.</p><p><strong>Setting: </strong>This study was completed with staff working in private disability practices in a regional context in the Northern Territory.</p><p><strong>Participants: </strong>Eight participants were interviewed, including three allied health assistants, three allied health professionals, and two managers with allied health backgrounds.</p><p><strong>Results: </strong>More barriers were reported than facilitators, with four key themes identified. Financial risk was a barrier when employing allied health assistants. This risk was mediated by providing part-time employment or having allied health assistants in dual roles. Reduced confidence from allied health professionals and assistants to complete delegation work was the second barrier. A facilitator was increasing allied health assistants' task variation, which participants reported increased retention. Finally, a positive working relationship between allied health professionals and assistants facilitates delegation.</p><p><strong>Conclusion: </strong>This research offers private disability providers insight into the realities of employing an allied health assistant. It also suggests that formal training programs for both allied health assistants and professionals require increased focus on delegation in the private disability sector. On a government level, a review of the NDIS price guide for allied health assistant rates is needed if private providers are to better meet the requirements for NDIS participants in regional areas.</p>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142301512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}