Australian Journal of Rural Health最新文献

{"title":"Retrospective Cohort Study to Determine the Effect of Socioeconomic Status and Distance to Hospital on Negative Appendicectomy Rates in a Rural Setting","authors":"Roy Huynh,&nbsp;Kevin Tree,&nbsp;Matthew Smith,&nbsp;Lily Builth-Snoad,&nbsp;Faisal Syed,&nbsp;Dean Fisher","doi":"10.1111/ajr.70026","DOIUrl":"https://doi.org/10.1111/ajr.70026","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The impact of socioeconomic status and distance to hospital on negative appendicectomy rates is unknown. These factors have been shown to be important predictors of health in a rural setting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To determine whether socioeconomic status and road distance to hospital were risk factors for negative appendicectomy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A retrospective analysis of all appendicectomies at a large rural hospital in Australia between January 2018 and December 2022 was performed. Patients' data were extracted from electronic medical records. Regression modelling was performed to determine whether socioeconomic status and road distance to hospital were risk factors for negative appendicectomy. The surgical outcomes for negative and positive appendicectomies were compared.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 830 patients were included in our analysis, of which 106 (12.8%) had negative appendicectomy. The rate of negative appendicectomy was not significantly impacted by socioeconomic status (OR = 1.004, 95% CI 0.989–1.20, <i>p</i> = 0.583) or road distance to hospital (OR = 1, 95% CI 0.998–1.001, <i>p</i> = 0.635). There was no significant difference in complications and 30-day readmission rates between patients in the negative and positive appendicectomy groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>In a rural setting, the risk of negative appendicectomy does not increase with lower socioeconomic status and longer road distance to hospital. This challenges the prevailing notion that rural surgeons have a lower threshold to operate on patients with lower socioeconomic status or who live further away from hospitals due to the perception that these patients have less access to healthcare.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"33 2","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajr.70026","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143595265","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":"The Community's Role in Rural Youth Suicide Prevention: Perspectives From the Field","authors":"Laura Grattidge,&nbsp;Ha Hoang,&nbsp;Jonathan Mond,&nbsp;Denis Visentin,&nbsp;David Lees,&nbsp;Stuart Auckland","doi":"10.1111/ajr.70024","DOIUrl":"https://doi.org/10.1111/ajr.70024","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study explored how rural communities can be involved in suicide prevention efforts for young people aged 12–25. It provides a focus on who is best placed to drive these efforts and what support these people need to implement initiatives in their communities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting</h3>\u0000 \u0000 <p>The research was conducted across Australia, with a focus on rural areas, where suicide rates are higher due to unique challenges, including geographic isolation, stigma and limited access to health services. These areas require community-driven solutions tailored to local contexts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>Thirty-seven participants aged 29–72 contributed insights, with diverse professional roles and lived experiences in rural youth suicide prevention, including service providers, programme leaders, researchers and policymakers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A qualitative approach was used, with semi-structured interviews and focus groups conducted between January and September 2021. Data were thematically analysed using a reflective approach to identify key factors supporting rural youth suicide prevention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Two key themes emerged: (1) Program planning and implementation: highlighting the need for adaptable, stigma-sensitive and culturally responsive approaches, and (2) Breaking down silos: emphasising collaboration between schools, families, health services and community leaders. Trusted local figures such as teachers, sports coaches and peers were identified as crucial for fostering engagement and early intervention. Lived experience voices were recognised as integral to co-designing and sustaining community-led efforts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Rural communities are central to youth suicide prevention. By leveraging local relationships, addressing stigma and fostering collaboration, communities can create supportive environments that save lives. Policy and practice must prioritise funding and resources for community-led, culturally sensitive approaches.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"33 2","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajr.70024","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143581599","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":"Connections Reduce Rheumatic Heart Disease-Related Mortality in Western Australia: A Mixed Methods Study","authors":"Virginia DeCourcy,&nbsp;Daniel Hunt,&nbsp;Ingrid Stacey,&nbsp;Emma Haynes,&nbsp;Beverley Paterson,&nbsp;Clare Huppatz,&nbsp;Marisa Gilles,&nbsp;Judith Katzenellenbogen","doi":"10.1111/ajr.70022","DOIUrl":"https://doi.org/10.1111/ajr.70022","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Preventable rheumatic heart disease (RHD) deaths continue to occur in Australia, with Aboriginal people disproportionately affected. Despite research into structural drivers and the lived experience of people with RHD, and national guidelines focusing on RHD prevention and treatment, recent coronial inquests have highlighted that systemic failures are ongoing. Few studies describe RHD service delivery and/or mortality within the Western Australian (WA) context.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aimed to integrate quantitative information regarding RHD-related deaths in WA between 2012 and 2021 with qualitative interview data to identify system-level opportunities for the prevention of RHD-related mortality in the WA health care setting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Using quantitative data from the WA RHD register, a descriptive analysis of the clinical and demographic characteristics of RHD patients aged &lt; 65 years was conducted, stratified by vital status. Thematic qualitative analysis of RHD stakeholder interviews was conducted in parallel, capturing systemic factors perceived to prevent or contribute to RHD-related mortality in WA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Limited health service contacts were documented for the 60 registered-recorded deaths among people with RHD. Interviewees emphasised that access to appropriate care was vital to prevent mortality. Passionate healthcare providers connect patients with care by fostering trusting relationships, but logistical, socio-cultural and care quality barriers continue to hamper connections.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Systemic change is needed in WA to support motivated providers and ensure that efforts to reduce RHD mortality do not rely on individual initiatives. This study contributes evidence for the need to improve RHD program design by prioritising patient-provider connections, empowering, and resourcing providers to effectively engage with RHD patients.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"33 2","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajr.70022","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143581679","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":"What Makes for Healthy Ageing in the Torres Strait?","authors":"Chenoa Wapau,&nbsp;Malcolm McDonald,&nbsp;Fintan Thompson,&nbsp;Rachel Quigley,&nbsp;Sarah G. Russell,&nbsp;Betty Sagigi,&nbsp;Gavin Miller,&nbsp;Tania Korinihona,&nbsp;Edward Strivens","doi":"10.1111/ajr.70020","DOIUrl":"https://doi.org/10.1111/ajr.70020","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Many studies focus on impediments to healthy ageing, but few examine factors leading to healthy ageing. Whilst many older First Nations people are ageing well, few studies have examined this issue in First Nations people. This study examined indicators associated with healthy ageing in the Torres Strait region of Queensland, Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data from a Torres Strait Dementia Prevalence Study (2015–2018) were used to explore indicators of healthy ageing in 249 participants. A specific Torres Strait Healthy Ageing Index was created, based on 10 indicators from the dataset. One point was assigned for each indicator, with higher scores representing healthier ageing. This Index was then used to assess healthy ageing in a subset of participants aged 70 years and older.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Healthy ageing scores were higher in younger people. However, among 80 people aged ≥ 70 years, many were ageing well according to the healthy ageing index, with 44% scoring 7–8 and 28% scoring 9–10. Age-adjusted analyses identified that more education, lack of vascular risk factors, good medication prescribing patterns, absence of stroke and geographic location were all associated with a higher healthy ageing index.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Our study suggested that many older First Nations residents of the Torres Strait region were ageing in a healthy way, based on the indicators available. The results showed both predictable and unexpected associations with healthy ageing. Stroke prevention stood out as a key priority. These results highlight the need for prospective population studies to better understand, promote and celebrate healthy ageing in this population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"33 2","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajr.70020","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143565019","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":"Learnings From the Front Line: Early Implementation Experiences of the Central Queensland Foot Hub Virtual Multidisciplinary Team Model-of-Care","authors":"Shanal Kumar,&nbsp;Amy Walker,&nbsp;Caitlin Leech,&nbsp;Emma Powell,&nbsp;Ruth Varrall,&nbsp;Siobhan Ramsay,&nbsp;Rebecca Searle,&nbsp;Sarah Jensen","doi":"10.1111/ajr.70014","DOIUrl":"https://doi.org/10.1111/ajr.70014","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The ‘Central Foot Hub’ was operationalised in mid-February 2024 to provide multidisciplinary team (MDT) support from the Royal Brisbane and Women's Hospital (RBWH) to three hospital and health services (HHS) across Central Queensland. This model aimed to enhance diabetes-related foot disease (DFD) care by integrating virtual and local MDTs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study presents early implementation learnings from frontline clinicians involved in the co-design, implementation and refinement of this innovative model-of-care (MOC).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A preparatory phase involved stakeholder engagement, service mapping and funding allocation to RBWH for recruitment. Site preparedness varied, influencing referral rates. A mixed-methods approach was used to evaluate challenges and successes, with input from local end-users.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Key enablers included local champions, collective leadership and integration with existing providers. At Rockhampton Base Hospital, the MDT expanded subsequently improving care coordination. However, challenges such as funding constraints, hybrid health information systems, and technological barriers affected implementation. Discipline-specific insights highlighted the need for structured communication, local workforce expansion and ongoing refinement of MOC.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The Central Foot Hub enhanced access to specialist care and optimised local service delivery for people living with DFD in Central Queensland. Sustainable scale-up will require additional funding, streamlined health information systems and continued collaboration between healthcare providers across HHS.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"33 2","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajr.70014","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143554312","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":"Patient Experience of a Student-Led Rural Indigenous Outplacement Dental Clinic","authors":"Sandra March,&nbsp;Clare Mangoyana,&nbsp;Ratilal Lalloo,&nbsp;Laurence J. Walsh","doi":"10.1111/ajr.70007","DOIUrl":"https://doi.org/10.1111/ajr.70007","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The study aimed to explore the patient view of care provided by a student-led rural Indigenous dental clinic and of service access.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Clinic patients voluntarily undertook a short exit survey on completion of their care. Participants were asked how they initially knew about the service and the location from which they had travelled to attend. A 5-point Likert scale ranging from Very Satisfied to Very Dissatisfied measured patient satisfaction with the dental clinic services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants (<i>n</i> = 159) age ranged from 18 years, with 49% (78/159) aged over 55, while 60% (96/159) were female. Indigenous status was identified by 48% (77/159) of survey participants. Referral by the local Indigenous Health Service was the primary means of introduction to the dental clinic for patients, with word of mouth second. Patients travelling from outside the local area accounted for 41% (66/159) of dental clinic clientele. An overwhelming 97.5% (155/159) ‘Very Satisfied’ response by participants indicated their unqualified acceptance and approval of the quality of student-led provision of oral healthcare services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Patients highly rated the students' oral healthcare provision. The clinic's presence greatly facilitated access to dental care for local area residents and Indigenous clients living geographically much farther afield.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"33 2","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajr.70007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143530414","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":"Supporting Rurally Dwelling Adults With Disabilities: The Experiences of Staff From Two Organisations in Western Australia During the COVID-19 Pandemic","authors":"Zoe Lawrence-Haughey,&nbsp;Monica Moran,&nbsp;Rohan Rasiah,&nbsp;Barbara Nattabi","doi":"10.1111/ajr.70023","DOIUrl":"https://doi.org/10.1111/ajr.70023","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The COVID-19 pandemic had a disproportionate impact on people with disabilities and people living in rural areas, worsening pre-existing inequalities. The objective of this study was to explore the experiences of disability support staff providing support to people with disabilities in rural Western Australia during the COVID-19 pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting</h3>\u0000 \u0000 <p>The two disability support organisations were located in a large rural town in Western Australia, approximately 400 km north of Perth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>Eleven employees from the organisations were recruited mid-2022 using non-random purposive sampling. Most participants were over the age of 40, two-thirds of the participants were female, and over half worked part time. Approximately half of the participants were administration and management staff, and around half had started working with their organisations less than 2 years prior to the research during the COVID-19 pandemic in 2020. Two participants were recruited from one organisation, and the remaining nine participants were recruited from the other.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>This qualitative study was conducted using semi-structured in-depth interviews. Three individual interviews and two group interviews were conducted via video-call software. Reflexive thematic analysis was used in data analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four major themes were identified: (1) burden of the pandemic, (2) difficulties with government pandemic response, (3) unclear work boundaries and difficult choices and (4) adapting to COVID-19. Participants reported several positive outcomes of the pandemic, including increased service innovation and an improved sense of community.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Future pandemic response could be improved by early consultation with the disability sector, utilisation of appropriate communication channels and anticipation of challenges unique to rural Australia.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"33 2","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajr.70023","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143530415","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":"Community Rehabilitation for Rural and Remote Australia: Measuring What Matters Based on the International Classification of Functioning, Disability and Health (ICF): A Scoping Review","authors":"Alice Cairns,&nbsp;Ruth Barker","doi":"10.1111/ajr.70017","DOIUrl":"https://doi.org/10.1111/ajr.70017","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To review the quantitative outcome measures that have been used to evaluate community rehabilitation services delivered across rural and remote Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A scoping review was completed and reported using the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) extension for Scoping Reviews.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Peer-reviewed, original research published between January 2010–September 2023 was searched using MEDLINE, PubMed, EMBASE, CINAHL, Scopus, Cochrane database, Joanna Briggs Library, PsychINFO, Web of Science and Google Scholar. Studies were selected if they involved allied health outpatient, subacute or nonacute services for Australian rural or remote dwelling populations. Participants were required to have an underlying impairment. Face-to-face or telehealth delivery <i>in</i> a rural and remote location was included. Measures were identified and then mapped to the ICF domains of activity and participation, as well as quality of life.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 27 studies were included that yielded 40 different outcome measures of activity, participation and/or quality of life. Few measures, however, were used consistently across studies, and even fewer demonstrated a significant change across more than one study. Most studies evaluated single interventions, and few studies evaluated the service model as a whole.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>To ensure robust evaluation of community rehabilitation services in rural and remote Australia, a core data set and common framework for evaluation of community rehabilitation services is required. The evaluation framework must ensure consistency in measurement that reflects rural and remote service models and takes into account the environment in which services are delivered.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"33 2","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajr.70017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143513777","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":"Child Development Allied Health Services in Rural and Remote Areas: A Systematic Scoping Review of Drivers, Barriers and Enabling Strategies to Delivery of Services","authors":"Georgia Gosse,&nbsp;Saravana Kumar,&nbsp;Helen Banwell,&nbsp;Anna Moran","doi":"10.1111/ajr.70010","DOIUrl":"https://doi.org/10.1111/ajr.70010","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Access to child development allied health services is challenging in rural and remote areas. A companion review has described the types of models of care that are used to deliver these services and their impact on the quality of healthcare.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This review aimed to identify service drivers for, and barriers and enabling strategies to the delivery of these services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A scoping review was conducted in alignment with the Joanna Briggs Institute methodology and PRISMA methodology. Data from included citations were thematically organised to describe and connect drivers, enabling strategies and barriers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Twenty-five citations met the inclusion criteria. Six key drivers were identified, four key enabling strategies and five key barriers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Most models of care were driven by the need to address the inadequacy of child development allied health services. Place-based strategies were described by most citations as key to enabling the delivery of new models of care. However, understanding the community's capacity for a new model of care was a prominent barrier to implementation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Findings from this review highlight the complexities of devising and delivering new models of care for children in rural and remote areas with developmental needs. While place-based approaches were the most widely adopted enabling strategy, these strategies presented their own challenges. Understanding community needs, capacity and assets from end-user (including children) perspectives is complex but should underpin designing and implementing models of care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"33 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajr.70010","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143475325","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":"Far From Help: Exploring the Influence of Regional and Remote Residence on Coastal Visitation and Participation, Risk Perception and Safety Knowledge and Practices","authors":"Ella G. Pratt,&nbsp;Amy E. Peden,&nbsp;Jasmin C. Lawes","doi":"10.1111/ajr.70018","DOIUrl":"https://doi.org/10.1111/ajr.70018","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To explore how self-reported coastal visitation, participation, risk perception, safety knowledge, experiences and safety practices differed between regional and remote, and major city residents to inform remoteness-specific coastal drowning prevention efforts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study used data obtained from the annual National Coastal Safety Survey from 2018 to 2023. Data were postweighted proportionally according to age, gender and Australian Statistical Geography Standard classification using 2021 census population data. Descriptive statistics and chi-square analyses were used to identify key differences in the behaviours, knowledge, and experiences of regional and remote respondents as compared to major city respondents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 14 210 respondents were included in this dataset. Regional and remote respondents were more likely to visit an unpatrolled beach, particularly when swimming/wading (<i>n</i> = 929, 42.3%; χ² = 502.14, <i>p</i> &lt; 0.001). However, similar proportions of regional and remote and major city respondents reported following safety practices on patrolled beaches. Regional and remote respondents were more likely to consider sea and weather conditions for all coastal activities, but there was little difference between remoteness groups regarding rip current identification, perceptions and experiences.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>This study demonstrates that future coastal safety research should consider the impact of remoteness to corroborate the findings of this study: that a significant contributor to the regional and remote drowning burden is a lack of access to patrolled beaches.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Regional and remote residents are more likely to frequent unpatrolled beaches but, if able to visit a patrolled beach, are just as likely as major city residents to adhere to safety practices.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"33 1","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajr.70018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143481452","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}