Australian Journal of Rural Health最新文献

{"title":"Feasibility and Acceptability of the Living My Life Program for Rural and Remote Stroke Survivors","authors":"Sarah M. Jackson, Lucy M. Byrnes, Shaun D. Solomon, Bridee A. Neibling, Louise F. Brown, Ian M. Atkinson, Ruth N. Barker","doi":"10.1111/ajr.70166","DOIUrl":"10.1111/ajr.70166","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Determine feasibility and acceptability of the Living My Life Program from the perspective of rural and remote stroke survivors and identify refinements required.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting</h3>\u0000 \u0000 <p>Queensland, Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>Adults diagnosed with stroke > 6 months prior, living at home, and willing to use videoconferencing technology.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Pragmatic mixed methods multiple case study design, incorporating elements of grounded theory and action research.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Intervention</h3>\u0000 \u0000 <p>Twelve-week online program designed to support stroke survivors to recover their way, in their world, using technology.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main Outcome Measure(s)</h3>\u0000 \u0000 <p>Feasibility (Q1-3) and acceptability (Q4) were assessed according to minimum success criteria to answer the following key questions: were stroke survivors able to: (Q1) participate in the Program as intended? (Q2) use technology to participate? (Q3) measure their progress according to what mattered to them? and (Q4) did stroke survivors find the Program acceptable?</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four of 5 participants completed the Program using everyday technologies; one did not complete due to illness. Participants measured their progress using the Patient-Specific Functional Scale, with improvement reported in ≥ 1 goal(s). The Program was highly acceptable (Acceptability of Intervention Measure: median 20/20, range 18–20). Participants felt they could fit the Program into their lives easily, enabling them to drive their recovery and make progress towards what mattered to them. Refinements were incorporated during piloting or noted for future development.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The Living My Life Program was feasible and acceptable from the rural and remote stroke survivors' perspective. The next step is to offer the Program to stroke survivors from diverse cultures and with varying stroke-related impairments and severity to determine its broader applicability.</p>\u0000 </section>\u0000 ","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"34 2","pages":""},"PeriodicalIF":2.1,"publicationDate":"2026-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13055121/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147629342","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 Perceptions of Victorian Rural Community Pharmacists on the Dispensing and Supply of Vapes for Smoking Cessation and Nicotine Dependence: A Qualitative Study.","authors":"Eva BurtonClay-McMahon, Virginia Dickson-Swift, Richard Summers, Mwila Kabwe, Joseph Tucci","doi":"10.1111/ajr.70190","DOIUrl":"10.1111/ajr.70190","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the perceptions of pharmacists in regional and rural Victoria in response to legislative changes stipulating that vapes for management of smoking cessation and nicotine dependence can only be sold at participating pharmacies.</p><p><strong>Setting: </strong>Regional and rural locations in Victoria, Australia.</p><p><strong>Participants: </strong>Fifteen registered pharmacists all currently working in rural community pharmacies, recruited through professional networks.</p><p><strong>Design: </strong>A qualitative descriptive study utilising semi-structured interviews with pharmacists was undertaken between June and August 2025. Interviews were audio-recorded and transcribed verbatim. Thematic analysis was undertaken and supported by NVivo 15.</p><p><strong>Results: </strong>The interviews highlighted that while some pharmacists were clear about the supply of therapeutic vapes as part of their role in supporting smoking cessation and harm minimisation, some reported clinical, ethical and system-level concerns with supplying vapes. Others reported concerns for personal safety and liability and highlighted the impact that supplying vapes has on workflows within the pharmacy.</p><p><strong>Conclusion: </strong>Overall, pharmacists expressed significant uncertainty and mixed views regarding the supply of therapeutic vapes in community pharmacy. Concerns centred on limited evidence, professional responsibility, regulatory clarity and workflow pressures. While some recognised potential harm-reduction benefits, greater consultation, clearer guidelines, stronger evidence and targeted education are needed to support safe and confident implementation.</p>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"34 2","pages":"e70190"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13060006/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147635244","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":"Consolidating Interprofessional Learning Using an Escape Room in a Briefcase Activity in a Rural Setting.","authors":"Kate Beyer, Lucy Parker, Christine O'Connell, Dayle Osborn, Kirsten Middleton, Emma Gordon, Flora Rolf, Anthony Fallon","doi":"10.1111/ajr.70196","DOIUrl":"10.1111/ajr.70196","url":null,"abstract":"<p><strong>Objective: </strong>The Escape Room in a Briefcase (ERiB) is a highly portable activity for students to observe and practice interprofessional practice competencies. The ERiB was incorporated into a University Department of Rural Health's Student Workshop in Interprofessional Education (SWIPE) to facilitate delivery of effective interprofessional education (IPE) to students on placement in rural and regional locations. The evaluation aimed to understand the students' gaming experience and improvement in understanding of interprofessional competencies and to gain feedback about the ERiB activity.</p><p><strong>Setting: </strong>Health facility-based education rooms across six different locations in the Darling Downs and Southwest Queensland.</p><p><strong>Participants: </strong>Eighty-seven university students who were undertaking a clinical placement for a health degree in the Darling Downs or Southwest Queensland participated in one of 13 SWIPE sessions over a 2-year period.</p><p><strong>Design: </strong>The research utilised an interpretivist approach to qualitative design, with data collected via semi-structured focus groups with students after the ERiB activity.</p><p><strong>Results: </strong>Analysis revealed four key themes: frustration during teamwork, collaborative capability, situational humility and intrinsic motivation, which were interpreted as core capabilities underpinning interprofessional practice.</p><p><strong>Conclusion: </strong>The ERiB activity is an exciting and innovative method that provides IPE opportunities for students on placement in any location. This interactive activity appears to succeed as an effective IPE tool, facilitating skills in communication, teamwork and collaboration.</p>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"34 2","pages":"e70196"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13093122/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724727","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":"Perceptions of Improved Wellbeing and Social Isolation Among Medical Students During Rural Clinical School (RCS) Placements: A Six-Year Analysis.","authors":"Minha Lee, Zelda Doyle, Tracy McFarlane, Jodie Bailie, Peter Simmons, Sari Dewi, Uchechukwu Levi Osuagwu","doi":"10.1111/ajr.70195","DOIUrl":"10.1111/ajr.70195","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the trends in the perceived social isolation and improved wellbeing of Australian medical students over a 6-year period (2017-2022) during their rural clinical school (RCS) placements.</p><p><strong>Methods: </strong>Data were analysed using descriptive statistics and multinomial logistic regressions to identify the trends and factors contributing to perceived social isolation and improved wellbeing during RCS placements.</p><p><strong>Design: </strong>This is a retrospective, cross-sectional study of the 2017-2022 FRAME (Federation of Rural Australian Medical Educators) dataset.</p><p><strong>Participants: </strong>Data were collected from 2915 Australian medical students who completed RCS placements.</p><p><strong>Setting: </strong>Respondents were located at RCS placements across 19 Australian universities.</p><p><strong>Main outcome measures: </strong>The main outcomes were self-reported social isolation and improvement in wellbeing.</p><p><strong>Results: </strong>Over 30% of respondents reported experiencing social isolation. Factors contributing to social isolation were preference to practice in a capital city and lack of financial or overall support from the RCS, while lack of academic isolation was protective. More than 80% of respondents perceived the RCS placement had a positive impact on their wellbeing. Positive influences on wellbeing were associated with active role-modelling of self-care, support services and mentorship by a rural-based clinician. The COVID-19 years did not significantly impact perceived social isolation or improved wellbeing.</p><p><strong>Conclusions: </strong>Most medical students on RCS placements reported positive impacts on their wellbeing, while over 30% experienced social isolation. Targeted support strategies that reduce social isolation and enhance student wellbeing on rural placements may help improve rural workforce retention and address healthcare shortages.</p>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"34 2","pages":"e70195"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13093008/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724820","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":"Assessing the Effect of Rural Placements Through a Pre-Post Approach With Different Temporal Targets: Are We Converting or Sustaining?","authors":"Claire Ellen Seaman, Elyce Green","doi":"10.1111/ajr.70176","DOIUrl":"10.1111/ajr.70176","url":null,"abstract":"<p><strong>Background: </strong>Rural placements are a key strategy to attract health students to rural practice. It is important that robust research methods are used to assess the effect of placements on rural career intentions to inform resource allocation and student supports.</p><p><strong>Objectives: </strong>This study explored the utility of a novel rural attitude measurement approach to evaluate the direct impact of rural placements on students' perceptions and intentions. It also examined whether anticipated differences between students from city and rural backgrounds emerged across various future temporal reference points. Finally, the research investigated the characteristics of students who demonstrated desirable rural placement outcomes, specifically those who either 'converted' to or 'sustained' an early career attraction to rural practice.</p><p><strong>Method: </strong>This research employed a pre-post cohort design, surveying health students who were commencing an Australian rural placement. Participants included those from Charles Sturt University as well as students from other universities receiving support from Three Rivers Department of Rural Health. A total of 163 matched pre- and post-placement surveys were collected. The survey measured ratings of the attractiveness of living and working outside of a Major City area across two future timepoints: (1) during the early years of practice (1-3 years after graduation) and (2) after establishing a career (10-15 years after graduation), using an 11-point scale.</p><p><strong>Results: </strong>Most respondents were from a rural background (78%), 29% had care responsibilities, and 36% were aged 30 years and older. Overall, only mid-career attraction significantly increased from pre-placement levels; however, important differences were identified among subgroups.</p><p><strong>Conclusions: </strong>Rural placement experiences serve a 'sustaining' function for those already committed to, and likely located in, rural areas. The desired 'converting' effect of rural placements may be constrained under current RHMT Program scope for health students, especially those from city areas.</p>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"34 2","pages":"e70176"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13067073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647615","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":"Local Pain Collectives: A Novel Strategy for Improving Pain Knowledge, Pain Care and Community Connectedness in Rural Settings.","authors":"Ashley R Grant, Tanushka Alva, Mouli Baralaman, Shelley Barlow, Mieke Boerema, Charlotte Byrnes, Stuart Canavan, Jessica Fishburn, Kal Fried, Kate Johnson, Parivesh Kumar, Phil Ladlow, Alison Mattock, Abbie Norrish, Peter Roberts, Karina Savur, Sophie Shephard, Alex Stronach, Lauren Young, Emma L Karran, Dianne Wilson, Carolyn Berryman, G Lorimer Moseley","doi":"10.1111/ajr.70189","DOIUrl":"https://doi.org/10.1111/ajr.70189","url":null,"abstract":"<p><strong>Objective: </strong>To present key discussion points from a workshop where attendees reflected on personal and professional development achievements gained through their involvement in Pain Revolution's 'Local Pain Collectives' program.</p><p><strong>Design: </strong>Reflexive thematic analysis of notes written by workshop attendees and key points discussed during workshop activities.</p><p><strong>Setting: </strong>An in-person workshop was held in Melbourne, Victoria.</p><p><strong>Participants: </strong>A cohort of Pain Revolution Local Pain Collective facilitators, their mentors and Pain Revolution's executive team.</p><p><strong>Results: </strong>Twenty-eight meeting attendees (19 facilitators, six mentors and three executive team members). Facilitators reported gaining increased knowledge of contemporary pain science, greater confidence communicating with other healthcare providers and improved interactions with their patients. Further, they related that their local collective members reported similar improvements in their understanding of pain and their patient interactions. They described that their collectives enabled new professional connections, enhanced a sense of belonging to a community of like-minded healthcare providers and increased collaborative pain care in their communities.</p><p><strong>Conclusions: </strong>The increased connection, sense of belonging to a community of like-minded healthcare providers, and formation of collaborative care networks are all important program impacts given the lack of existing literature regarding interventions targeting professional isolation.</p>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"34 2","pages":"e70189"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13101569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147790041","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":"Correction to \"Experiences and Impact of a Rural Australian High-Risk Foot Service: A Multiple-Methods Study\".","authors":"","doi":"10.1111/ajr.70181","DOIUrl":"https://doi.org/10.1111/ajr.70181","url":null,"abstract":"","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"34 2","pages":"e70181"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147582960","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":"A Role for Public Health Training Through the Funding of University Departments of Rural Health.","authors":"Sandra C Thompson, Lisa Bourke","doi":"10.1111/ajr.70191","DOIUrl":"10.1111/ajr.70191","url":null,"abstract":"<p><strong>Aim: </strong>This commentary articulates the need for strengthened public health training and workforce development in rural and remote Australia, arguing that investment in preventive, community-centred public health is essential to addressing longstanding health inequities. Rural and remote communities experience disproportionately high burdens of chronic disease, injury and premature mortality that are inadequately addressed within a health system that prioritises clinical care over population-level approaches.</p><p><strong>Context: </strong>The authors situate this argument within the historical and contemporary context of rural disparities and rural health workforce policy. While University Departments of Rural Health (UDRHs) have long supported interprofessional rural training, the 2016 Rural Health Multidisciplinary Training (RHMT) programme narrowed eligible disciplines and excluded public health.</p><p><strong>Approach: </strong>The paper argues for strengthening rural public and preventive health within RHMT to build a locally embedded workforce capable of addressing the social, environmental and economic determinants of health. This includes supporting culturally safe, community-led public health training in First Nations communities and recognising that local leadership and knowledge systems are central to effective solutions. The authors highlight systemic underinvestment in rural public health, noting limited health workforce, inadequate preventive infrastructure and a misalignment between national strategies and on-the-ground capacity.</p><p><strong>Conclusion: </strong>Achieving rural health equity requires renewed policy commitment to public health within the rural health training pipeline. Enabling public health students to train in rural areas alongside clinical students offers a cost-neutral, immediately implementable step towards building a capable, community-connected, prevention-oriented rural health workforce.</p>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"34 2","pages":"e70191"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13066722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647560","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":"Optimising Longer-Term Training for General Practitioners in Rural Aboriginal Medical Services.","authors":"Patrick Giddings, Belinda O'Sullivan, Matthew McGrail, Marlene Drysdale, David Baker, Veeraja Uppal","doi":"10.1111/ajr.70194","DOIUrl":"10.1111/ajr.70194","url":null,"abstract":"<p><strong>Aims: </strong>This commentary explores the evidence and experience of the Remote Vocational Training Scheme (RVTS) to reflect on the long-term training of general practitioners (GPs) and rural generalists (RGs) within rural Aboriginal Medical Services (AMS).</p><p><strong>Context: </strong>Aboriginal Community Controlled Health Organisations (ACCHOs) and their AMSs provide culturally informed, holistic health services that directly and indirectly address a breadth of primary and preventative healthcare for First Nations communities. However, commonly only short-term and specialised GP/RG training posts are available in these settings, which contrasts with the continuity of care and stable workforce often required in First Nations communities. The Remote Vocational Training Scheme (RVTS) has over 10 years of evidence and experience in implementing a rural AMS training stream, providing 3-4 years of continuous training for GPs/RGs based in the same AMS.</p><p><strong>Approach: </strong>This paper reflects on the lessons learnt by the RVTS leadership team and the evidence from an independent evaluation to inform longer-term training of GP/RGs in rural AMSs across the sector. At the time of the evaluation in November 2023, the AMS stream had enrolled 71 doctors, 36 of whom had completed training in the same AMS, with 14 participants still in training. The commentary offers valuable insights into the design, delivery and outcomes of the program, providing guidance for broader implementation of longer-term training.</p><p><strong>Conclusion: </strong>Longer-term rural AMS training provides valuable learning to trainees whilst ensuring continuity of care and medical workforce stability for First Nations communities. It could be enhanced by incorporating selection and training conditions that prioritise holistic, retention-focused support for trainees.</p>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"34 2","pages":"e70194"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13094321/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147724683","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":"Addressing Older Adults' Sexual Health Needs in Regional Primary Care: A Qualitative Study of Barriers and Enablers.","authors":"Louise Bourchier, Lauren Ware, Meredith Temple-Smith, Jane S Hocking, Jane Tomnay, Sue Malta","doi":"10.1111/ajr.70183","DOIUrl":"10.1111/ajr.70183","url":null,"abstract":"<p><strong>Objective: </strong>To explore whether sexual health is discussed in regional settings between primary care clinicians (General Practitioners (GPs) and Practice Nurses (PNs)) and older patients (aged 60 and over), and the barriers and enablers of sexual healthcare for older adults in regional areas.</p><p><strong>Setting: </strong>Participants were based throughout regional Victoria, with all five regions of Victoria represented.</p><p><strong>Participants: </strong>Two participant groups were included: older adults aged 60 and over, and primary care clinicians (GPs and PNs). Nine older adults (5 women, 4 men, ranging in age from 60 to 87 years), and 8 clinicians (4 women, 4 men, 6 GPs and 2 PNs) were interviewed.</p><p><strong>Design: </strong>Data were collected via semi-structured interviews between July and December 2024. Data were analysed using qualitative content analysis.</p><p><strong>Results: </strong>Sexual health conversations were rare and ad-hoc between older adults and primary care clinicians. Key barriers for both groups included stigma around sexual activity and ageing, privacy concerns in small communities, high staff turnover, and structural challenges such as cost and time. Key enablers for both groups included telehealth, systematic inclusion of sexual health in routine care such as the 75+ health check, training for regional clinicians, and health promotion campaigns for older adults living regionally.</p><p><strong>Conclusion: </strong>Older adults and primary care clinicians agree that sexual health is important to older adults' quality of life, although such conversations are rarely prioritised. This study offers suggestions for clinicians to broach sexual health so that it stays on the agenda as part of older patients' overall care within regional primary care.</p>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"34 2","pages":"e70183"},"PeriodicalIF":2.1,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13047243/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147610674","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}