Australian Journal of Rural Health最新文献

{"title":"Decades on: Is It Time to Refine ‘Rural’ Entry Into Medical School?","authors":"Casey Stubbs, Jennifer Timmis, Bernadette Ward","doi":"10.1111/ajr.70055","DOIUrl":"https://doi.org/10.1111/ajr.70055","url":null,"abstract":"","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"33 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143925829","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":"Resilience-Focused Approaches for School-Age Australian First Nations Populations: A Systematic Review of Influential Factors","authors":"Sara Parsafar,&nbsp;Lydia Brodie,&nbsp;Robert Heirene","doi":"10.1111/ajr.70051","DOIUrl":"https://doi.org/10.1111/ajr.70051","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Building resilience has been identified as a key way to improve the wellbeing of children. However, there are currently no reviews of the evidence that explore factors influencing resilience in Australian First Nations School-age youth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>We aimed to review the literature on factors influencing resilience in school-age (5–19 years) Australian First Nations populations. We also explored how resilience is defined and operationalised, how factors identified mapped onto the Social and Emotional Wellbeing (SEWB) model and whether there were differences in factors depending on age and residential localities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>We conducted a systematic review of published peer-reviewed articles that included the identification or review of factors influencing resilience in our target population. We searched key databases and performed a narrative synthesis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Of the 1093 articles identified, 13 were found to meet inclusion criteria. Fifty-one different factors influencing resilience were identified across individual, interpersonal and community socio-ecological levels.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The 51 factors mapped cohesively onto the SEWB domains. There was inconclusive data to determine if factors were dependent on the participants' age and location. Key limitations of the literature on this topic included the limited number of available studies and the lack of definitions and consistent operationalisation of resilience within the few existing studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Our findings show the wide variety of factors that influence resilience in this population and demonstrate the importance of incorporating SEWB domains into wellbeing and resilience-focused programmes in Australian schools for First Nations populations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"33 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajr.70051","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143914229","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 Need for a Rural Surgeon Speciality Pathway in Australia and New Zealand","authors":"Gavin J. Carmichael,&nbsp;Joshua G. Kovoor,&nbsp;Brandon Stretton,&nbsp;Alexander Beath,&nbsp;John Kefalianos,&nbsp;Daksh Tyagi,&nbsp;Connor Bentley,&nbsp;Stephen Bacchi,&nbsp;Jonathan Henry W. Jacobsen,&nbsp;Weng Onn Chan,&nbsp;Aashray Gupta,&nbsp;Ammar Zaka,&nbsp;Silas D. Nann,&nbsp;Yuchen Luo,&nbsp;Matthew Marshall-Webb,&nbsp;Mathew O. Jacob","doi":"10.1111/ajr.70053","DOIUrl":"https://doi.org/10.1111/ajr.70053","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aims</h3>\u0000 \u0000 <p>This commentary aims to address the critical shortage of surgeons in rural Australia and propose the development of a sustainable rural surgical training pathway. By examining current healthcare disparities and workforce challenges, it highlights the need for locally trained and retained rural surgeons to improve health outcomes and reduce healthcare inequities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Context</h3>\u0000 \u0000 <p>Rural Australians experience significant healthcare disparities due to geographical isolation, lower socioeconomic status and limited availability of specialist care. The current model relies heavily on patient transfers to metropolitan centres, which are costly, logistically challenging and unsustainable. Current surgical training programmes offer some rural exposure; however, they remain metropolitan-centric, resulting in fewer surgeons practising in rural areas.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Approach</h3>\u0000 \u0000 <p>A dedicated rural surgical training pathway is proposed to address this gap. It would focus on selecting candidates with a demonstrated commitment to rural practice and provide tailored training, mentorship and guaranteed rural placements. Training must align with the specific healthcare needs of rural communities. Additionally, initiatives like the rural health equity strategy and regional training hubs must be supported by structural changes in the selection process to prioritise rural trainees.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Addressing the shortage of rural surgeons is essential to improving healthcare equity. A rural surgical training pathway can aid in long-term retention of surgeons in rural areas. This model supports both healthcare and economic sustainability, aligns with national rural health strategies and fosters stronger community connections. Investing in rural surgical training is a critical step towards reducing healthcare disparities and building a more resilient rural health system.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"33 3","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajr.70053","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143914228","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":"Retrospective Cohort Study of Low-Value Hysterectomy Before and After Publication of the National Heavy Bleeding Clinical Care Standard in Regional Victoria","authors":"Natasha Daureen Frawley,&nbsp;Madison Phung,&nbsp;Benjamin Harrap","doi":"10.1111/ajr.70049","DOIUrl":"https://doi.org/10.1111/ajr.70049","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To evaluate the prevalence of low-value care hysterectomy before and after publication of the National Heavy Menstrual Bleeding Clinical Care Standard (HMB Standard) in a regional Victorian hospital. The secondary aim was to assess whether compliance with the HMB Standard improved.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Retrospective cohort design. All patients booked for a planned benign hysterectomy were included. Manual chart review was undertaken for demographics, surgical planning, procedure, and outcomes to 28 days.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design Setting</h3>\u0000 \u0000 <p>A single regional Victorian hospital within an area identified to be high volume for benign hysterectomy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>Patients who planned benign hysterectomy in the 10 months prior (Group 1—Control) and 10 months after (Group 2—Post-intervention) publication of the HMB Standard in October 2017.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main Outcome Measures</h3>\u0000 \u0000 <p>Low-value hysterectomy was defined as the proportion of benign hysterectomies performed via the abdominal route in the absence of cancer or a previous caesarean section.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>There were 64 patients in Group 1 and 60 in Group 2 included. Low-value hysterectomy proportion had a non-significant change from 9.4% in Group 1 to 11.7% in Group 2, 95% confidence interval = [−0.1303, 0.0857]. Compliance to the HMB Standard had mixed results.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>There was no clinically significant change in low-value hysterectomy in the 10 months following publication of the HMB Standard, compared to 10 months prior, in a regional Victorian hospital. Uptake of therapeutic alternatives to hysterectomy was low.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"33 2","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajr.70049","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143871643","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":"Preferences of Non-Metropolitan Youth Towards Accessing Mental Health Services: A Choice-Based Conjoint Analysis","authors":"Edwin Paul Mseke,&nbsp;Belinda Jessup,&nbsp;Tony Barnett","doi":"10.1111/ajr.70052","DOIUrl":"https://doi.org/10.1111/ajr.70052","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To investigate the preferences of non-metropolitan youth towards mental health service access.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting</h3>\u0000 \u0000 <p>Tasmania, Australia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>Youth aged 13 to 25 years (<i>n</i> = 214).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Choice-based conjoint analysis (CBC) which is a quantitative study design, was employed. In this CBC study, an online survey presented twelve choice sets reflecting seven different mental health service attributes (<i>mental health concern</i>, <i>service provider</i>, <i>cost</i>, <i>wait time</i>, <i>service delivery method</i>, <i>travel time</i> and <i>transport mode</i>), with youth asked to choose their preferred option for access. Choice-based conjoint analysis determined preferred mental health service attributes and the relative weighting of different levels within each attribute.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the seven attributes, service provider, cost, wait time and service delivery method were of the highest importance to youth when considering mental health service access. Within the listed health service attributes, youth ranked: psychologists; no cost; no wait time; face-to-face delivery; travel time of 15 min; and travel by private car highest. Various socio-demographic variables were associated with attribute and level choices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Tasmanian youth prefer to access mental health services when provided in person, by a psychologist, for free and with no waiting time. Further research is required to investigate whether mental healthcare preferences for non-metropolitan youth change depending on geographical location, mental health status, level of mental health literacy, a greater choice of service providers and service delivery methods.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"33 2","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajr.70052","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143865877","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":"‘I Hadn't Ever Really Thought It Was Something That I Could Do’: Rural Background Medical Graduates' Pathways to Medicine","authors":"Jessica Beattie,&nbsp;Marley Binder,&nbsp;Hannah Beks,&nbsp;Lara Fuller","doi":"10.1111/ajr.70047","DOIUrl":"https://doi.org/10.1111/ajr.70047","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aims to elevate the voices of doctors with rural backgrounds by exploring their experience of applying for medicine and identifying learnings that can further widen access for prospective rural applicants.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study is part of a larger qualitative study exploring the experiences of medical graduates from Deakin University's rural longitudinal integrated clerkship.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Qualitative interviews. Interviews were audio recorded, transcribed verbatim, and thematically analysed to elicit themes that aligned with the barriers and facilitators to admission to medicine.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting</h3>\u0000 \u0000 <p>Rural longitudinal integrated clerkship.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>A total of 17 participants self-identified as originating from a rural background.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main Outcome Measures</h3>\u0000 \u0000 <p>Barriers and facilitators to gaining admission to medicine.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Barriers included aptitude tests, visibility and aspiration, and financial issues. Facilitators included equity admission policies, perseverance, and life experience.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Despite gaining admission to medicine, participants described the barriers they overcame and validated the importance of equity processes. Universities have a responsibility to continually review admission policies to ensure they are training a diverse cohort of students who are representative of the communities they serve.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"33 2","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajr.70047","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143846143","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":"Gestational Weight Monitoring in Rural and Regional Populations: Women's Knowledge, Experience and Recommendations for Models of Care","authors":"Berneice Fitzpatrick,&nbsp;Susan de Jersey,&nbsp;Shelley Wilkinson,&nbsp;Nicole Ward","doi":"10.1111/ajr.70042","DOIUrl":"https://doi.org/10.1111/ajr.70042","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To explore women's knowledge and experience of weight monitoring during pregnancy to inform the development of a model of care that meets demonstrated needs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting</h3>\u0000 \u0000 <p>A rural and regional health service in southern Queensland.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>Women (<i>n</i> = 160) who used antenatal care in the health service from June 2018 to October 2022.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>An exploratory online survey was sent via short messaging service to women, including quantitative and qualitative questions with free-text options for additional comments. The data were analysed using descriptive statistics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>One in five women could correctly identify the recommended gestational weight gain based on their pre-pregnancy body mass index. Half the women reported knowing weight gain recommendations was useful. A quarter of women had a negative experience with health professionals discussing their weight. One-fifth of women saw a dietitian, and an additional 9% would have liked to use the service, with 14% not knowing it was available.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Women would like to know more about achieving healthy weight gain and receive support to do so. Women report experiencing stigma when discussing pregnancy weight. Whilst the findings are similar to urban women's experience, rural women's ability to access care in the context of a rural setting presents a unique set of barriers. Further investigation is required to gather health professionals' experience in conjunction with the latest evidence to inform improvements to service delivery.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"33 2","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143836045","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":"Distribution of Specialist Orthodontic Service Provision Across South Australia According to Socio-Economic Status and Remoteness","authors":"Andrew Wang,&nbsp;Maurice J. Meade,&nbsp;Gustavo H. Soares,&nbsp;Pedro H. R. Santiago,&nbsp;Dandara G. Haag,&nbsp;Lisa M. Jamieson","doi":"10.1111/ajr.70040","DOIUrl":"https://doi.org/10.1111/ajr.70040","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To determine how access to specialist orthodontic services (SOS) varies across South Australia (SA) according to socio-economic status and remoteness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design and Setting</h3>\u0000 \u0000 <p>A cross-sectional telephone survey of 92 specialist orthodontic practice locations across SA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main Outcome Measures</h3>\u0000 \u0000 <p>The number of full-time equivalent (FTE) specialist orthodontists (orthodontists) and auxiliaries working at each location. The ratio of 12-year-old (yo) population to one FTE orthodontist (12yo:1 FTEO) at the local government area (LGA) level to indicate availability of SOS. The average distance required from each LGA to access at least one FTE orthodontist (D1FTEO) as an indication of accessibility of SOS Quantum Geographic Information System (QGIS) 3.24.2-Tisler (https://www.qgis.org). The variance in availability and accessibility of SOS according to remoteness and socio-economic status.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The response rate was 93.48%. The 12 yo:1 FTEO in SA was 564.62. The mean (SD) D1FTEO was 138 km (173 km). Across SA there was a general trend of decreased availability and accessibility of SOS in areas outside of major cities and in areas of lower socio-economic status.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The absence of orthodontists in nonmajor city or poorer locations in SA was not compensated by an increased presence of orthodontic auxiliaries. Further research in other Australian states and territories may be warranted to confirm whether similar shortages in SOS exist in nonmajor city locations or areas of lower socio-economic status.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"33 2","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajr.70040","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143818436","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":"Medical Students' and Supervisors' Experiences of Extracurricular Research at a Rural Clinical School: A Mixed-Methods Study","authors":"Jordan L. Fox,&nbsp;William MacAskill,&nbsp;Matthew McGrail,&nbsp;Diann Eley,&nbsp;Srinivas Kondalsamy-Chennakesavan,&nbsp;Priya Martin","doi":"10.1111/ajr.70044","DOIUrl":"https://doi.org/10.1111/ajr.70044","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The purpose of this study was to explore student and supervisor experiences of medical student research activity in a rural area, as well as reasons for interested students not engaging in research and projects being delayed or discontinued.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting</h3>\u0000 \u0000 <p>One university's rural clinical school programme encompassing four regional training locations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Participants</h3>\u0000 \u0000 <p>Medical students completing their training at a rural location who expressed an interest in participating in extracurricular research, along with supervisors of extracurricular research projects for rural students within the preceding 2 years.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Convergent mixed-methods study involving an online survey with students and semi-structured interviews with supervisors. Thematic analysis was used to analyse the interview data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Common student participation reasons (<i>n</i> = 14) included gaining new skills, strengthening their curriculum vitae, interest in a future research career, and supervisor encouragement; however, only eight projects were successfully continued thus far. Analysis of the interview data (10 supervisors) led to the creation of three themes and five sub-themes: advantageous partnerships (collegially co-designed, student benefits, and broader benefits), navigating research processes (time constraints and lengthy processes impacting workloads, and support needs), and setting students up for success.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Training or working in a rural area is associated with specific barriers and enablers for medical students participating in research and their supervisors. Time constraints for both students and supervisors were key barriers to project continuation, with successful projects usually having a clear finite timeframe. Targeted strategies specific to rural contexts are needed to maximise rates of project completion and publication.</p>\u0000 </section>\u0000 </div>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"33 2","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajr.70044","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143818437","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":"Implementation of the NDIS in Rural, Regional and Remote Areas","authors":"Pim Kuipers,&nbsp;Jo Spong","doi":"10.1111/ajr.70046","DOIUrl":"https://doi.org/10.1111/ajr.70046","url":null,"abstract":"<p>Despite the above, it is important to qualify these concerns with the observation that the implementation of the NDIS in Australia has resulted in positive benefits for many rural and regional people with disabilities and for their family members and carers [<span>3</span>]. New services have been established in some areas [<span>3, 4</span>]; many people with disabilities have new opportunities in life, as well as greater choice [<span>5</span>], and some enjoy better relationships and greater social participation [<span>3, 6</span>]. The NDIS has also had positive consequences for some family members, including greater workforce participation, engagement in meaningful community roles, increased leisure, as well as reduced financial distress and greater certainty about the future [<span>3</span>].</p><p>Unfortunately, these benefits are not uniform. Some people with disabilities and their families/caregivers have drawn little benefit; for some others, the benefits have come in the midst of considerable hardship and unnecessary frustration.</p><p><b>Pim Kuipers:</b> conceptualisation, analysis, writing – review and editing. <b>Jo Spong:</b> conceptualisation, analysis, writing – review and editing.</p>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"33 2","pages":""},"PeriodicalIF":1.9,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajr.70046","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143809808","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}