Nerida Hyett PhD, Mandy Hutchinson Grad Cert, Donna Doyle Post Grad Healthcare Leadership, Trevor Adem MBA, Dallas Coghill Grad Dip Critical Care, Pamela Harvey PhD, Catherine Lees PhD, Belinda O'Sullivan PhD
{"title":"以农村社区为中心，共同规划可持续的农村医疗系统。","authors":"Nerida Hyett PhD, Mandy Hutchinson Grad Cert, Donna Doyle Post Grad Healthcare Leadership, Trevor Adem MBA, Dallas Coghill Grad Dip Critical Care, Pamela Harvey PhD, Catherine Lees PhD, Belinda O'Sullivan PhD","doi":"10.1111/ajr.13162","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>Sustaining rural healthcare services is challenging because of numerous systemic factors. Rural communities can inform the design of sustainable rural health models; however, further evidence of effective co-design is needed to guide implementation. The study aim was to co-design a series of place-based and evidence-informed rural health models, to improve local health system sustainability.</p>\n </section>\n \n <section>\n \n <h3> Setting</h3>\n \n <p>A rural region (categorised as Modified Monash Model 5) defined by three adjoining Shires in Central and Northwest Victoria, Australia.</p>\n </section>\n \n <section>\n \n <h3> Participants</h3>\n \n <p>A health executive co-planning network led the co-design, with input and oversight from a broader cross-sector group. Healthcare professionals (<i>n</i> = 44) and consumers and carers (<i>n</i> = 21) participated in interviews, and an online survey was completed by healthcare professionals (<i>n</i> = 11) and consumers and carers (<i>n</i> = 7) to provide feedback on the preliminary results.</p>\n </section>\n \n <section>\n \n <h3> Design</h3>\n \n <p>Community-based participatory action research was applied incorporating co-design methods and systems thinking. Data were collected through qualitative interviews followed by an online feedback survey. Mixed method data analysis (QUAL-quant) was conducted with qualitative directed content analysis of interview transcripts and quantitative descriptive analyses of survey responses to aid prioritisation.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Healthcare priorities, strengths and challenges, and proposed rural health models are described. A rural health system sustainability strategy was developed with three integrated pillars: 1. Workforce strengthening, 2. Integrated health services and 3. Innovative models of care.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Community-centred co-design with rural health stakeholders was effective for generating locally tailored ideas and potential health models that emulate community strengths and resources, and provide a foundation for further planning, implementation and evaluation.</p>\n </section>\n </div>","PeriodicalId":55421,"journal":{"name":"Australian Journal of Rural Health","volume":"32 5","pages":"944-958"},"PeriodicalIF":1.9000,"publicationDate":"2024-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ajr.13162","citationCount":"0","resultStr":"{\"title\":\"Rural community-centred co-planning for sustainable rural health systems\",\"authors\":\"Nerida Hyett PhD, Mandy Hutchinson Grad Cert, Donna Doyle Post Grad Healthcare Leadership, Trevor Adem MBA, Dallas Coghill Grad Dip Critical Care, Pamela Harvey PhD, Catherine Lees PhD, Belinda O'Sullivan PhD\",\"doi\":\"10.1111/ajr.13162\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Objective</h3>\\n \\n <p>Sustaining rural healthcare services is challenging because of numerous systemic factors. Rural communities can inform the design of sustainable rural health models; however, further evidence of effective co-design is needed to guide implementation. The study aim was to co-design a series of place-based and evidence-informed rural health models, to improve local health system sustainability.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Setting</h3>\\n \\n <p>A rural region (categorised as Modified Monash Model 5) defined by three adjoining Shires in Central and Northwest Victoria, Australia.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Participants</h3>\\n \\n <p>A health executive co-planning network led the co-design, with input and oversight from a broader cross-sector group. Healthcare professionals (<i>n</i> = 44) and consumers and carers (<i>n</i> = 21) participated in interviews, and an online survey was completed by healthcare professionals (<i>n</i> = 11) and consumers and carers (<i>n</i> = 7) to provide feedback on the preliminary results.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Design</h3>\\n \\n <p>Community-based participatory action research was applied incorporating co-design methods and systems thinking. Data were collected through qualitative interviews followed by an online feedback survey. Mixed method data analysis (QUAL-quant) was conducted with qualitative directed content analysis of interview transcripts and quantitative descriptive analyses of survey responses to aid prioritisation.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Healthcare priorities, strengths and challenges, and proposed rural health models are described. A rural health system sustainability strategy was developed with three integrated pillars: 1. Workforce strengthening, 2. Integrated health services and 3. 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Rural community-centred co-planning for sustainable rural health systems
Objective
Sustaining rural healthcare services is challenging because of numerous systemic factors. Rural communities can inform the design of sustainable rural health models; however, further evidence of effective co-design is needed to guide implementation. The study aim was to co-design a series of place-based and evidence-informed rural health models, to improve local health system sustainability.
Setting
A rural region (categorised as Modified Monash Model 5) defined by three adjoining Shires in Central and Northwest Victoria, Australia.
Participants
A health executive co-planning network led the co-design, with input and oversight from a broader cross-sector group. Healthcare professionals (n = 44) and consumers and carers (n = 21) participated in interviews, and an online survey was completed by healthcare professionals (n = 11) and consumers and carers (n = 7) to provide feedback on the preliminary results.
Design
Community-based participatory action research was applied incorporating co-design methods and systems thinking. Data were collected through qualitative interviews followed by an online feedback survey. Mixed method data analysis (QUAL-quant) was conducted with qualitative directed content analysis of interview transcripts and quantitative descriptive analyses of survey responses to aid prioritisation.
Results
Healthcare priorities, strengths and challenges, and proposed rural health models are described. A rural health system sustainability strategy was developed with three integrated pillars: 1. Workforce strengthening, 2. Integrated health services and 3. Innovative models of care.
Conclusion
Community-centred co-design with rural health stakeholders was effective for generating locally tailored ideas and potential health models that emulate community strengths and resources, and provide a foundation for further planning, implementation and evaluation.
期刊介绍：
The Australian Journal of Rural Health publishes articles in the field of rural health. It facilitates the formation of interdisciplinary networks, so that rural health professionals can form a cohesive group and work together for the advancement of rural practice, in all health disciplines. The Journal aims to establish a national and international reputation for the quality of its scholarly discourse and its value to rural health professionals. All articles, unless otherwise identified, are peer reviewed by at least two researchers expert in the field of the submitted paper.
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