“Better health in the bush”: why we urgently need a national rural and remote health strategy

2019 ◽  
Vol 210 (5) ◽  
pp. 202 ◽  
Author(s):  
John Wakerman ◽  
John S Humphreys
Keyword(s):  
Rural And Remote ◽  
Health Strategy ◽  
Remote Health ◽  
Rural And Remote Health

Factors that contribute to high-quality clinical supervision of the rural allied health workforce: lessons from the coalface

2019 ◽  
Vol 43 (6) ◽  
pp. 682 ◽  
Author(s):  
Priya Martin ◽  
Katherine Baldock ◽  
Saravana Kumar ◽  
Lucylynn Lizarondo
Keyword(s):  
Clinical Supervision ◽  
Health Workforce ◽  
Health Professionals ◽  
Allied Health ◽  
Rural And Remote ◽  
High Quality ◽  
Allied Health Professionals ◽  
Remote Health ◽  
Rural And Remote Health

Objective The aim of this study was to identify the factors contributing to high-quality clinical supervision of the allied health workforce in rural and remote settings. Methods This quantitative study was part of a broader project that used a mixed-methods sequential explanatory design. Participants were 159 allied health professionals from two Australian states. Quantitative data were collected using an online customised survey and the Manchester Clinical Supervision Scale (MCSS-26). Data were analysed using regression analyses. Results Supervisee’s work setting and choice of supervisor were found to have a positive and significant influence on clinical supervision quality. Supervisee profession and time in work role were found to have a negative and significant influence on the quality of clinical supervision. Conclusions High-quality clinical supervision is essential to achieve quality and safety of health care, as well as to support the health workforce. Information on high-quality clinical supervision identified in this study can be applied to clinical supervision practices in rural and remote settings, and to professional support policies and training to enhance the quality of supervision. What is known about the topic? There is mounting evidence on the benefits of clinical supervision to health professionals, organisations and patients. Clinical supervision enhances recruitment and retention of the health workforce. However, there are still gaps regarding the factors that contribute to high-quality clinical supervision, especially for rural and remote health professionals. What does this paper add? This study, the first of its kind, recruited rural and remote health professionals from seven allied health disciplines across two Australian states. It investigated the factors that influence high-quality clinical supervision in this under-resourced group. This paper outlines specific factors that contribute to clinical supervision quality for rural and remote allied health professionals. What are the implications for practitioners? Effective and high-quality clinical supervision of the rural and remote allied health workforce can enhance recruitment and retention in those areas. Healthcare organisations can facilitate effective clinical supervision delivery by using the evidence gathered in this study in clinical supervision policy, training and practice.

Mind the gap: is it time to invest in embedded researchers in regional, rural and remote health services to address health outcome discrepancies for those living in rural, remote and regional areas?

2019 ◽  
Vol 25 (2) ◽  
pp. 104 ◽  
Author(s):  
Anna Moran ◽  
Helen Haines ◽  
Nicole Raschke ◽  
David Schmidt ◽  
Alison Koschel ◽  
...  
Keyword(s):  
Health Outcome ◽  
Health Services ◽  
Capacity Building ◽  
Research Capacity ◽  
Knowledge Generation ◽  
Research Capacity Building ◽  
Rural And Remote ◽  
Research Activity ◽  
Remote Health ◽  
Rural And Remote Health

Research capacity building in healthcare works to generate and apply new knowledge to improve health outcomes; it creates new career pathways, improves staff satisfaction, retention and organisational performance. While there are examples of investment and research activity in rural Australia, overall, rural research remains under-reported, undervalued and under-represented in the evidence base. This is particularly so in primary care settings. This lack of contextual knowledge generation and translation perpetuates rural–metropolitan health outcome disparities. Through greater attention to and investment in building research capacity and capability in our regional, rural and remote health services, these issues may be partially addressed. It is proposed that it is time for Australia to systematically invest in rurally focussed, sustainable, embedded research capacity building.

scholarly journals A guide to reporting studies in rural and remote health

2012 ◽  
Author(s):  
Masatoshi Matsumoto ◽  
Robert Bowman ◽  
Paul Worley
Keyword(s):  
Rural And Remote ◽  
Remote Health ◽  
Rural And Remote Health

scholarly journals The Benefits and Challenges of Point-of-Care Testing in Rural and Remote Primary Care Settings in Australia

2020 ◽  
Vol 144 (11) ◽  
pp. 1372-1380
Author(s):  
Mark Shephard ◽  
Anne Shephard ◽  
Susan Matthews ◽  
Kelly Andrewartha
Keyword(s):  
Infectious Disease ◽  
Point Of Care ◽  
Health Sector ◽  
Lessons Learned ◽  
Full Potential ◽  
Rural And Remote ◽  
Point Of Care Testing ◽  
Primary Care Settings ◽  
Remote Health ◽  
Rural And Remote Health

Context.— Point-of-care (POC) testing has significant potential application in rural and remote Australian communities where access to laboratory-based pathology testing is often poor and the burden of chronic, acute, and infectious disease is high. Objective.— To explore the clinical, operational, cultural, and cost benefits of POC testing in the Australian rural and remote health sector and describe some of the current challenges and limitations of this technology. Data Sources.— Evidence-based research from established POC testing networks for chronic, acute, and infectious disease currently managed by the International Centre for Point-of-Care Testing at Flinders University are used to highlight the experience gained and the lessons learned from these networks and, where possible, describe innovative solutions to address the current barriers to the uptake of POC testing, which include governance, staff turnover, maintaining training and competency, connectivity, quality testing, sustainable funding mechanisms, and accreditation. Conclusions.— Point-of-care testing can provide practical and inventive opportunities to revolutionize the delivery of pathology services in rural and remote sectors where clinical need for this technology is greatest. However, many barriers to POC testing still exist in these settings, and the full potential of POC testing cannot be realized until these limitations are addressed and resolved.

scholarly journals What the People Want – Delivery of Health Services in Rural and Remote Australia

2005 ◽  
Author(s):  
Lorraine Sheppard
Keyword(s):  
Service Providers ◽  
Policy Framework ◽  
Rural And Remote ◽  
Clinical Specialty ◽  
Primary Health ◽  
Rural Workforce ◽  
The People ◽  
Delivery Of Health Services ◽  
Remote Health ◽  
Rural And Remote Health

The purpose of the paper was to discuss directions in rural and remote health based on current policies in Australia. A review of the policy framework and consideration of health and population trends provide a basis to discuss the future rural workforce. The conclusions that are drawn support present models of rural and remote practice. A commitment to primary health and public health will be the next focus in health care. A rural health workforce can respond to this direction using existing modes of practice which emphasize working in teams, planning services based on patient need rather than clinical specialty and welcoming new service providers.

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