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September 2021

Systems thinking for Aboriginal Health: Understanding the value and acceptability of group model building approaches.

2024-04-07T19:30:08+10:00

Abstract Systems thinking is increasingly applied to understand and address systemic drivers of complex health problems. In Australia, group model building, a participatory method from systems science, has been applied in various locations to engage communities in systems-based health promotion projects. To date there is limited evidence regarding GMB use with Australian Aboriginal communities. This study aimed to determine the value and acceptability of group model building (GMB) as a methodological approach in research with Aboriginal communities and identify any adaptations required to optimise its utility. Semi-structured interviews were undertaken with 18 Aboriginal health and university staff who had prior [...]

Systems thinking for Aboriginal Health: Understanding the value and acceptability of group model building approaches.2024-04-07T19:30:08+10:00

August 2021

Understanding and responding to the cost and health impact of short-term health staffing in remote and rural Aboriginal and Torres Strait Islander community-controlled health services: a mixed methods study protocol.

2024-04-07T19:30:53+10:00

Abstract Introduction Access to high-quality primary healthcare is limited for remote residents in Australia. Increasingly, remote health services are reliant on short-term or ‘fly-in, fly-out/drive-in, drive-out’ health workforce to deliver primary healthcare. A key strategy to achieving health service access equity, particularly evident in remote Australia, has been the development of Aboriginal Community Controlled Health Services (ACCHSs). This study aims to generate new knowledge about (1) the impact of short-term staffing in remote and rural ACCHSs on Aboriginal and Torres Strait Islander communities; (2) the potential mitigating effect of community control; and (3) effective, context-specific evidence-based retention strategies. Methods and analysis This [...]

Understanding and responding to the cost and health impact of short-term health staffing in remote and rural Aboriginal and Torres Strait Islander community-controlled health services: a mixed methods study protocol.2024-04-07T19:30:53+10:00

Loddon Mallee healthcare worker COVID-19 study—protocol for a prospective cohort study examining the health and well-being of rural Australian healthcare workers during the COVID-19 pandemic.

2024-04-07T19:31:16+10:00

Abstract Introduction The COVID-19 pandemic is creating immense psychosocial disturbance. While global, broad-based research is being conducted, little is known about the effects of the COVID-19 pandemic on health and well-being or how protective and resilience factors influence the human response in Australian rural and regional communities. Rural and regional communities often have less resources to deal with such public health emergencies and face additional environmental adversity. Healthcare workers, including those in rural and regional areas, have felt the immediate impacts of COVID-19 in a multitude of ways and these impacts will continue for years to come. Therefore, this study [...]

Loddon Mallee healthcare worker COVID-19 study—protocol for a prospective cohort study examining the health and well-being of rural Australian healthcare workers during the COVID-19 pandemic.2024-04-07T19:31:16+10:00

July 2021

Respect Is Central: A Critical Review of Implementation Frameworks for Continuous Quality Improvement in Aboriginal and Torres Strait Islander Primary Health Care Services.

2024-04-07T19:31:42+10:00

Background: Primary health care (PHC) services are complex systems, shaped by an interplay of factors at individual, organisational and broader system levels. For Aboriginal and Torres Strait Islander PHC services, closer relationships with the people they serve, local knowledge of community, and cultural awareness are critical. Continuous quality improvement (CQI) has proven to be an effective process for identification of priority issues in health care delivery and for instigating the design, implementation and evaluation of improvement interventions in these settings. However, wide-scale variation in care quality persists partly due to the mismatch between CQI interventions and context. Methods: This critical [...]

Respect Is Central: A Critical Review of Implementation Frameworks for Continuous Quality Improvement in Aboriginal and Torres Strait Islander Primary Health Care Services.2024-04-07T19:31:42+10:00

June 2021

Review of the Health, Welfare and Care Workforce in Tasmania, Australia: 2011–2016.

2024-04-07T19:32:10+10:00

Abstract Background: On a per capita basis, rural communities are underserviced by health professionals when compared to metropolitan areas of Australia. However, most studies evaluating health workforce focus on discrete professional groups rather than the collective contribution of the range of health, care and welfare workers within communities. The objective of this study was therefore to illustrate a novel approach for evaluating the broader composition of the health, welfare and care (HWC) workforce in Tasmania, Australia, and its potential to inform the delivery of healthcare services within rural communities. Methods: Census data (2011 and 2016) were obtained for all workers [...]

Review of the Health, Welfare and Care Workforce in Tasmania, Australia: 2011–2016.2024-04-07T19:32:10+10:00

Characteristics of nursing and allied health student placements in the Northern Territory over time (2017-2019) and placement satisfaction.

2024-04-07T19:33:30+10:00

Abstract Objective Assess nursing and allied health student satisfaction with their remote Northern Territory integrated learning placement and consideration of future rural/remote work Describe the characteristics of these students Examine changes in student characteristics over time. Design A cross-sectional survey of students and a review of student placement data. Setting Northern Territory, Australia. Participants Former students having a work integrated learning placement of more than 1 week in the Northern Territory from 2017 to 2019. Main outcome measure(s) Agreement with the statements ‘This placement has encouraged me to consider living and working in a rural or remote location after I graduate’ [...]

Characteristics of nursing and allied health student placements in the Northern Territory over time (2017-2019) and placement satisfaction.2024-04-07T19:33:30+10:00

May 2021

Drivers of general practice–type presentations to the emergency department in a remote outback community.

2024-04-07T19:33:52+10:00

Abstract Objective To estimate the number of general practice-appropriate attendances in a remote emergency department and explore the reasons for patients’ choice of service. Design A four-step case study approach was adopted, focusing on hospital emergency department (ED) attendances that were potentially manageable in general practice. Setting A large, remote community with substantial populations of Indigenous peoples and fly-in, fly-out mining industry workers. The ED is experiencing rapid growth in demand for services for lower urgency. Participants Patients attending the emergency department with lower urgency problems. Interventions ED attendance data for 2016 were reviewed to identify lower urgency presentations. Patient [...]

Drivers of general practice–type presentations to the emergency department in a remote outback community.2024-04-07T19:33:52+10:00

Promoting Interprofessional Education and Collaborative Practice in Rural Health Settings: Learnings from a State-Wide Multi-Methods Study.

2024-04-07T19:34:25+10:00

Abstract Evidence is mounting regarding the positive effects of Interprofessional Education and Collaborative Practice (IPECP) on healthcare outcomes. Despite this, IPECP is only in its infancy in several Australian rural healthcare settings. Whilst some rural healthcare teams have successfully adopted an interprofessional model of service delivery, information is scarce on the factors that have enabled or hindered such a transition. Using a combination of team surveys and individual semi-structured team member interviews, data were collected on the enablers of and barriers to IPECP implementation in rural health settings in one Australian state. Using thematic analysis, three themes were developed from [...]

Promoting Interprofessional Education and Collaborative Practice in Rural Health Settings: Learnings from a State-Wide Multi-Methods Study.2024-04-07T19:34:25+10:00

April 2021

Co-designing community-focused rural placements for collaborative practice.

2024-04-07T19:34:44+10:00

Abstract Aims and Context As a University Department of Rural Health, we have identified recurrent areas of service need among vulnerable rural populations, specifically the need for allied health. Concurrently, we have also identified missed opportunities for deliberate collaborative practice in rural clinical placements. This paper provides a commentary on our work in progress as we work to leverage available opportunities to provide both service from and education for health profession students on rural clinical placements. Approach We developed a transdisciplinary placement model, informed by practice theory, which encompasses pre-placement preparation, student support, host sites and clinicians, and a structured [...]

Co-designing community-focused rural placements for collaborative practice.2024-04-07T19:34:44+10:00
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