Charles Darwin University

CDU eSpace
Institutional Repository

 
CDU Staff and Student only
 

What core primary health care services should be available to Australians living in rural and remote communities?

Thomas, Susan L., Wakerman, John and Humphreys, John S. (2014). What core primary health care services should be available to Australians living in rural and remote communities?. BMC Family Practice,15(Article No. 143).

Document type: Journal Article
Citation counts: Altmetric Score Altmetric Score is 31
Google Scholar Search Google Scholar
Attached Files (Some files may be inaccessible until you login with your CDU eSpace credentials)
Name Description MIMEType Size Downloads
Download this reading Wakerman_49231.pdf Published version application/pdf 208.79KB 72
Reading the attached file works best in Firefox, Chrome and IE 9 or later.

IRMA ID 75039815xPUB706
Title What core primary health care services should be available to Australians living in rural and remote communities?
Author Thomas, Susan L.
Wakerman, John
Humphreys, John S.
Journal Name BMC Family Practice
Publication Date 2014
Volume Number 15
Issue Number Article No. 143
ISSN 1471-2296   (check CDU catalogue open catalogue search in new window)
Scopus ID 2-s2.0-84908447533
Total Pages 9
Place of Publication United Kingdom
Publisher BioMed Central Ltd.
HERDC Category C1 - Journal Article (DIISR)
Abstract Background
Australians living in rural and remote areas experience poorer access to primary health care (PHC) and poorer health outcomes compared to metropolitan populations. Current health reform in Australia aims to ensure all Australians, regardless of where they live, have access to essential PHC services. However, at a national level policy makers and health planners lack an evidence-based set of core PHC services to assist in implementing this goal.

Methods

A Delphi method was used to reach consensus on an evidence-based list of core PHC services to which all Australians should have access and their necessary support functions. Experts in rural and remote and/or Indigenous PHC, including policy-makers, academics, clinicians and consumers, were invited to consider a list of core services derived from the literature.

Results

Thirty nine experts agreed to participate. After three survey rounds there was a strong consensus (≥80% agreement) on core PHC services namely; ‘care of the sick and injured’, ‘mental health’, ‘maternal/child health’, ‘allied health’, ‘sexual/reproductive health’, ‘rehabilitation’, ‘oral/dental health’ and ‘public health/illness prevention’; and on the PHC support functions of; ‘management/governance/leadership’, ‘coordination’, ‘health infrastructure’, ‘quality systems’, ‘data systems’, ‘professional development’ and ‘community participation’. Themes emerging from qualitative data included challenges in providing equitable PHC in rural and remote areas, the importance of service coordination and diverse strategies to overcome access barriers.

Conclusion

This study identifies a basket of PHC services that consumers in rural and remote communities can expect to access. It provides rigorously derived evidence that will contribute to a more systematic approach to PHC service planning and availability and will assist policy makers in the allocation of scarce resources necessary to improve the health outcomes of residents of rural and remote areas.
Keywords Primary health care
Equity
Access
Core services
Health service planning
Health policy
Rural
Remote
DOI http://dx.doi.org/10.1186/1471-2296-15-143   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
Additional Notes This is an Open Access article distributed under the terms of the Creative Commons Attribution License 4.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Description for Link Link to CC Attribution 4.0 License
URL https://creativecommons.org/licenses/by/4.0/au


© copyright

Every reasonable effort has been made to ensure that permission has been obtained for items included in CDU eSpace. If you believe that your rights have been infringed by this repository, please contact digitisation@cdu.edu.au.

 
Versions
Version Filter Type
Access Statistics: 78 Abstract Views, 72 File Downloads  -  Detailed Statistics
Created: Wed, 19 Aug 2015, 12:19:22 CST