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Rural community-centred co-planning for sustainable rural health systems.
Hyett, Nerida; Hutchinson, Mandy; Doyle, Donna; Adem, Trevor; Coghill, Dallas; Harvey, Pamela; Lees, Catherine; O'Sullivan, Belinda.
Afiliación
  • Hyett N; Murray PHN, Monash University, La Trobe University, Bendigo, Victoria, Australia.
  • Hutchinson M; Northern District Community Health, Kerang, Victoria, Australia.
  • Doyle D; Boort District Health, Boort, Victoria, Australia.
  • Adem T; East Wimmera Health Service, Saint Arnaud, Victoria, Australia.
  • Coghill D; Inglewood & Districts Health Service, Inglewood, Victoria, Australia.
  • Harvey P; Monash Rural Health, Monash University, Bendigo, Victoria, Australia.
  • Lees C; Murray PHN, La Trobe University, Monash University, University of Melbourne, Melbourne, Victoria, Australia.
  • O'Sullivan B; Murray PHN, Monash University, Bendigo, Victoria, Australia.
Aust J Rural Health ; 2024 Jul 11.
Article en En | MEDLINE | ID: mdl-38989766
ABSTRACT

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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Aust J Rural Health Asunto de la revista: ENFERMAGEM / SAUDE PUBLICA Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Australia
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Aust J Rural Health Asunto de la revista: ENFERMAGEM / SAUDE PUBLICA Año: 2024 Tipo del documento: Article País de afiliación: Australia Pais de publicación: Australia