Understanding drivers of rural and remote health outcomes: A conceptual framework in action

被引:30
作者
Bourke, Lisa [1 ]
Humphreys, John S. [2 ]
Wakerman, John [3 ,4 ]
Taylor, Judy [5 ]
机构
[1] Univ Melbourne, Rural Hlth Acad Ctr, Shepparton, Vic 3632, Australia
[2] Monash Univ, Sch Rural Hlth, Bendigo, Vic, Australia
[3] Flinders Univ S Australia, Ctr Remote Hlth, Alice Springs, NT, Australia
[4] Charles Darwin Univ, Alice Springs, NT, Australia
[5] James Cook Univ, Sch Med & Dent, Townsville, Qld 4811, Australia
关键词
case study; conceptual framework; isolation; power; rural health; PLACE; INEQUALITIES;
D O I
10.1111/j.1440-1584.2012.01312.x
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objective To demonstrate the usefulness of a conceptual framework to increase the understanding of rural and remote health by applying it to specific rural and remote health scenarios. Design A conceptual framework was applied to two case studies illustrative of key issues in rural health to reflect different contexts, issues and responses. Results Application of the framework to both case studies highlighted that changes in rural and remote health are diverse. While power was a key element of the framework, the interaction of all framework components underpinned changes. Conclusion The framework facilitated understanding of change in these rural scenarios and demonstrated that improvement in rural health requires change at both the local and structural levels.
引用
收藏
页码:318 / 323
页数:6
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