Towards equity and sustainability of rural and remote health services access: supporting social capital and integrated organisational and professional development.

Adrian Schoo,Dean Carson,Sharon Lawn

doi:10.1186/s12913-016-1359-9

Adrian Schoo, Dean Carson + Show 1 more

Open Access

https://doi.org/10.1186/s12913-016-1359-9

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Abstract

BackgroundAccess to rural health services is compromised in many countries including Australia due to workforce shortages. The issues that consequently impact on equity of access and sustainability of rural and remote health services are complex.DiscussionThe purpose of this paper is to describe a number of approaches from the literature that could form the basis of a more integrated approach to health workforce and rural health service enhancement that can be supported by policy. A case study is used to demonstrate how such an approach could work.SummaryDisjointed health services are common in rural areas due to the ‘tyranny of distance.’ Recruitment and retention of health professionals in rural areas and access to and sustainability of rural health services is therefore compromised. Strategies to address these issues tend to have a narrow focus. An integrated approach is needed to enhance rural workforce and health services; one that develops, acknowledges and accounts for social capital and social relations within the rural community.

Highlights

Access to rural health services is compromised in many countries including Australia due to workforce shortages
Rural communities generally do not have the same access to health services as their urban counterparts as a result of physical distance, and because of maldistribution of the health workforce [1,2,3]
Factors that impact on rural health services include challenges to recruitment and retention of health professionals which impact on availability of health services and continuity of care experience and its provision [4, 5]

Summary

Discussion

The purpose of this paper is to describe a number of approaches from the literature that could form the basis of a more integrated approach to health workforce and rural health service enhancement that can be supported by policy. Summary: Disjointed health services are common in rural areas due to the ‘tyranny of distance.’. Recruitment and retention of health professionals in rural areas and access to and sustainability of rural health services is compromised. Strategies to address these issues tend to have a narrow focus. An integrated approach is needed to enhance rural workforce and health services; one that develops, acknowledges and accounts for social capital and social relations within the rural community

Background

Conclusions