Barriers and enablers to structured care delivery in Australian rural primary care

Journal article

Mullan, Leanne, Armstrong, Kylie and Job, Jennifer. (2023). Barriers and enablers to structured care delivery in Australian rural primary care. Australian Journal of Rural Health. 31(3), pp. 361-384. https://doi.org/10.1111/ajr.12963
AuthorsMullan, Leanne, Armstrong, Kylie and Job, Jennifer
Abstract

Objective
The primary aim of this study was to explore the barriers and enablers to structured care delivery in rural primary care, reflecting on Australian research findings.

Design
CINAHL and Scopus databases were searched in August 2021. Inclusion criteria included English language, full-text studies, published since 2011, reporting on the barriers and enablers to the delivery of structured care within rural and remote primary care. Structured care was conceptualised as care that was organised, integrative and planned.

Findings
A total of 435 studies were screened. Thirty-four met the inclusion criteria. Barriers to the provision of structured care related to workforce shortages, limited health care services and health care professional capacity, cultural safety and competency, limited resourcing, insufficient knowledge and education, geographical isolation, inadequate care coordination, unclear roles and responsibilities and poor health professional–patient relationships.

Discussion
Health care system and geographical barriers and enablers encountered in rural areas are complex and multidimensional. Identification of the specific challenges to structured care delivery highlights the need for a focussed review of workforce supply and distribution challenges as well as the investigation of system integration, leadership, governance and funding reform that would be required to support rural primary care.

Keywordscare; general practice; health; integrated; primary care; remote; rural; structured
Year2023
JournalAustralian Journal of Rural Health
Journal citation31 (3), pp. 361-384
PublisherJohn Wiley & Sons, Inc.
ISSN1038-5282
Digital Object Identifier (DOI)https://doi.org/10.1111/ajr.12963
PubMed ID36639909
Scopus EID2-s2.0-85146312925
Page range361-384
FunderWestern Queensland Primary Health Network
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online13 Jan 2023
Publication process dates
Accepted01 Jan 2023
Deposited12 Jul 2023
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