ArticleBMC health services research2014
Community participation to design rural primary healthcare services.
Article in BMC health services research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Defining the integrated neighbourhood model: a systematic review of key domains and framework development.BMC public health · 2025Pooled it
- Adult Community Perspectives on Improving Rural Youth Access to Mental Health Services: A Participatory Group Concept Mapping Study.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
- Engaging community groups to enhance healthcare access for persons with disabilities in rural Uganda: A qualitative exploration.PLOS global public health · 2025Article
- Adapting and pilot testing a tool to assess the accessibility of primary health facilities for people with disabilities in Luuka District, Uganda.International journal for equity in health · 2024Article
- Pathways to strengthen the climate resilience of health systems in the Peruvian Amazon by working with Indigenous leaders, communities and health officers.BMJ global health · 2024Article
- Development of a framework for the collaborative adaptation of service models for child and family health in diverse settings (CASCADES).Journal of child health care : for professionals working with children in the hospital and community · 2024Article
- Rurality and social innovation processes and outcomes: A realist evaluation of rural social enterprise activities.Journal of rural studies · 2023Article
- Adapting community child and family health service models for rural and other diverse settings: A modified Delphi study to identify key elements.Health & social care in the community · 2022Review
- The added value and unintended negative consequences of public involvement processes in the planning, development and implementation of community health services: Results from a thematic synthesis.The International journal of health planning and management · 2022Article
- How can rural community-engaged health services planning achieve sustainable healthcare system changes?BMJ open · 2021Article
- Public perspectives on health improvement within a remote-rural island community.Health expectations : an international journal of public participation in health care and health policy · 2021Article
- World Health Organization building blocks in rural community health services: An integrative review.Health science reports · 2021Review
- Galvanizing Action on Primary Health Care: Analyzing Bottlenecks and Strategies to Strengthen Community Health Systems in West and Central Africa.Global health, science and practice · 2021Article
- Improving delivery of care in rural emergency departments: a qualitative pilot study mobilizing health professionals, decision-makers and citizens in Baie-Saint-Paul and the Magdalen Islands, Québec, Canada.BMC health services research · 2020Article
- WOmen's Action for Mums and Bubs (WOMB) Trial Protocol: A Non-randomized Stepped Wedge Implementation Trial of Participatory Women's Groups to Improve the Health of Aboriginal and Torres Strait Islander Mothers and Children in Australia.Frontiers in public health · 2020Article
- Partnering for change.Journal of health organization and management · 2019Article
- Unlocking the potential of rural social enterprise.Journal of rural studies · 2019Article
- Social justice, access and quality of healthcare in an age of austerity: users' perspective from rural Iceland.International journal of circumpolar health · 2017Article
- A Community-Based, Technology-Supported Health Service for Detecting and Preventing Frailty among Older Adults: A Participatory Design Development Process.Journal of aging research · 2015Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
backgroundThis paper explores how community participation can be used in designing rural primary healthcare services by describing a study of Scottish communities. Community participation is extolled in healthcare policy as useful in planning services and is understood as particularly relevant in rural settings, partly due to high social capital. Literature describes many community participation methods, but lacks discussion of outcomes relevant to health system reconfiguration. There is a spectrum of ideas in the literature on how to design services, from top-down standard models to contextual plans arising from population health planning that incorporates community participation. This paper addresses an evidence gap about the outcomes of using community participation in (re)designing rural community health services.
methodsCommunity-based participatory action research was applied in four Scottish case study communities in 2008-10. Data were collected from four workshops held in each community (total 16) and attended by community members. Workshops were intended to produce hypothetical designs for future service provision. Themes, rankings and selections from workshops are presented.
resultsCommunity members identified consistent health priorities, including local practitioners, emergency triage, anticipatory care, wellbeing improvement and health volunteering. Communities designed different service models to address health priorities. One community did not design a service model and another replicated the current model despite initial enthusiasm for innovation.
conclusionsCommunities differ in their receptiveness to engaging in innovative service design, but some will create new models that fit in a given budget. Design diversity indicates that context influences local healthcare planning, suggesting community participation impacts on design outcomes, but standard service models maybe useful as part of the evidence in community participation discussions.
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Registered trials
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