ReviewHealth expectations : an international journal of public participation in health care and health policy2015
Community participation for rural health: a review of challenges.
Review in Health expectations : an international journal of public participation in health care and health policy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 104 citations in OpenAlex.
- Evaluating health service outcomes of public involvement in health service design in high-income countries: a systematic review.BMC health services research · 2021Pooled it
- Pooled it
- Community engagement and involvement in developing a community-based signposting tool for mental distress.Research involvement and engagement · 2026Article
- Inclusiveness of social participation for health reform: findings from a realist review.International journal for equity in health · 2026Review
- Rural Community-Based Interventions to Improve the Mental Health and Wellbeing of Children and Young People: A Rapid Scoping Review of the Quantitative and Qualitative Evidence.Journal of community psychology · 2025Article
- Engaging Community-Dwelling Older Adults in Research: Qualitative Substudy of Factors Impacting Participation.JMIR formative research · 2025Article
- "I'm tired of seeing my friends die": Barriers and facilitators to participating in clinical trials among rural people who use drugs in the United States.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Engaging community groups to enhance healthcare access for persons with disabilities in rural Uganda: A qualitative exploration.PLOS global public health · 2025Article
- Article
- 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
- Enablers and Barriers of Healthcare Services for Community-Dwelling Elderly in Rural Indonesia: A Qualitative Evidence Synthesis: Facilitadores e barreiras dos serviços de saúde para os idosos das comunidades nas zonas rurais da Indonésia: uma síntese qualitativa das provas.Portuguese journal of public health · 2023Review
- Starting with us: Imagining relational, co-designed policy approaches to improve healthcare access for rural people with disability.The Australian journal of rural health · 2022Article
- Gaining 'clarity through specificity' in invited patient participation: A case study of a multifaceted participatory practice in the Netherlands.Health & social care in the community · 2022Article
- Innovation in Rural Health Services Requires Local Actors and Local Action.Public health reviews · 2022Review
- Understanding Community Participation in Rural Health Care: A Participatory Learning and Action Approach.Frontiers in public health · 2022Article
- Building and Testing of a Conceptual Model to Describe and Measure the Health of People as Affected by Post-traumatic Stress Disorder During Social Unrest: A Confirmatory Factor Analysis and Structural Equation Modeling.Frontiers in public health · 2022Article
- Inclusion strategies in multi-stakeholder dialogues: The case of a community-based participatory research on immunization in Nigeria.PloS one · 2022Article
- Article
- 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
- Identifying Environmental Determinants Relevant to Health and Wellbeing in Remote Australian Indigenous Communities: A Scoping Review of Grey Literature.International journal of environmental research and public health · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextInternationally, community participation is highlighted in health policy reform as good for rural communities. Implicit in this policy is the message that the complexities of the rural environment are too difficult for easy solutions and that community participation will somehow build resilient, self-determining communities capable of dealing with complex rural access and equity issues and poorer health outcomes. The underpinning proposition is that by giving decision-making powers to community members, health care will be locally responsive, costs will be contained, and health outcomes will improve. What happens in the practice of enacting community participation in health-care decision making is less clear.
objectiveDespite the growing body of work that documents different levels and models of community participation, significant gaps that outline the practical challenges inherent in rural community participation remain. In this article, we draw on a body of literature to outline the practical considerations in implementing community participation policy in health settings in rural areas. Through a critical review, we aim to stimulate debate, progress ideas and provide a conceptual representation of the somewhat 'messy' nature of rural community participation at a grass-roots organizational level. DISCUSSION AND
conclusionBased on our analysis of the current literature, we provide a summary of challenges and practical strategies that might mitigate some of these challenges. Our review highlights that despite policymakers suggesting that community participation is good for rural communities, policy enactment must move beyond mandated tokenism for there to be a recognition that meaningful participation is neither easy nor linear.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.