ArticleHealth expectations : an international journal of public participation in health care and health policy2021
Public perspectives on health improvement within a remote-rural island community.
Article in Health expectations : an international journal of public participation in health care and health policy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Where are the non-sovereign islands in health policy and systems research?BMJ global health · 2026Article
- Knowledge, Attitude and Practice Regarding Thyroid Disorders in Pregnant Women: A Cross-Sectional Study in Guangdong, China.International journal of women's health · 2025Article
- Causes, Solutions and Health Inequalities: Comparing Perspectives of Professional Stakeholders and Community Participants Experiencing Low Income and Poor Health in London.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- From polarity to plurality: Perceptions of COVID-19 and policy measures in England and Scotland.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- Perceived Challenges to Tribally Led Shellfish Toxin Testing in Southeast Alaska: Findings From Key Informant Interviews.GeoHealth · 2024Article
- Young people's perspectives on addressing UK health inequalities: utopian visions and preferences for action.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- Community stakeholder-driven technology solutions towards rural health equity: A concept mapping study in Western Canada.Health expectations : an international journal of public participation in health care and health policy · 2022Article
- 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
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundRural health outcomes are often worse than their urban counterparts. While rural health theory recognizes the importance of the social determinants of health, there is a lack of insight into public perspectives for improving rural health beyond the provision of health-care services. Gaining insight into perceived solutions, that include and go beyond health- care, can help to inform resource allocation decisions to improve rural health.
objectiveTo identify and describe shared perspectives within a remote-rural community on how to improve rural health.
methodUsing Q methodology, a set of 40 statements were developed representing different perceptions of how to improve rural health. Residents of one remote-rural island community ranked this statement set according to their level of agreement. Card-sorts were analysed using factor analysis to identify shared points of view and interpreted alongside post-sort qualitative interviews.
resultsSixty-two respondents participated in the study. Four shared perspectives were identified, labelled: Local economic activity; Protect and care for the community; Redistribution of resources; and Investing in people. Factors converged on the need to relieve poverty and ensure access to amenities and services. DISCUSSION AND
conclusionsFactors represent different elements of a multifaceted theory of rural health, indicating that 'lay' respondents are capable of comprehending various approaches to health improvement and perspectives are not homogenous within rural communities. Respondents diverged on the role of individuals, the public sector and 'empowered' community-based organizations in delivering these solutions, with implications for policy and practice. PUBLIC CONTRIBUTION: Members of the public were involved in the development and piloting of the statement set.
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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.