Evidence map›Paper›PMID 35270632›Full record

ArticleInternational journal of environmental research and public health2022

"No One Manages It; We Just Sign Them Up and Do It": A Whole System Analysis of Access to Healthcare in One Remote Australian Community.

Eloise Osborn, Marida Ritha, Rona Macniven, Tim Agius, Vita Christie, Heather Finlayson, Josephine Gwynn, Kate Hunter, Robyn Martin, Rachael Moir and 4 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.1field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 5 institutions in 1 country.

Eloise OsbornCentre for Global Indigenous Futures, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, NSW 2109, Australia.
Marida RithaCentre for Global Indigenous Futures, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, NSW 2109, Australia.
Rona MacnivenCentre for Global Indigenous Futures, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, NSW 2109, Australia.ORCID 0000-0002-2967-7977
Tim AgiusDurri Aboriginal Corporation Medical Service, Kempsey, NSW 2440, Australia.
Vita ChristiePoche Centre for Indigenous Health, University of Sydney, Sydney, NSW 2006, Australia.ORCID 0000-0003-3887-8305
Heather FinlaysonBrewarrina Multipurpose Service, Brewarrina, NSW 2839, Australia.
Josephine GwynnPoche Centre for Indigenous Health, University of Sydney, Sydney, NSW 2006, Australia.ORCID 0000-0001-8760-0786
Kate HunterThe George Institute for Global Health, The University of New South Wales, Sydney, NSW 2052, Australia.
Robyn MartinMid North Coast Local Health District, Coffs Harbour, NSW 2450, Australia.
Rachael MoirPoche Centre for Indigenous Health, University of Sydney, Sydney, NSW 2006, Australia.
Donna TaylorPius X Aboriginal Medical Service, Moree, NSW 2400, Australia.
Susannah TobinHonorary Faculty of Medicine and Health, University of Sydney, Sydney, NSW 2006, Australia.ORCID 0000-0003-2079-5616
Katrina WardBrewarrina Aboriginal Medical Service, Brewarrina, NSW 2839, Australia.
Kylie GwynneCentre for Global Indigenous Futures, Faculty of Medicine, Health and Human Sciences, Macquarie University, Sydney, NSW 2109, Australia.ORCID 0000-0002-6897-4528
The University of Sydney · AUMacquarie University · AUUNSW Sydney · AUCentral Coast Local Health District · AUTharawal Aboriginal · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the accessibility, availability and utilisation of a comprehensive range of community-based healthcare services for Aboriginal people and describe contributing factors to providing effective healthcare services from the provider perspective.

settingA remote community in New South Wales, Australia.

participantsAboriginal and non-Aboriginal health and education professionals performing various roles in healthcare provision in the community.

designCase study. METHODOLOGY: The study was co-designed with the community. A mixed-methods methodology was utilised. Data were gathered through structured interviews. Descriptive statistics were used to analyse the availability of 40 health services in the community, whilst quotations from the qualitative research were used to provide context for the quantitative findings.

resultsService availability was mapped for 40 primary, specialised, and allied health services. Three key themes emerged from the analysis: (1) there are instances of both underservicing and overservicing which give insight into systemic barriers to interagency cooperation; (2) nurses, community health workers, Aboriginal health workers, teachers, and administration staff have an invaluable role in healthcare and improving patient access to health services and could be better supported through further funding and opportunities for specialised training; and (3) visiting and telehealth services are critical components of the system that must be linked to existing community-led primary care services.

conclusionThe study identified factors influencing service availability, accessibility and interagency cooperation in remote healthcare services and systems that can be used to guide future service and system planning and resourcing.

Indexed as

Health Services, IndigenousRural Health ServicesAustralian Aboriginal and Torres Strait Islander PeoplesDelivery of Health CareHealth Services AccessibilityHumansNew South WalesQualitative ResearchAboriginal Australiansaccessibilityavailabilitycommunity-based healthcare serviceshealthcare servicesremote health

Identifiers

PMID35270632
PMCPMC8910080
OpenAlexW4214896779

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.