Evidence map›Paper›PMID 39135114›Full record

ArticleHealth research policy and systems2024

Identifying health and healthcare priorities in rural areas: A concept mapping study informed by consumers, health professionals and researchers.

Anna Wong Shee, Alex Donaldson, Renee P Clapham, John C Aitken, Jaithri Ananthapavan, Anna Ugalde, Vincent L Versace, Kevin Mc Namara

Abstract read
In one paragraph

Article in Health research policy and systems, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. 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

8 authors.

Anna Wong SheeGrampians Health, 102 Ascot St Sth, Ballarat, VIC, 3350, Australia. anna.wongshee@gh.org.au.ORCID http://orcid.org/0000-0001-5095-218X
Alex DonaldsonLa Trobe University, Bundoora, Australia.
Renee P ClaphamDeakin Rural Health, Deakin University, Warrnambool, Australia.
John C AitkenRural Northwest Health, Warracknabeal, Australia.
Jaithri AnanthapavanDeakin University, Burwood, Australia.
Anna UgaldeDeakin University, Burwood, Australia.
Vincent L VersaceGrampians Health, 102 Ascot St Sth, Ballarat, VIC, 3350, Australia.
Kevin Mc NamaraGrampians Health, 102 Ascot St Sth, Ballarat, VIC, 3350, Australia.

Funding

National Health and Medical Research Council APP1152968
6 · The paper itself

Abstract

backgroundIt is vital that health service delivery and health interventions address patients' needs or preferences, are relevant for practice and can be implemented. Involving those who will use or deliver healthcare in priority-setting can lead to health service delivery and research that is more meaningful and impactful. This is particularly crucial in rural communities, where limited resources and disparities in healthcare and health outcomes are often more pronounced. The aim of this study was to determine the health and healthcare priorities in rural communities using a region-wide community engagement approach.

methodsThis multi-methods study was conducted in five rural communities in the Grampians region, Western Victoria, Australia. It involved six concept mapping steps: (1) preparation, (2) generation (brainstorming statements and identifying rating criteria), (3) structuring statements (sorting and rating statements), (4) representation of statements, (5) interpretation of the concept map and (6) utilization. Community forums, surveys and stakeholder consultations with community members and health professionals were used in Step 2. An innovative online group concept mapping platform, involving consumers, health professionals and researchers was used in Step 3.

resultsOverall, 117 community members and 70 health professionals identified 400 health and healthcare issues. Six stakeholder consultation sessions (with 16 community members and 16 health professionals) identified three key values for prioritizing health issues: equal access for equal need, effectiveness and impact (number of people affected). Actionable priorities for healthcare delivery were largely related to access issues, such as the challenges navigating the healthcare system, particularly for people with mental health issues; the lack of sufficient general practitioners and other health providers; the high travel costs; and poor internet coverage often impacting technology-based interventions for people in rural areas.

conclusionsThis study identified actionable health and healthcare priorities from the perspective of healthcare service users and providers in rural communities in Western Victoria. Issues related to access, such as the inequities in healthcare costs, the perceived lack of quality and availability of services, particularly in mental health and disability, were identified as priorities. These insights can guide future research, policy-making and resource allocation efforts to improve healthcare access, quality and equity in rural communities.

Indexed as

Health PersonnelHealth PrioritiesRural PopulationAdultAgedCommunity ParticipationDelivery of Health CareFemaleHealth Services AccessibilityHealth Services ResearchHumansMaleMiddle AgedResearch PersonnelRural Health ServicesStakeholder ParticipationAccessHealthcareHealth prioritiesHealth servicePriority-settingPublic engagementPublic valuesRegionalRural

Identifiers

PMID39135114
PMCPMC11320881

What OpenQuestion holds

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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.