Evidence map›Paper›PMID 40259352›Full record

SynthesisBMC health services research2025

Investigation of primary health care service delivery models used in allied health practice in rural and remote areas of Australia: a systematic review.

Alison Brown, Alexandra Cant, Rebecca Wolfgang, Robyn Ramsden, Susan Heaney, Leanne J Brown

Abstract readSystematic Review
In one paragraph

Synthesis in BMC health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

6 authors.

Alison BrownUniversity of Newcastle, Callaghan, Australia.
Alexandra CantPhysio Inq, Sydney, Australia.
Rebecca WolfgangUniversity of Newcastle, Callaghan, Australia.
Robyn RamsdenRural Doctors Network, St Leonards, Australia.
Susan HeaneyUniversity of Newcastle, Callaghan, Australia.
Leanne J BrownUniversity of Newcastle, Callaghan, Australia. leanne.brown@newcastle.edu.au.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIn Australia, access to primary health care (PHC) services is limited in comparison to major cities. Allied health professionals play a pivotal role in providing necessary PHC in rural and remote areas. However, there is limited evidence about the most effective allied health specific PHC models of care that can be utilised in these settings. The aim of this review was to describe the PHC models used by allied health professionals in rural and remote areas of Australia and report on their impact and effectiveness in improving care.

methodsA search of five databases (MEDLINE, Embase, CINAHL, PsychINFO and Informit Health) was undertaken. Articles were included that related to a refined list of allied health professions that specifically work in PHC settings, these included: dietetics; occupational therapy; physiotherapy; psychology; speech pathology; social work; podiatry; exercise physiology; pharmacy; optometry; and audiology. Articles with a focus on a PHC model of service delivery in a rural or remote area were included. The effectiveness and impact of these models was examined. The Mixed Methods Appraisal Tool was used to assess the quality of the included articles.

resultsA total of 57 articles met the inclusion criteria, from an initial 1864 unique citations sourced from searches. Of the 57 articles, 22 studies were in the Australian context and were included in this paper. The outcome measures typically included improving access to services, however minimal impact or effectiveness data was reported. Studies were categorised into an existing typology of PHC models: integrated services (n = 9); outreach services (n = 3); virtual outreach services (n = 4); discrete services (n = 4); with an additional model being health promotion (n = 5).

conclusionA range of PHC models were used by allied health disciplines in rural and remote areas of Australia. These models focused on improving access to allied health services in primary care settings to address health inequities faced. Given the limited reporting of the impact of these services, it is recommended that rigorous evaluations of existing allied health models are undertaken. There is a gap in the literature regarding the models of service delivery being used by allied health professionals in non-metropolitan areas.

Indexed as

Allied Health PersonnelModels, OrganizationalPrimary Health CareRural Health ServicesAustraliaDelivery of Health CareHealth Services AccessibilityHumansAccessAllied health professionsHealth promotionModels of carePrimary health careQuality of lifeRemoteRuralSystematic review

Identifiers

PMID40259352
PMCPMC12010659

What OpenQuestion holds

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LicenceCC BY
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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.