Evidence map›Paper›PMID 41128791›Full record

ArticleJournal of bioethical inquiry2026

Reconsidering Governance Models to Strengthen Rural Healthcare.

F McDonald, C Malatzky, D Sedgwick Fincher, L Elliott, K Purser

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of bioethical inquiry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

F McDonaldFaculty of Law, Victoria University of Wellington, P.O. Box 600, Wellington, 6140, New Zealand. fiona.mcdonald@vuw.ac.nz.ORCID 0000-0002-0784-3954
C MalatzkyQUT Centre for Justice, Centre for Decent Work and Industry, School of Public Health and Social Work, Queensland University of Technology, GPO Box 2434, Brisbane, Queensland, 4000, Australia.
D Sedgwick FincherSchool of Law, Queensland University of Technology, GPO Box 2434, Brisbane, Queensland, 4000, Australia.
L ElliottQUT Centre for Justice, Centre for Decent Work and Industry, School of Public Health and Social Work, Queensland University of Technology, GPO Box 2434, Brisbane, Queensland, 4000, Australia.
K PurserAustralian Centre for Health Law Research, School of Law, Queensland University of Technology, GPO Box 2434, Brisbane, Queensland, 4000, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This paper argues for a re-balancing of decision-making power in health systems away from metrocentric and technocratic norms and a fundamental re-shaping towards democratic and participatory models of governance. These changes are understood as critical to the objective of improving healthcare access and delivery in regional, rural, and remote communities. In articulating this argument, we highlight the highly political nature of how we structure and govern healthcare delivery, which is imbued with value judgments. We critique currently dominant neo-liberal approaches to healthcare governance that frame the "voices" of local communities as optional inputs into the system, rather than active agents in decision-making processes. From health justice and spatial justice perspectives, public participation in governance may be an important factor to enable improved access to regional, rural, and remote health services and to promote community self-determination.

Indexed as

Community ParticipationDecision MakingDelivery of Health CareHealth Services AccessibilityRural Health ServicesHealth PolicyHumansPoliticsRural PopulationSocial JusticeHealth governanceHealth justiceParticipatory governanceRural healthcareRural health governance

Identifiers

PMID41128791
PMCPMC13388343

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.