Evidence map›Paper›PMID 41657022›Full record

ArticleThe Australian journal of rural health2026

Understanding How Rurality Relates to Residents' Experiences of Accessing Primary Care: An Interview-Based Study.

Maddie Higgins, Tiana Gurney, Matthew McGrail

Abstract read
In one paragraph

Article in The Australian journal of rural health, 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

3 authors.

Maddie HigginsRural Clinical School, The University of Queensland, Brisbane, Queensland, Australia.ORCID 0000-0003-1317-9823
Tiana GurneyRural Clinical School, The University of Queensland, Brisbane, Queensland, Australia.
Matthew McGrailRural Clinical School, The University of Queensland, Brisbane, Queensland, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore the experience of local residents when accessing primary care across different levels of rurality.

settingFour discrete regional, rural, and remote communities in Queensland, Australia, categorised by the Modified Monash Model classification.

participantsResidents from a regional centre (n = 15), a small rural town (n = 9), and two remote or very remote communities (n = 6).

designSemi-structured interviews using thematic analysis with both deductive and inductive coding.

resultsCommon challenges across all levels of rurality included limited primary care provider availability, long wait times, and disrupted care continuity, though their impact varied by the level of rurality. Regional centre residents predominantly experienced availability and timeliness challenges, while the small rural town residents faced availability, timeliness, and geography challenges. The remote and very remote communities experienced interconnected challenges, including a lack of permanent primary care providers, extensive travel, disrupted care continuity, and poor understanding of the community culture by some primary care providers. A key finding was 'geographic fragility,' which increased with the level of rurality, where remote community residents had to weigh up whether their health needs justified the burden of accessing primary care.

conclusionThis study highlights the need for nuanced, context-specific approaches for improving primary care access across different levels of rurality, with particular attention to geographic fragility in remote and very remote communities. Policy implications include developing targeted workforce strategies, addressing timeliness challenges, and implementing flexible service models to ensure equitable access to primary care for all Australians.

Indexed as

Health Services AccessibilityPrimary Health CareRural Health ServicesRural PopulationAccess to Primary CareAdultFemaleHumansInterviews as TopicMaleMiddle AgedQualitative ResearchQueenslandAustraliageographic fragilityhealth equityprimary care accessqualitative researchrural health

Identifiers

PMID41657022
PMCPMC12884201

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LicenceCC BY
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Registered trials

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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.