"You get exposed to a wider range of things and it can be challenging but very exciting at the same time": enablers of and barriers to transition to rural practice by allied health professionals in Australia.

Abstract:

BACKGROUND:There is consistent evidence highlighting the mal-distribution of the health workforce between urban and rural and remote regions. To date, addressing this mal-distribution has focused on medicine and nursing with limited initiatives targeted at allied health. Therefore, the aim of this research was to explore the enablers of and barriers to transition to rural practice by allied health professionals across South Australia in Australia. METHOD:Qualitative descriptive methodology was used to underpin this research. Individual, in-depth semi-structured interviews were conducted with employers, managers and allied health professionals from rural regions of South Australia who were identified using purposive maximum variation sampling strategy. RESULTS:A total 22 participants shared their perspectives on the enablers of and barriers to transition to rural practice by allied health professionals across South Australia. Thematic analysis of the interview data resulted in a number of key issues impacting transition to rural-based practice. These findings could be broadly categorised into three stages during the transition: 'before'; 'during' and 'after'. DISCUSSION:This study identified a range of enablers of and barriers to transition to rural practice by allied health professionals. Five overarching themes - nature of rural practice, exposure to rural 'taster', social/lifestyle, job availability/characteristics, and mentor and support were identified. In particular, exposure to rural 'taster', social/lifestyle, and mentor and support were the key themes reported by the stakeholders. The multifactorial nature of the barriers and enablers highlight the complexity underpinning how AHPs transition to rural-based practice. These barriers/ enablers are often inter-linked and continually evolving which pose significant challenges for health care stakeholders to successfully addressing these. CONCLUSION:This research sheds light on the complexities that confront and successful strategies that are required for health care stakeholders when considering how best to support allied health professional transition to rural practice.

journal_name

BMC Health Serv Res

authors

Kumar S,Tian EJ,May E,Crouch R,McCulloch M

doi

10.1186/s12913-020-4954-8

subject

Has Abstract

pub_date

2020-02-10 00:00:00

pages

105

issue

1

issn

1472-6963

pii

10.1186/s12913-020-4954-8

journal_volume

20

pub_type

杂志文章
  • The implementation of the coaching on lifestyle (CooL) intervention: lessons learnt.

    abstract:BACKGROUND:Combined lifestyle interventions (CLIs) are designed to help people who are overweight or obese maintain a healthy new lifestyle. The CooL intervention is a CLI in the Netherlands, in which lifestyle coaches counsel adults and children (and/or their parents) who are obese or at high risk of obesity to achiev...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-019-4457-7

    authors: van Rinsum C,Gerards S,Rutten G,Johannesma M,van de Goor I,Kremers S

    更新日期:2019-09-14 00:00:00

  • How does the WHO Surgical Safety Checklist fit with existing perioperative risk management strategies? An ethnographic study across surgical specialties.

    abstract:BACKGROUND:The World Health Organization (WHO) Surgical Safety Checklist (SSC) has demonstrated beneficial impacts on a range of patient- and team outcomes, though variation in SSC implementation and staff's perception of it remain challenging. Precisely how frontline personnel integrate the SSC with pre-existing perio...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-4965-5

    authors: Wæhle HV,Haugen AS,Wiig S,Søfteland E,Sevdalis N,Harthug S

    更新日期:2020-02-12 00:00:00

  • French cross-cultural adaptation of the Organizational Readiness for Implementing Change (ORIC).

    abstract:BACKGROUND:Organizational readiness is a factor known to influence the predisposition of individuals within an organization to change. Based on Weiner's organizational theory, the "Organizational Readiness for Implementing Change" (ORIC) questionnaire was developed and validated to measure organizational readiness in h...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-019-4361-1

    authors: Ruest M,Léonard G,Thomas A,Desrosiers J,Guay M

    更新日期:2019-07-31 00:00:00

  • Exploring health stakeholders' perceptions on moving towards comprehensive primary health care to address childhood malnutrition in Iran: a qualitative study.

    abstract:BACKGROUND:Due to the multifaceted aspect of child malnutrition, a comprehensive approach, taking social factors into account, has been frequently recommended in health literature. The Alma-Ata declaration explicitly outlined comprehensive primary health care as an approach that addresses the social, economic and polit...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-9-36

    authors: Javanparast S,Coveney J,Saikia U

    更新日期:2009-02-23 00:00:00

  • Concept analysis of community health outreach.

    abstract:BACKGROUND:The definition of community health outreach to promote the health of vulnerable populations depends heavily on the particulars of the given health project and community. There is no consistency in the definitions attached to the concept itself. Our study aimed to clarify the general definition of community h...

    journal_title:BMC health services research

    pub_type: 杂志文章,评审

    doi:10.1186/s12913-020-05266-7

    authors: Shin HY,Kim KY,Kang P

    更新日期:2020-05-13 00:00:00

  • Examining the pace of change in contraceptive practices in abortion services - a follow-up case study of a quality improvement collaborative.

    abstract:BACKGROUND:Among all women who experienced an abortion in Sweden 2017, 45% had previously underwent at least one abortion. This phenomenon of increasing rates of repeat abortions stimulated efforts to improve contraceptive services through a Quality Improvement Collaborative (QIC) with user involvement. The participati...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05799-x

    authors: Kilander H,Brynhildsen J,Alehagen S,Thor J

    更新日期:2020-10-16 00:00:00

  • Differences in antiretroviral scale up in three South African provinces: the role of implementation management.

    abstract:BACKGROUND:South Africa's antiretroviral programme is governed by defined national plans, establishing treatment targets and providing funding through ring-fenced conditional grants. However, in terms of the country's quasi-federal constitution, provincial governments bear the main responsibility for provision of healt...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-10-S1-S4

    authors: Schneider H,Coetzee D,Van Rensburg D,Gilson L

    更新日期:2010-07-02 00:00:00

  • Managerial features and outcome in neonatal intensive care units: results from a cluster analysis.

    abstract:BACKGROUND:Healthcare organisations differ in performance even if they are located in the same country or region. Suitable managerial practices and organisational processes can lead to better health outcomes. As a result, hospitals are constantly looking for managerial arrangements that can improve outcomes and keep co...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05796-0

    authors: Fanelli S,Bellù R,Zangrandi A,Gagliardi L,Zanini R

    更新日期:2020-10-16 00:00:00

  • Medical complexity and time to lung cancer treatment - a three-year retrospective chart review.

    abstract:BACKGROUND:The time from a referral for suspected lung cancer is received at a hospital until treatment start has been defined as a quality indicator. Current Norwegian recommendation is that ≥70% should start surgery or radiotherapy within 42 calendar days and systemic therapy within 35 days. However, delays can occur...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-016-1952-y

    authors: Stokstad T,Sørhaug S,Amundsen T,Grønberg BH

    更新日期:2017-01-17 00:00:00

  • Development of multi-criteria decision analysis (MCDA) framework for off-patent pharmaceuticals - an application on improving tender decision making in Indonesia.

    abstract:BACKGROUND:Off-patent pharmaceuticals (OPPs) hold vital importance in meeting public health objectives, especially in developing countries where resources are limited. OPPs are comprised of off-patent originals, branded generics and unbranded generics; nonetheless, these products are not identical and often there are d...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-018-3805-3

    authors: Inotai A,Brixner D,Maniadakis N,Dwiprahasto I,Kristin E,Prabowo A,Yasmina A,Priohutomo S,Németh B,Wijaya K,Kalo Z

    更新日期:2018-12-29 00:00:00

  • Costs of postabortion care in public sector health facilities in Malawi: a cross-sectional survey.

    abstract:BACKGROUND:Health systems could obtain substantial cost savings by providing safe abortion care rather than providing expensive treatment for complications of unsafely performed abortions. This study estimates current health system costs of treating unsafe abortion complications and compares these findings with newly-p...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-015-1216-2

    authors: Benson J,Gebreselassie H,Mañibo MA,Raisanen K,Johnston HB,Mhango C,Levandowski BA

    更新日期:2015-12-17 00:00:00

  • Validity and reliability of measures to assess constructs from the inner setting domain of the consolidated framework for implementation research in a pediatric clinic network implementing HPV programs.

    abstract:BACKGROUND:Accurate and valid measures for implementation constructs are critical to advance research and guide implementation efforts. However, there is a continued need for valid and reliable measures for implementation research. The purpose of this study was to assess the psychometric properties of measures for the ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-019-4021-5

    authors: Walker TJ,Rodriguez SA,Vernon SW,Savas LS,Frost EL,Fernandez ME

    更新日期:2019-03-29 00:00:00

  • 'There are no more secrets': acceptability of a family-centered model of care for HIV positive children in Eswatini.

    abstract:BACKGROUND:HIV-positive children have lagged adults on retention in HIV care and viral suppression. To address this gap, Eswatini's Ministry of Health started a pilot family-centered HIV care model (FCCM) targeting HIV-positive children under 20 years old and their families. METHODS:We conducted semi-structured in-dep...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05810-5

    authors: Khumalo PN,Katirayi L,Ashburn K,Chouraya C,Mpango L,Mthethwa N,Mofenson LM

    更新日期:2020-10-15 00:00:00

  • A systematic review of the care coordination measurement landscape.

    abstract:BACKGROUND:Care coordination has increasingly been recognized as an important aspect of high-quality health care delivery. Robust measures of coordination processes will be essential tools to evaluate, guide and support efforts to understand and improve coordination, yet little agreement exists among stakeholders about...

    journal_title:BMC health services research

    pub_type: 杂志文章,评审

    doi:10.1186/1472-6963-13-119

    authors: Schultz EM,Pineda N,Lonhart J,Davies SM,McDonald KM

    更新日期:2013-03-28 00:00:00

  • Primary care capitation payments in the UK. An observational study.

    abstract:BACKGROUND:In 2004 an allocation formula for primary care services was introduced in England and Wales so practices would receive equitable pay. Modifications were made to this formula to enable local health authorities to pay practices. Similar pay formulae were introduced in Scotland and Northern Ireland, but these a...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-10-156

    authors: Rhys G,Beerstecher HJ,Morgan CL

    更新日期:2010-06-08 00:00:00

  • Timing of surgery for hip fracture and in-hospital mortality: a retrospective population-based cohort study in the Spanish National Health System.

    abstract:BACKGROUND:While the benefits or otherwise of early hip fracture repair is a long-running controversy with studies showing contradictory results, this practice is being adopted as a quality indicator in several health care organizations. The aim of this study is to analyze the association between early hip fracture rep...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-12-15

    authors: Librero J,Peiró S,Leutscher E,Merlo J,Bernal-Delgado E,Ridao M,Martínez-Lizaga N,Sanfélix-Gimeno G

    更新日期:2012-01-18 00:00:00

  • 'To give or not to give medication, that is the question.' Healthcare personnel's perceptions of factors affecting pro re nata medication in sheltered housing for older adults - a focus-group interview study.

    abstract:BACKGROUND:Residents living in sheltered housing depend on help from healthcare personnel (HCP) with medication management, regarding regular long-term and pro re nata (PRN) medication. The HCP assess the need for PRN medication prior to administration to the residents. The purpose of this study was to describe HCP's p...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05439-4

    authors: Nilsen MK,Sletvold H,Olsen RM

    更新日期:2020-07-08 00:00:00

  • The social accountability of doctors: a relationship based framework for understanding emergent community concepts of caring.

    abstract:BACKGROUND:Social accountability is defined as the responsibility of institutions to respond to the health priorities of a community. There is an international movement towards the education of health professionals who are accountable to communities. There is little evidence of how communities experience or articulate ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-017-2239-7

    authors: Green-Thompson LP,McInerney P,Woollard B

    更新日期:2017-04-12 00:00:00

  • 'Reaching the hard to reach'--lessons learned from the VCS (voluntary and community Sector). A qualitative study.

    abstract:BACKGROUND:The notion 'hard to reach' is a contested and ambiguous term that is commonly used within the spheres of social care and health, especially in discourse around health and social inequalities. There is a need to address health inequalities and to engage in services the marginalized and socially excluded secto...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-10-92

    authors: Flanagan SM,Hancock B

    更新日期:2010-04-08 00:00:00

  • Monitoring quality of care for peripheral intravenous catheters; feasibility and reliability of the peripheral intravenous catheters mini questionnaire (PIVC-miniQ).

    abstract:BACKGROUND:Peripheral intravenous catheters (PIVCs) account for a mean of 38% of catheter associated bloodstream infections (CABSI) with Staphylococcus aureus, which are preventable if deficiencies in best practice are addressed. There exists no feasible and reliable quality surveillance tool assessing all important ar...

    journal_title:BMC health services research

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12913-019-4497-z

    authors: Høvik LH,Gjeilo KH,Lydersen S,Rickard CM,Røtvold B,Damås JK,Solligård E,Gustad LT

    更新日期:2019-09-05 00:00:00

  • Study protocol: a mixed methods study to assess mental health recovery, shared decision-making and quality of life (Plan4Recovery).

    abstract:BACKGROUND:Recovery in mental health care is complex, highly individual and can be facilitated by a range of professional and non-professional support. In this study we will examine how recovery from mental health problems is promoted in non-medical settings. We hypothesise a relationship between involvement in decisio...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-016-1640-y

    authors: Coffey M,Hannigan B,Meudell A,Hunt J,Fitzsimmons D

    更新日期:2016-08-17 00:00:00

  • Value of biopsy in a cohort of children with high-titer celiac serologies: observation of dynamic policy differences between Europe and North America.

    abstract:BACKGROUND:Healthcare systems implement change at different rates because of differences in incentives, organizational processes, key influencers, and management styles. A comparable set of forces may play out at the national and international levels as demonstrated in significant differences in the diagnostic manageme...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05815-0

    authors: Badizadegan K,Vanlandingham DM,Hampton W,Thompson KM

    更新日期:2020-10-20 00:00:00

  • Health facility readiness and provider knowledge as correlates of adequate diagnosis and management of pre-eclampsia in Kinshasa, Democratic Republic of Congo.

    abstract:BACKGROUND:Hypertensive disorders in pregnancy are the second most common cause of maternal mortality in the Democratic Republic of Congo (DRC), accounting for 23% of maternal deaths. This study aimed to assess facility readiness, and providers' knowledge to prevent, diagnose, and treat pre-eclampsia. METHODS:A facili...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05795-1

    authors: Nkamba DM,Vangu R,Elongi M,Magee LA,Wembodinga G,Bernard P,Ditekemena J,Robert A

    更新日期:2020-10-07 00:00:00

  • Collaboration in teams with nurse practitioners and general practitioners during out-of-hours and implications for patient care; a qualitative study.

    abstract:BACKGROUND:Increasingly, nurse practitioners (NPs) are deployed in teams along with general practitioners (GPs) to help meet the demand for out-of-hours care. The purpose of this study was to explore factors influencing collaboration between GPs and NPs in teams working out-of-hours. METHODS:A descriptive qualitative ...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-017-2548-x

    authors: van der Biezen M,Wensing M,Poghosyan L,van der Burgt R,Laurant M

    更新日期:2017-08-23 00:00:00

  • Predictors of mental health help-seeking among polish people living the United Kingdom.

    abstract:BACKGROUND:Migration has been shown to be associated with negative mental health outcomes. Moreover, migrants tend to underutilise mental health services. The current study aimed to assess the association between predictors, divided into three groups (predisposing, enabling and need), and two outcome variables: (1) pas...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-018-3504-0

    authors: Gondek D,Kirkbride JB

    更新日期:2018-09-06 00:00:00

  • Trends and area variations in Potentially Preventable Admissions for COPD in Spain (2002-2013): a significant decline and convergence between areas.

    abstract:BACKGROUND:Potentially Preventable Hospitalizations (PPH) are hospital admissions for conditions which are preventable with timely and appropriate outpatient care being Chronic Obstructive Pulmonary Disease (COPD) admissions one of the most relevant PPH. We estimate the population age-sex standardized relative risk of ...

    journal_title:BMC health services research

    pub_type: 杂志文章,多中心研究

    doi:10.1186/s12913-016-1624-y

    authors: Librero J,Ibañez-Beroiz B,Peiró S,Ridao-López M,Rodríguez-Bernal CL,Gómez-Romero FJ,Bernal-Delgado E,Spanish Atlas of Medical Practice Variation Research Group.

    更新日期:2016-08-09 00:00:00

  • "If you are on duty, you may be afraid to come out to attend to a person": fear of crime and security challenges in maternal acute care in Nigeria from a realist perspective.

    abstract:BACKGROUND:Maternal and Child Health is a global priority. Access and utilization of facility-based health services remain a challenge in low and middle-income countries. Evidence on barriers to providing and accessing services omits information on the role of security within facilities. This paper explores the role of...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05747-9

    authors: Etiaba E,Manzano A,Agbawodikeizu U,Ogu U,Ebenso B,Uzochukwu B,Onwujekwe O,Ezumah N,Mirzoev T

    更新日期:2020-09-29 00:00:00

  • Timing of physical therapy consultation on 1-year healthcare utilization and costs in patients seeking care for neck pain: a retrospective cohort.

    abstract:BACKGROUND:Patients seek care from physical therapists for neck pain but it is unclear what the association of the timing of physical therapy (PT) consultation is on 1-year healthcare utilization and costs. The purpose of this study was to compare the 1-year healthcare utilization and costs between three PT timing grou...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-018-3699-0

    authors: Horn ME,Fritz JM

    更新日期:2018-11-26 00:00:00

  • The experiences of districts in implementing a national incentive programme to promote safe delivery in Nepal.

    abstract:BACKGROUND:Nepal's Safe Delivery Incentive Programme (SDIP) was introduced nationwide in 2005 with the intention of increasing utilisation of professional care at childbirth. It provided cash to women giving birth in a health facility and an incentive to the health provider for each delivery attended, either at home or...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/1472-6963-9-97

    authors: Powell-Jackson T,Morrison J,Tiwari S,Neupane BD,Costello AM

    更新日期:2009-06-09 00:00:00

  • Trends in the use of computerized physician order entry by health-system affiliated ambulatory clinics in the United States, 2014-2016.

    abstract:BACKGROUND:Computerized provider order entry (CPOE) can help providers deliver better quality care. We aimed to understand recent trends in use of CPOE by health system-affiliated ambulatory clinics. METHODS:We analyzed longitudinal data (2014-2016) for 19,109 ambulatory clinics that participated in all 3 years of the...

    journal_title:BMC health services research

    pub_type: 杂志文章

    doi:10.1186/s12913-020-05679-4

    authors: Fischer SH,Rudin RS,Shi Y,Shekelle P,Amill-Rosario A,Scanlon D,Damberg CL

    更新日期:2020-09-07 00:00:00