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 Resjournal_title
BMC health services researchauthors
Kumar S,Tian EJ,May E,Crouch R,McCulloch Mdoi
10.1186/s12913-020-4954-8subject
Has Abstractpub_date
2020-02-10 00:00:00pages
105issue
1issn
1472-6963pii
10.1186/s12913-020-4954-8journal_volume
20pub_type
杂志文章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
更新日期:2019-09-14 00:00:00
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
更新日期:2020-02-12 00:00:00
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
更新日期:2019-07-31 00:00:00
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
更新日期:2009-02-23 00:00:00
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
更新日期:2020-05-13 00:00:00
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
更新日期:2020-10-16 00:00:00
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
更新日期:2010-07-02 00:00:00
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
更新日期:2020-10-16 00:00:00
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
更新日期:2017-01-17 00:00:00
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
更新日期:2018-12-29 00:00:00
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
更新日期:2015-12-17 00:00:00
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
更新日期:2019-03-29 00:00:00
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
更新日期:2020-10-15 00:00:00
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
更新日期:2013-03-28 00:00:00
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
更新日期:2010-06-08 00:00:00
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
更新日期:2012-01-18 00:00:00
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
更新日期:2020-07-08 00:00:00
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
更新日期:2017-04-12 00:00:00
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
更新日期:2010-04-08 00:00:00
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
更新日期:2019-09-05 00:00:00
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
更新日期:2016-08-17 00:00:00
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
更新日期:2020-10-20 00:00:00
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
更新日期:2020-10-07 00:00:00
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
更新日期:2017-08-23 00:00:00
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
更新日期:2018-09-06 00:00:00
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
更新日期:2016-08-09 00:00:00
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
更新日期:2020-09-29 00:00:00
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
更新日期:2018-11-26 00:00:00
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
更新日期:2009-06-09 00:00:00
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
更新日期:2020-09-07 00:00:00