Background: The purpose of the study is to explore the reasons why specialist doctors travel to provide regular rural outreach services, and whether reasons relate to (1) salaried or private fee-for-service practice and (2) providing rural outreach services in more remote locations.
Methods: A national cross-sectional study of specialist doctors from the Medicine in Australia: Balancing Employment and Life (MABEL) survey in 2014 was implemented. Specialists providing rural outreach services self-reported on a 5-point scale their level of agreement with five reasons for participating. Chi-squared analysis tested association between agreement and variables of interest.
Results: Of 567 specialists undertaking rural outreach services, reasons for participating include to grow the practice (54%), maintain a regional connection (26%), provide complex healthcare (18%), healthcare for disadvantaged people (12%) and support rural staff (6%). Salaried specialists more commonly participated to grow the practice compared with specialists in fee-for-service practice (68 vs 49%). This reason was also related to travelling further and providing outreach services in outer regional/remote locations. Private fee-for-service specialists more commonly undertook outreach services to provide complex healthcare (22 vs 14%).
Conclusions: Specialist doctors undertake rural outreach services for a range of reasons, mainly to complement the growth and diversity of their main practice or maintain a regional connection. Structuring rural outreach around the specialist's main practice is likely to support participation and improve service distribution.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5219693 | PMC |
| http://dx.doi.org/10.1186/s12960-016-0174-z | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
"Enhancing equitable impact: ethical, legal, and sustainable approaches in short-term surgical outreach for global child health".
Front Pediatr
January 2025
Department of Anesthesiology, University of Wisconsin Foundation, Madison, WI, United States.
Global health prioritizes improving health and achieving equity in health for all people worldwide. It encompasses a wide range of efforts, including disease prevention and treatment, health promotion, healthcare delivery, and addressing health disparities across borders. Short-term medical and surgical missions often contribute to the global health landscape, especially in low and lower-middle income countries.
View Article and Find Full Text PDFPopulation-Wide Vaccination Hesitancy among the Amish: A County-Level Study of COVID-19 Vaccine Adoption and Implications for Public Health Policy and Practice.
Popul Res Policy Rev
July 2023
Population Research Institute, Pennsylvania State University, University Park, PA.
Spatially concentrated, vaccine-hesitant populations represent an ongoing challenge to public health policies that emphasize mass vaccination as a means to eradicating certain infectious diseases. Previous research suggests that Amish populations, which are spatially clustered and rapidly growing, may be undervaccinated. However, existing evidence is limited to local case studies in pre-COVID-19 contexts.
View Article and Find Full Text PDFNavigating the Post-Pandemic Landscape: The Challenges and Opportunities of Community-Based Networks in Substance Prevention.
J Drug Educ
January 2025
Department of Strategic Communication, Marquette University, Milwaukee, WI, USA.
The COVID-19 pandemic has significantly influenced substance prevention work, exacerbating existing challenges and providing new opportunities for community-based substance prevention networks (CSPNs). CSPNs are interorganizational networks that include various providers, such as nonprofits and government agencies, that collaborate to provide substance prevention services and are embedded in local communities. This study analyzes the post-pandemic adaptation of a CSPN in the United States.
View Article and Find Full Text PDFPediatric Surgical Outreach: An Underutilized Resource for Increasing Children's Surgical Capacity in Canada.
J Pediatr Surg
January 2025
Department of Surgery, BC Children's Hospital, University of British Columbia, Vancouver, British Columbia, Canada. Electronic address:
Background: Wait times for children's hospital-based surgical services are at unprecedented levels. Opportunities to increase most children's hospital-based service capacity are sparse, and community-based services are a potential patient-centered alternative. The aim of this study was to understand the current state of pediatric surgical outreach in Canada as an option to address these challenges.
View Article and Find Full Text PDFObjectives Family caregivers of individuals with young-onset dementia (YOD) often struggle to seek help, despite the heavy burden of care. This study explored their feelings when attempting to find support in the early stages after diagnosis.Methods This qualitative descriptive study conducted semi-structured interviews with eight family caregivers of patients with YOD at home.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!