A systematic review of disability, rehabilitation and lifestyle services in rural and remote Australia through the lens of the people-centred health care

Bohanna, India, Harriss, Linton, McDonald, Malcolm, Cullen, Jennifer, Strivens, Edward, Bird, Katrina, Blanco, Leisyle, Thompson, Fintan, Wapau, Hylda, Wason, Alan, and Barker, Ruth (2022) A systematic review of disability, rehabilitation and lifestyle services in rural and remote Australia through the lens of the people-centred health care. Disability and Rehabilitation. (In Press)

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Abstract

Purpose: The aim of this systematic review was to identify models of community disability, rehabilitation and lifestyle service delivery in non-metropolitan areas of Australia, and to describe these models through an Integrated People-Centred Health Services (IPCHS) lens. Materials and methods: We identified peer-reviewed studies published between 2000 and June 2021 that met the following criteria: described or evaluated a community service delivery model, intervention or program in regional, rural or remote Australia; provided for people with a disability or a potentially disabling health condition. A scoring rubric was developed covering the five IPCHS strategies.

Results: Nineteen studies were included in the review. We identified a range of service delivery models providing support to people with a range of disabilities or conditions. We report evidence of the use of the IPCHS strategies in ways relevant to the local context.

Discussion: Several strengths emerged, with many services tailored to individual need, and significant community engagement. Innovative rural service delivery approaches were also identified. Key areas requiring action included improved coordination or integration within and across professions and sectors. There was limited evidence of co-production of solutions or participatory governance. While people-centred approaches show promise to improve community-based services, large-scale fundamental change is required.

Item ID: 73227
Item Type: Article (Research - C1)
ISSN: 1464-5165
Keywords: Disability; health services; rural and remote; rehabilitation services
Copyright Information: © 2021 Informa UK Limited, trading as Taylor & Francis Group.
Date Deposited: 13 Jun 2022 03:54
FoR Codes: 42 HEALTH SCIENCES > 4201 Allied health and rehabilitation science > 420109 Rehabilitation @ 33%
42 HEALTH SCIENCES > 4203 Health services and systems > 420305 Health and community services @ 33%
42 HEALTH SCIENCES > 4203 Health services and systems > 420321 Rural and remote health services @ 34%
SEO Codes: 20 HEALTH > 2005 Specific population health (excl. Indigenous health) > 200508 Rural and remote area health @ 34%
20 HEALTH > 2004 Public health (excl. specific population health) > 200403 Disability and functional capacity @ 33%
20 HEALTH > 2002 Evaluation of health and support services > 200299 Evaluation of health and support services not elsewhere classified @ 33%
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