Barriers And Facilitators to Accessing Medical Services in Rural And Remote Australia: A systematic review

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Thorn, Harrison
Olley, Richard
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2023
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OBJECTIVE This qualitative review aims to identify and list the barriers and facilitators to accessing medical services for rural and remote Australians, within the current literature to inform policy development and highlight the need for further research. METHODS The review was guided by the PRISMA method. Boolean search strings identified relevant articles using the Griffith University Library electronic catalogue. The study included only English language research articles published between August 31st, 2018 and August 31st, 2021, focusing on facilitators and barriers within the Australian context considering both access and rurality/remoteness. RESULTS Thematic analysis of six articles identified ten barriers: communication, confidentiality, fear and shame, f unding, geography, health behaviours, reliance on others, service provision, staffing, transport; and eight facilitators: collaboration/partnerships, communication, cultural safety funding, service provision, staffing, and telehealth, to accessing medical services in rural and remote Australia. CONCLUSION Ten barriers and eight facilitators to accessing medical services in rural and remote Australia were identified and listed from six articles identified through a qualitative review. This review identifie d a research gap regarding understanding the underlying challenges behind these barriers and facilitators and the implications for policy implementation to improve access to medical services.

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Asia Pacific Journal of Health Management

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18

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1

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© The Authors 2023. This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

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Health services and systems

Public health

Policy and administration

Science & Technology

Life Sciences & Biomedicine

Health Policy & Services

Health Care Sciences & Services

barriers

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Thorn, H; Olley, R, Barriers And Facilitators to Accessing Medical Services in Rural And Remote Australia: A systematic review, Asia Pacific Journal of Health Management, 2023, 18 (1)

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