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Rural Health System Resources

BY RURAL PEOPLE FOR RURAL PEOPLE

Integrating care in remote First Nation’s communities: Experience of health professionals, community services and allied health students.

Authors

Alice Cairns, Niccola Currie, Jennifer Mann

Description

Allied health services in rural and remote communities often work in siloed and solo discipline-specific positions. They are often part of general multi-disciplinary teams without a clearly articulated service model that integrates care for individuals and addresses broader community health needs. Integrated care service models for clients with complex disabilities or chronic health needs have demonstrated improved outcomes, but feasible service models are rarely described in the context of rural, remote and First Nations communities. Integration can support primary care in remote communities where resources are thin, and the breadth of multidisciplinary service providers is not available. To respond to the context, a co-designed student-assisted, community rehabilitation and lifestyle service was developed to support very remote communities.

Why is this useful for rural and remote people?

Multidisciplinary care is recognised as the preferred model for improving access to care for people in rural and remote communities, and better supporting people with chronic disease and conditions of ageing which characterises the populations of rural and remote Australia. The development of specialist allied health professions over the last 3 decades means that these professionals often have superior knowledge, skills and clinical training to treat of diseases of ageing, and chronic disease, compared to the traditional GP. Despite this, rural and remote health models continue to rely on traditional GP-led models of care. This is a barrier to utilising the broad range of health skills and capabilities available to rural and remote people. A number of models have been developed to improve the utilisation of multidisciplinary teams in rural and remote areas, most notably the CARPA Manual developed for very remote Aboriginal communities. But there is a lack of documented models of multidisciplinary care suitable for application in small rural towns, and existing funding models continue to preference GP led care which conflicts with the evidence for multidisciplinary care. Understanding how to apply integrated multi-disciplinary models in small rural communities is critical for two reasons: (1) building community confidence in multidisciplinary care as a superior solution to GP-specific models in small rural towns; and (2) providing often over-stretched and under resourced health centres in small rural towns with guidance on how to implement this model effectively.

Suggested Citation

Cairns, A., Currie, N. and Mann, J. (2024) ‘Integrating care in remote First Nation’s communities: Experience of health professionals, community services and allied health students.’, International Journal of Integrated Care, 24(4), p. 272.

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