Understanding rural and remote health: A framework for analysis in Australia
Understanding rural and remote health: A framework for analysis in Australia
复制标题
DOI：
10.1016/j.healthplace.2012.02.009
复制
发表时间：
2012-05-01
期刊：
影响因子：
4.8
通讯作者：
Taylor, Judy
中科院分区：
文献类型：
--
作者：
Bourke, Lisa;Humphreys, John S.;Taylor, Judy
生活在农村和偏远地区的人们在获得适当的卫生服务方面面临挑战，其中许多地区难以招募和留住工作人员。尽管研究人员已经在澳大利亚和国际上记录了这些问题，但农村卫生部门仍然对当前问题做出反应，并且缺乏全面的了解。本文提出了一个概念框架，可用于更好地了解特定的农村和偏远地区的健康状况。该框架由六个关键概念组成：地理隔离、农村地区、当地卫生应对措施、更广泛的卫生系统、社会结构和权力。从吉登斯的结构理论来看，该框架表明，农村卫生被理解为当地居民之间的空间和社会关系，以及当地卫生专业人员/消费者的行为，这些行为既受到更广泛的卫生系统和社会结构的促进和约束。该框架为一系列利益相关者提供了了解农村和偏远地区卫生状况的指南。 (c) 2012 Elsevier Ltd. 保留所有权利。
People living in rural and remote areas face challenges in accessing appropriate health services, many of which struggle to recruit and retain staff. While researchers have documented these issues in Australia and internationally, rural health remains reactive to current problems and lacks comprehensive understanding. This paper presents a conceptual framework that can be used to better understand specific rural and remote health situations. The framework consists of six key concepts: geographic isolation, the rural locale, local health responses, broader health systems, social structures and power. Viewed through Giddens' theory of structuration, the framework suggests that rural health is understood as spatial and social relations among local residents as well as the actions of local health professionals/consumers that are both enabled and constrained by broader health systems and social structures. The framework provides a range of stakeholders with a guide to understanding rural and remote health. (c) 2012 Elsevier Ltd. All rights reserved.