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Health service provision in rural and remote areas: a needs analysis
Author(s) -
Dunne Paul,
Patterson Carol,
Kilmartin Margaret,
Sladden Michael
Publication year - 1994
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.1994.tb127349.x
Subject(s) - community health , rural health , socioeconomic status , rural area , health care , medicine , poverty , business , environmental health , health policy , public health , economic growth , nursing , population , pathology , economics
Objectives To assess the health service needs of rural and remote populations and to examine the relationship between these needs as obtained from available data and as perceived by community general practitioners (GPs) and other health providers. Design Existing census and research data were used to study the Huon and Channel health district of South‐East Tasmania. Primary data collection consisted of structured interviews with medical practition‐ers and community representatives. Results Serious health problems are widespread in rural and remote areas as a result of socioeconomic conditions arising from economic recession and unemployment and pre‐existing lifestyle and cultural attitudes towards health, low educational levels, isolation and lack of transport. General practice and primary health care provision follow urbanisation and decrease with increasing distance from a major rural centre, as do the incidence of poverty and worsening health problems. Conclusions Most primary health care in rural and remote areas is provided by GPs, with curative services predominating. The health service patterns conform to lower socioeconomic patterns in that preventive health is given a low priority. Preventive health programs should tie in with curative health service provision, making use of the resources already available within the communities. The primary role taken by rural GPs in health service provision demands that they take a pivotal role in preventive health service delivery.