Academic literature on the topic 'Rural health – Western Australia'

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Journal articles on the topic "Rural health – Western Australia"

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Lower, T., G. Durham, D. Bow, and A. Larson. "Implementation of the Australian core public health functions in rural Western Australia." Australian and New Zealand Journal of Public Health 28, no. 5 (October 2004): 418–25. http://dx.doi.org/10.1111/j.1467-842x.2004.tb00023.x.

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Playford, Denese E., and Edwina Cheong. "Rural Undergraduate Support and Coordination, Rural Clinical School, and Rural Australian Medical Undergraduate Scholarship: rural undergraduate initiatives and subsequent rural medical workforce." Australian Health Review 36, no. 3 (2012): 301. http://dx.doi.org/10.1071/ah11072.

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Background. This study examined postgraduate work after an undergraduate clinical year spent in the Rural Clinical School of Western Australia (RCSWA), compared with 6 weeks Rural Undergraduate Support and Coordination (RUSC)-funded rural experience in a 6-year undergraduate medical course. Rural background, sex and Rural Australian Medical Undergraduate Scholarship (RAMUS)-holding were taken into account. Methods. University of Western Australia undergraduate data were linked by hand with postgraduate placements to provide a comprehensive dataset on the rural exposure history of junior medical practitioners working in Western Australia between 2004 and 2007. Results. Participation in the RCSWA program was associated with significantly more postgraduate year one rural work than RUSC placement alone (OR = 1.5, CI 0.97–2.38). The RCSWA workforce effect increased at postgraduate year two (OR = 3.0, CI 1.6484 to 5.5935 relative to RUSC). Rural-origin practitioners who chose the RCSWA program were more likely than other rural-origin practitioners to take rural rotations in both postgraduate years. RAMUS holders’ choice in relation to the RCSWA program predicted later rural work. There were no effects of sex. Conclusions. Rural initiatives, in particular the Rural Clinical School program, are associated with postgraduate rural choices. The real impact of these data rely on the translation of early postgraduate choices into long-term work commitments. What is known about the topic? Specific training of rural graduates is strongly related to subsequent rural workforce. In addition, rural educational placements affect medical students’ intentions to practise rurally. Retrospective data from rural relative to urban general practitioners link rural background, rural undergraduate experience and rural postgraduate experience with rural work. What does this paper add? Much of the Australian prospective outcomes research has looked at workforce intentions of graduates, or the workforce outcomes of small graduate cohorts of Rural Clinical Schools. This paper followed nearly 500 graduates by name through to their PGY1 and PGY2 workforce decisions. As this cohort comprised 80% of three completely graduated MBBS years, these data validly represent the outcome of a medical school which is comparable to all Australian medical schools in its RUSC, Rural Clinical School and RAMUS recipients. The paper provides the first peer-reviewed outcomes data for the RAMUS scholarship program. What are the implications for practitioners? Rural supervision of medical students is an effective way to recruit new workforce. The longer students are supervised in rural settings, the better. But undergraduate programs need to be linked with postgraduate initiatives that take graduates of medical student initiatives into vocational programs able to deliver a trained rural workforce.
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Aoun, Samar, and Lyn Johnson. "CAPACITY BUILDING IN RURAL MENTAL HEALTH IN WESTERN AUSTRALIA." Australian Journal of Rural Health 10, no. 1 (June 28, 2008): 39–44. http://dx.doi.org/10.1111/j.1440-1584.2002.tb00007.x.

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Kruger, E., K. Dyson, and M. Tennant. "Pre-school child oral health in rural Western Australia." Australian Dental Journal 50, no. 4 (December 2005): 258–62. http://dx.doi.org/10.1111/j.1834-7819.2005.tb00370.x.

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Aoun, Samar, and Lyn Johnson. "CAPACITY BUILDING IN RURAL MENTAL HEALTH IN WESTERN AUSTRALIA." Australian Journal of Rural Health 10, no. 1 (February 2002): 39–44. http://dx.doi.org/10.1046/j.1440-1584.2002.00407.x.

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Costello, D., M. Johns, B. Jackson, S. Nannup, and S. O'Brien. "Preventing suicide in rural and remote Western Australia." Injury Prevention 16, Supplement 1 (September 1, 2010): A201. http://dx.doi.org/10.1136/ip.2010.029215.717.

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van Spijker, Bregje A., Jose A. Salinas-Perez, John Mendoza, Tanya Bell, Nasser Bagheri, Mary Anne Furst, Julia Reynolds, et al. "Service availability and capacity in rural mental health in Australia: Analysing gaps using an Integrated Mental Health Atlas." Australian & New Zealand Journal of Psychiatry 53, no. 10 (June 28, 2019): 1000–1012. http://dx.doi.org/10.1177/0004867419857809.

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Objective: Access to services and workforce shortages are major challenges in rural areas worldwide. In order to improve access to mental health care, it is imperative to understand what services are available, what their capacity is and where existing funds might be spent to increase availability and accessibility. The aim of this study is to investigate mental health service provision in a selection of rural and remote areas across Australia by analysing service availability, placement capacity and diversity. Method: This research studies the health regions of Western New South Wales and Country Western Australia and their nine health areas. Service provision was analysed using the DESDE-LTC system for long-term care service description and classification that allows international comparison. Rates per 100,000 inhabitants were calculated to compare the care availability and placement capacity for children and adolescents, adults and older adults. Results: The lowest diversity was found in northern Western Australia. Overall, Western New South Wales had a higher availability of non-acute outpatient services for adults, but hardly any acute outpatient services. In Country Western Australia, substantially fewer non-acute outpatient services were found, while acute services were much more common. Acute inpatient care services were more common in Western New South Wales, while sub-acute inpatient services and non-acute day care services were only found in Western New South Wales. Conclusion: The number and span of services in the two regions showed discrepancies both within and between regions, raising issues on the equity of access to mental health care in Australia. The standard description of the local pattern of rural mental health care and its comparison across jurisdictions is critical for evidence-informed policy planning and resource allocation.
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Costello, D., and M. O'Brien. "Grass roots suicide prevention in rural Western Australia (WA)." Injury Prevention 18, Suppl 1 (October 2012): A161.2—A161. http://dx.doi.org/10.1136/injuryprev-2012-040590m.24.

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Kruger, Estie, and Mark Tennant. "Oral health workforce in rural and remote Western Australia: Practice perceptions." Australian Journal of Rural Health 13, no. 5 (October 2005): 321–26. http://dx.doi.org/10.1111/j.1440-1584.2005.00724.x.

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Ramsden, Robyn, Richard Colbran, Tricia Linehan, Michael Edwards, Hilal Varinli, Carolyn Ripper, Angela Kerr, et al. "Partnering to address rural health workforce challenges in Western NSW." Journal of Integrated Care 28, no. 2 (November 4, 2019): 145–60. http://dx.doi.org/10.1108/jica-06-2019-0026.

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Purpose While one-third of Australians live outside major cities, there are ongoing challenges in providing accessible, sustainable, and appropriate primary health care services in rural and remote communities. The purpose of this paper is to explore a partnership approach to understanding and addressing complex primary health workforce issues in the western region of New South Wales (NSW), Australia. Design/methodology/approach The authors describe how a collaboration of five organisations worked together to engage a broader group of stakeholders and secure commitment and resources for a regional approach to address workforce challenges in Western NSW. A literature review and formal interviews with stakeholders gathered knowledge, identified issues and informed the overarching approach, including the development of the Western NSW Partnership Model and Primary Health Workforce Planning Framework. A stakeholder forum tested the proposed approach and gained endorsement for a collaborative priority action plan. Findings The Western NSW Partnership Model successfully engaged regional stakeholders and guided the development of a collaborative approach to building a sustainable primary health workforce for the future. Originality/value Given the scarcity of literature about effective partnerships approaches to address rural health workforce challenges, this paper contributes to an understanding of how to build sustainable partnerships to positively impact on the rural health workforce. This approach is replicable and potentially valuable elsewhere in NSW, other parts of Australia and internationally.
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Dissertations / Theses on the topic "Rural health – Western Australia"

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Speldewinde, Peter Christiaan. "Ecosystem health : the relationship between dryland salinity and human health." University of Western Australia. School of Population Health, 2008. http://theses.library.uwa.edu.au/adt-WU2008.0127.

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Australia is experiencing widespread ecosystem degradation, including dryland salinity, erosion and vegetation loss. Approximately 1 million hectares (5.5%) of the south-west agricultural zone of Western Australia is affected by dryland salinity and is predicted to rise to 5.4 million hectares by 2050. Such degradation is associated with many environmental outcomes that may impact on human health, including a decrease in primary productivity, an increase in the number of invasive species, a decrease in the number of large trees, overall decrease in biodiversity, and an increase in dust production. The resulting degradation affects not only farm production but also farm values. This study examines the effects of such severe and widespread environmental degradation on the physical and mental health of residents. Western Australia has an extensive medical record database which links individual health records for all hospital admissions, cancer cases, births and deaths. For the 15 diseases examined in this project, the study area of the south west of Western Australia (excluding the capital city of Perth) contained 1,570,985 morbidity records and 27,627 mortality records for the 15 diseases examined in a population of approximately 460,000. Environmental data were obtained from the Western Australian Department of Agriculture?s soil and landscape mapping database. A spatial Bayesian framework was used to examine associations between these disease and environmental variables. The Bayesian model detected the confounding variables of socio-economic status and proportion of the population identified as Aboriginal or Torres Strait Islander. With the inclusion of these confounders in the model, associations were found between environmental degradation (including dryland salinity) and several diseases with known environmentally-mediated triggers, including asthma, ischaemic heart disease, suicide and depression. However, once records of individuals who had been diagnosed with coexistent depression were removed from the analysis, the effect of dryland salinity was no longer statistically detectable for asthma, ischaemic heart disease or suicide, although the effects of socio-economic status and size of the Aboriginal population remained. The spatial component of this study showed an association between land degradation and human health. These results indicated that such processes are driving the degree of psychological ill-health in these populations, although it remains uncertain whether this 4 is secondary to overall coexisting rural poverty or some other environmental mechanism. To further investigate this complex issue an instrument designed to measure mental health problems in rural communities was developed. Components of the survey included possible triggers for mental health, including environmental factors. The interview was administered in a pilot study through a telephone survey of a small number of farmers in South-Western Australia. Using logistic regression a significant association between the mental health of male farmers and dryland salinity was detected. However, the sample size of the survey was too small to detect any statistically significant associations between dryland salinity and the mental health of women. The results of this study indicate that dryland salinity, as with other examples of ecosystem degradation, is associated with an increased burden of human disease.
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Loh, Poh Kooi. "Innovations in health for older people in Western Australia." University of Western Australia. School of Medicine and Pharmacology, 2009. http://theses.library.uwa.edu.au/adt-WU2010.0051.

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Australia and many other developed communities are ageing rapidly, placing a strain on the delivery of health services. This thesis examines the use of innovative health services management coupled with information and communication technology (ICT) to more efficiently deliver services to disabled older people in the hospital, community and residential care. The hypothesis explored is that ICT can provide clinical services to older people in poorly serviced communities and groups, thus extending the influence and capabilities of specialist health care professionals. The relevance of these studies is predominantly for those people who live outside the metropolitan regions, particularly in remote and rural communities, and also for those frail older people, who because of disability, are unable to travel to specialist health services. There are a series of studies presented in this thesis which have all been published. They have demonstrated that in a community and rural setting, ICT use in the assessment and management of geriatric syndromes such as dementia is valid and practical. This included the validation of commonly used assessment tools via Telehealth. A Telehealth protocol for assessment of Alzheimer's Dementia (AD) was developed and published. The use of ICT to link health services clinical and administrative data for determining stroke outcomes and disability has been evaluated and a resource utilization prediction model developed. Finally, in residential care a survey and a qualitative study of poor uptake of ICT services in hostels and nursing homes revealed insights into ICT perception by the older people in care facilities and their professional staff. The implications and future development of these studies have been discussed, especially barriers to increased uptake of ICT, cost comparisons and the potential of future technologies such as video conferencing mobile phones.
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Lewis, Janice A. "The clinician manager in rural Western Australia: a sensemaking perspective of the role." Curtin University of Technology, Graduate School of Business, 2001. http://espace.library.curtin.edu.au:80/R/?func=dbin-jump-full&object_id=13059.

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Economic, political and social forces are driving the implementation of reforms in health service systems worldwide. As the health industry concentrates on ways to improve operations and to achieve overall cost effectiveness, health service organisations are developing and implementing structural changes to address issues of cost containment, utilisation and resource allocation. One approach has been to devolve resource allocation and utilisation decisions to the program or unit level. Clinical practitioners have been required to assume general management responsibilities in addition to their clinical role. A new type of clinician, the clinician manager has emerged to take on this task. Despite the trend towards the clinician manager role in many sections of health care world wide, there is little research in the area and a poor understanding of the experience of the role.The aim of this research was to explore clinician managers' perceptions of their experiences in their adaptation to and their enactment of the new role. The study was based in the symbolic interactionist paradigm. Sensemaking, the process by which individuals ascribe meaning to the events in their environment, provided a theoretical context that directed the inquiry. Grounded theory was the methodological approach. The research sample was made up of Directors of Nursing/Health Service Managers, a clinician manager role that had emerged from the restructuring of rural health services in Western Australia. Data was gathered from in-depth interviews.Findings suggested that sensemaking was influenced by structural and personal elements. Structural elements were created by the stakeholders, individuals and groups who relied on the clinician manager for the achievement of their goals but upon whom, in turn, the clinician manager relied upon for their support and cooperation. The sensemaking process of the ++
clinician manager was mediated by the interaction with the stakeholders - the most influential factors being the clinician manager's perceptions of the trustworthiness of the stakeholders, the political behaviour that characterised the interactions with the stakeholder and role stress. In particular, role conflict, role ambiguity and role overload emerged. Personal elements were the personal characteristics of the clinician manager - the most salient being the experience of role strain, self-efficacy (i.e. their belief in their ability to do the job) and their commitment to the sensemaking process.Circumstances in the environment constrained their reliance on others for validation of their explanations of events and the actions they took. Most made decisions based on intuition and "gut feeling" - validating these decisions with subjective evaluations of outcomes and retrospective explanations. These processes were further mediated by the characteristics of the individual, particularly perceptions of self-efficacy. The ways in which the clinician managers adapted to and interpreted their role was diverse, which made the role more an expression of individual preferences than a coherent part of a larger organisational structure. Findings indicated that the clinician managers relied on their sensemaking processes in order to explain the ambiguous nature of their practice environment and to plan actions within the context of a role that was poorly defined by the organisation.
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Mostafanejad, Karola. "Young adults' experience of living with a mental illness in rural Western Australia : a grounded theory approach /." Curtin University of Technology, School of Nursing and Midwifery, 2005. http://espace.library.curtin.edu.au:80/R/?func=dbin-jump-full&object_id=16160.

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It is estimated that one in five Australians are affected by a mental disorder, and the associated burden of living with a mental illness will become one of the greatest health care issues during the next 20 years. Since the 1960s, the care of people with mental disorders has been transferred to community settings including to rural areas of Australia through the process of deinstitutionalisation. However, research on young adults living with a mental illness in rural communities is limited, and the multidimensional experience of this group of young adults has not been previously explored. This study, guided by grounded theory methodology, explored young adults' experience of living with a mental illness in rural Western Australia. This thesis presents the findings of interviews with nine participants aged between 18 and 30 and places the findings within the context of relevant scientific literature. The constant comparative method used in grounded theory analysis identified that the basic social psychological problem experienced by all participants was "being shut out". The problem of being shut out consisted of two aspects: "being excluded" and "withdrawing from society". In order to manage the problem of being shut out, participants engaged in the basic social psychological process of "seeking normality". In seeking normality participants moved from a state of being shut out to one whereby they sought to take part in ordinary social activities taken for granted by other members of society. The process of seeking normality consisted of three phases: "floundering", "taking charge", and "moving forward. Phase one of the process occurred primarily in the period prior to experiencing a turning point, which changed the participants' willingness to take control of their life and to take effective steps in reducing their isolation.
Participants' experience of being shut out was not related to the duration of their illness but to their experience of seeking normality and the three conditions identified as influencing that experience. The findings, while supporting existing scientific literature, also present a new insight into young adults' experience of living with a mental illness in rural Western Australia. The findings of this study highlight the importance of health professionals' understanding young adults' experience of being shut out and to incorporate the increased knowledge and understanding into their clinical practice. Finally, the findings have implications on public education, healthcare services and healthcare policy in relation to young adults living with a mental illness.
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au, martinia@westnet com, and Angelita Martini. "Community participation in government and private sector planning: a case study of health and telecommunications planning for rural and remote Western Australia." Murdoch University, 2006. http://wwwlib.murdoch.edu.au/adt/browse/view/adt-MU20081002.100047.

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This study was conducted in the context of health service planning in an environment of changing government strategies for regional, rural and remote area health care and telecommunications infrastructure planning in Western Australia. The study provides an account of the State Government of Western Australia’s planning for the implementation of a telecommunications network infrastructure, and specifically the Telehealth Project, conducted between 1998 and 2002. The purpose of this study was to examine influences on community participation in planning within the dynamic political, economic and social forces that impact on the development of regional, rural and remote area health services. Specifically, the study outlines the issues and barriers in providing for significant local participation in projects that are centrally initiated and controlled. It examines the influences in planning for projects that incorporate local community based beliefs and needs, the requirements of collaborating with multiple state and national government departments, and the private sector. This study was situated within the interpretive paradigm, and is conceptualised within Donabedian’s (1969) framework for assessing and assuring quality in health care. The methodological approach is bound within a case study and consists of a participatory action research approach. The research method uses the single case to undertake in-depth interviews, observations and a survey to collect data from community, government and industry members as a basis for reflection and action. The findings of the study clearly indicated that there was consensus between all rural, remote and metropolitan area participants that telecommunications did offer the opportunity to provide increased, improved or alternative health services. However, there were a number of obstacles to the success of the planning process, including a lack of local community inclusion in planning committees, poor communication within central government agencies, overuse of external consultants, a bias toward the medical view, a limited scope of invitation to contribute, and local information being overlooked in the final implementation plan. Analysis of planning for the Telehealth Project reveals the implications of organisational and political stakeholders making final decisions about outcomes; and provides a reminder of the importance of engaging communities authentically when planning for health and telecommunications services which involve the public and private sectors. The originality and significance of this study stems from understanding how technology can advance community health; through measures such as the use of community participation strategies, through authentic community based leadership, truly representative participants, decentralised decision making, a focus on community based health needs and change management strategies that include all of these. Consequently, the study advances knowledge of community participation in planning, and the evidence suggests implications for practice, education and further research.
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Martini, Angelita. "Community participation in government and private sector planning: a case study of health and telecommunications planning for rural and remote Western Australia." Martini, Angelita (2006) Community participation in government and private sector planning: a case study of health and telecommunications planning for rural and remote Western Australia. PhD thesis, Murdoch University, 2006. http://researchrepository.murdoch.edu.au/184/.

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This study was conducted in the context of health service planning in an environment of changing government strategies for regional, rural and remote area health care and telecommunications infrastructure planning in Western Australia. The study provides an account of the State Government of Western Australia's planning for the implementation of a telecommunications network infrastructure, and specifically the Telehealth Project, conducted between 1998 and 2002. The purpose of this study was to examine influences on community participation in planning within the dynamic political, economic and social forces that impact on the development of regional, rural and remote area health services. Specifically, the study outlines the issues and barriers in providing for significant local participation in projects that are centrally initiated and controlled. It examines the influences in planning for projects that incorporate local community based beliefs and needs, the requirements of collaborating with multiple state and national government departments, and the private sector. This study was situated within the interpretive paradigm, and is conceptualised within Donabedian's (1969) framework for assessing and assuring quality in health care. The methodological approach is bound within a case study and consists of a participatory action research approach. The research method uses the single case to undertake in-depth interviews, observations and a survey to collect data from community, government and industry members as a basis for reflection and action. The findings of the study clearly indicated that there was consensus between all rural, remote and metropolitan area participants that telecommunications did offer the opportunity to provide increased, improved or alternative health services. However, there were a number of obstacles to the success of the planning process, including a lack of local community inclusion in planning committees, poor communication within central government agencies, overuse of external consultants, a bias toward the medical view, a limited scope of invitation to contribute, and local information being overlooked in the final implementation plan. Analysis of planning for the Telehealth Project reveals the implications of organisational and political stakeholders making final decisions about outcomes; and provides a reminder of the importance of engaging communities authentically when planning for health and telecommunications services which involve the public and private sectors. The originality and significance of this study stems from understanding how technology can advance community health; through measures such as the use of community participation strategies, through authentic community based leadership, truly representative participants, decentralised decision making, a focus on community based health needs and change management strategies that include all of these. Consequently, the study advances knowledge of community participation in planning and the evidence suggests implications for practice, education and further research.
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au, jmaxwell@katel net, and John Alexander Loftus Maxwell. "Rural veterinary practice in Western Australia 1964 to 2007." Murdoch University, 2008. http://wwwlib.murdoch.edu.au/adt/browse/view/adt-MU20081113.142241.

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Concern for the plight of rural veterinary practice in Australia existed throughout the 20th century. During the 1970s, the profession highlighted the problems faced by rural practitioners and in 2003, the Frawley Review examined current rural veterinary services. However, neither influenced the course of rural practice in Australia. The present thesis examined the status of rural practice in Western Australia from the 1960s to the present day. It did this by investigating the historical changes in agriculture during this period and their effect on rural practice. The practice at Katanning, in rural Western Australia, was used as a case study – a study of the changes and adaptions made by that practice to remain viable. In 2006, surveys of both rural practitioners and government veterinary officers were conducted to obtain information of the veterinary services being provided to rural Western Australia. In addition, oral history interviews with a number of respondents to the surveys were carried out. Rapid expansion of Western Australian agriculture took place during the 1960s and was matched by growth in rural veterinary services. A government subsidy scheme recruited a number of veterinarians to the state. A Preventive Medicine/Animal Production service with sheep was established at Katanning in 1967. The reasons for developing such a service, its promotion, the results achieved and its subsequent failure are documented in the thesis. The 1970s was a troubled decade for agriculture and for those servicing it. The collapse of the beef-cattle boom was accompanied by a 20% reduction in veterinary staff in rural practice Australia-wide and a number of changes were implemented at Katanning to meet these circumstances. The 1980s saw a reduction in the economic significance of agriculture in Western Australia. At the same time, students from the Veterinary School at Murdoch University began graduating and, for the first time in the profession’s history, an overproduction of veterinarians existed. The 1990s was a period of relative stability, but was accompanied by major changes for the profession and rural practice. Many practices adopted merchandising and the sale of pet foods to supplement dwindling income. Previously, a male dominated profession, during this decade, it rapidly changed to one dominated by female graduates. Accompanying this gender change there was an increase in the demand for part-time work, whereas previously the profession had been predominantly a full-time vocation. The present decade opened with a questioning of the direction being taken by the profession and its undergraduate education. The current study revealed that the government veterinary services in Western Australia have contracted in size and scope, whilst at the same time, most rural practitioners attend companion animals at the expense of economic livestock. As a result, veterinary services to economic livestock have reduced and are likely to continue to do so and suggestions are made to counter this trend.
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Maxwell, John Alexander Loftus. "Rural veterinary practice in Western Australia 1964 to 2007." Access via Murdoch University Digital Theses Project, 2008. http://wwwlib.murdoch.edu.au/adt/browse/view/adt-MU20081113.142241.

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Tonts, Matthew A. "Rural restructuring, policy change and uneven development in the central wheatbelt of Western Australia." Curtin University of Technology, School of Social Sciences and Asian Languages, 1998. http://espace.library.curtin.edu.au:80/R/?func=dbin-jump-full&object_id=9689.

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This thesis examines economic restructuring and changing governmental regulation in the Central Wheatbelt of Western Australia. It argues that, for much of this century, Australian governments were committed to the development and maintenance of export orientated agriculture and stable rural communities. While the agricultural industry, and the rural society that it supported, were periodically affected by economic downturns, wars, and technological changes, the full socio-economic impacts were often tempered by interventionist agricultural, social and regional development government policies. Since the early 1970s, however, the Central Wheatbelt, and rural Australia more generally, have experienced profound economic, social and political changes. During this period, the rapid transformation of the global economy has contributed to a series of problems in the Australian economy, such as low levels of economic growth, rising interest rates, and increasing unemployment. In the case of agriculture, the upheaval in the global economy contributed to world surpluses of agricultural commodities, declining returns for food and fibre production, and the rising cost of farm inputs.Since the early 1980s, the response of Federal and State governments to the turmoil in the Australian economy has been to argue that the only workable solution to globalisation was the adoption of policies based on the principles of economic rationalism. However, this thesis argues that, in the Central Wheatbelt, the combination of global restructuring and policies based on economic rationalism have contributed to: the declining viability of family farming; farm amalgamation; labour force adjustments; the contraction of local economies; depopulation; public service rationalisation and withdrawal; and uneven economic and social development. It is contended that policies based on the principles of ++
economic rationalism have increased levels of uncertainty and socio-economic disadvantage in a region already adversely affected by the economic pressures associated with restructuring. The thesis concludes by arguing that a more integrated policy framework, based to a greater extent on the principles of social equity, is critical to ensuring the social and economic welfare of rural people.
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Wilson, Sally B. "Family Centred Care: A Descriptive Study of the Situation in Rural Western Australia." Curtin University of Technology, School of Nursing and Midwifery, 2004. http://espace.library.curtin.edu.au:80/R/?func=dbin-jump-full&object_id=15170.

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Family centred care is a concept espoused to be fundamental to achieving excellence in paediatric nursing. Although it is recognised that family centred care includes the child's rights to self determination the focus of this study is parental participation in the decision making and care of their hospitalised child at a partnership level. This is based on negotiation and requires frequent, effective communication between parents and nurses and for each to respect the other's knowledge and appreciate the other has something to offer in the relationship which will benefit the child. The purpose of this study was to identify whether family centred care was occurring in paediatric settings in rural Western Australia and explored parents' and nurses' perceptions of the concept. A questionnaire was designed based on the literature and common themes identified from focus groups. Convenience sampling was used and 15 rural hospitals facilitated participation of 243 parents who had a child under ten years of age hospitalised and 108 nurses who cared for children. Exploratory factor analysis identified four subscales from the parents' questionnaire and three subscales from the nurses' questionnaire which measured separate concepts of family centred care. Descriptive statistics were generated for each subscale, and independent t-tests, ANOVA and correlations were examined between independent variables and subscales of family centred care. There was a statistically significant difference in scores for parents' perceptions of `child friendly environment' between regional and district hospitals. Those parents who did not have social support scored a statistically significantly lower mean score for `respect as parent'. Nurses in district hospitals generated statistically significantly higher mean scores for `family focussed hospital' than those who worked in regional hospitals.
Parents and nurses both perceived that parents wanted to continue parenting their hospitalised child, however parents wanted to provide more nursing care than was perceived by nurses. Nurses' perceptions of delivering family centred care were greater than the perceptions of parents receiving it, however they were consistent in items that were scored low. Nurses did ask parents about the amount of participation they wanted in their child's care on admission however, it was not done on a regular basis. Parents perceived that nurses were unaware of other things that parents needed to attend to while their child was hospitalised and therefore did not enable parents to attend to these needs. More frequent negotiation of roles between parents and nurses by communicating each shift, or at least daily, could narrow the gap between differing perceptions in care provision and also enable parents to attend to their other roles thereby reducing their levels of physical and emotional stress.
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Books on the topic "Rural health – Western Australia"

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Committee, Western Australia Parliament Legislative Assembly Education and Health Standing. Adequacy and availability of dental services in regional, rural and remote Western Australia. Perth, W.A: Legislative Assembly, 2002.

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Western Australia. Ministerial Review of Schooling in Rural Western Austalia. Schooling in rural Western Australia: Report. [East Perth, Western Australia]: Ministerial Review of Schooling in Rural Western Australia, 1994.

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John, Humphreys. Health and health care in rural Australia: A literature review. Armidale, NSW: Dept. of Geography and Planning, University of New England, 1991.

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Frank, Evans. Healthcare reform and interest groups: The case of rural Australia. Lanham, Md: University Press of America, 2006.

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Strong, Kathleen. Health in rural and remote Australia: The first report of the Australian Institute of Health and Welfare on rural health. Canberra: Australian Institute of Health and Welfare, 1998.

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McGuinness, Bev. Denmark: River, town, shire and community, Western Australia. [Denmark, W.A.]: Cinnamon Coloureds in conjunction with the Centenary of Local Government, Shire of Denmark, 2011.

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Evans, Frank. Healthcare reform and interest groups: The case of rural Australia. Lanham, MD: University Press of America, 2007.

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Bullock, Sally. A snapshot of men's health in regional and remote Australia. Canberra: Australia Institue of Health and Welfare, 2010.

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S.A.) National Rural Public Health Forum (1997 Adelaide. Rural public health in Australia, 1997: Proceedings of the National Rural Public Health Forum, 12-15 October 1997. Edited by Gregory Gordon 1945- and Murray Des 1944-. Deakin West, ACT: National Rural Health Alliance, 1998.

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Western Australia. Health Promotion Service. The health of Noongar people in the Central Wheatbelt Health Region, Western Australia. Western Australia: The Service, 1994.

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Book chapters on the topic "Rural health – Western Australia"

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Pini, Barbara, and Karen Soldatic. "20. Women, Chronic Illness, and Rural Australia: Exploring the Intersections between Space, Identity, and the Body." In Rural Women's Health, 385–402. Toronto: University of Toronto Press, 2012. http://dx.doi.org/10.3138/9781442662513-022.

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Choo, Christine. "The Health Of Aboriginal Children in Western Australia 1829–1960." In Aboriginal Children, History and Health, 102–16. New York, NY: Routledge, 2016.: Routledge, 2016. http://dx.doi.org/10.4324/9781315666501-6.

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Bennett, Christine C., and Uma Srinivasan. "Chapter 10: Digital Health Transforming Health Care in Rural and Remote Australia." In Technology and Global Public Health, 161–78. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-46355-7_15.

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Swanson, M. G. "Australia: The Western Australian smoking and health programme: Persistence pays dividends." In Tobacco: The Growing Epidemic, 440–41. London: Springer London, 2000. http://dx.doi.org/10.1007/978-1-4471-0769-9_178.

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Funnell, Sarah, Timothy A. Carey, Sara J. Tai, and Debra Lampshire. "Improving Access to Psychological Services in Remote Australia with a Patient-Led Clinic." In Handbook of Rural, Remote, and very Remote Mental Health, 1–20. Singapore: Springer Singapore, 2019. http://dx.doi.org/10.1007/978-981-10-5012-1_38-1.

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Funnell, Sarah, Timothy A. Carey, Sara J. Tai, and Debra Lampshire. "Improving Access to Psychological Services in Remote Australia with a Patient-Led Clinic." In Handbook of Rural, Remote, and very Remote Mental Health, 253–72. Singapore: Springer Singapore, 2021. http://dx.doi.org/10.1007/978-981-15-6631-8_38.

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Corti, Billie, C. D’Arcy, J. Holman, Robert J. Donovan, Shirley K. Frizzell, and Addy M. Carroll. "Using sponsorship to create healthy environments for sport, racing and arts venues in Western Australia." In Debates and Dilemmas in Promoting Health, 271–83. London: Macmillan Education UK, 1997. http://dx.doi.org/10.1007/978-1-349-25349-4_30.

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Motsholapheko, M. R., and B. N. Ngwenya. "Access to Water Resources and Household Vulnerability to Malaria in the Okavango Delta, Botswana." In African Handbook of Climate Change Adaptation, 1227–46. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-45106-6_165.

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AbstractMalaria is a persistent health risk for most rural communities in tropical wetlands of developing countries, particularly in the advent of climate change. This chapter assesses household access to water resources, livelihood assets, and vulnerability to malaria in the Okavango Delta of north-western Botswana. Data were obtained from a cross-sectional survey of 355 households, key informant interviews, PRA-based focus group discussions (FDGs), interviews with experts in various related fields, PRA workshop participant interviews, and literature review. There was high access to natural capital, and most households engaged in nature-based livelihood activities. Access to resources determined type of livelihood activities that households engaged in. However, there was no association between household exposure and/or susceptibility, and type of livelihood activities pursued by households. Household vulnerability to malaria was higher in remote and rural locations than in urban neighborhoods. Malaria prevention and vulnerability aversion programs need to be coupled with improvements in housing and well-being in the Okavango Delta and similar wetlands.
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Saurman, E., D. Perkins, D. Lyle, M. Patfield, and R. Roberts. "Case Study." In Evidence-Based Practice in Nursing Informatics, 191–203. IGI Global, 2011. http://dx.doi.org/10.4018/978-1-60960-034-1.ch015.

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The MHEC-RAP project involves the innovative application of video conferencing to mental health assessment in rural NSW. The preliminary evaluation findings of the project are presented. Mental health emergencies in rural and remote settings cause particular problems and are not amenable to conventional health service solutions. Patients and local health care staff may be isolated from specialist mental health staff and from acute inpatient services. Decisions to transport patients for specialist assessments or treatment may be required at night or at weekends and may involve families, police, ambulance services and local health staff. Such decisions need to be made promptly but carefully and the ability to obtain a specialist assessment may assist in making a decision about how best to care for the patient bearing in mind the need to provide a responsive, high quality and safe service to patients and local clinicians. In this chapter we examine a novel approach which uses audio-visual technology to conduct remote emergency mental health patient assessment interviews and provide consultations to local clinicians in rural communities in western NSW. The Mental Health Emergency Care – Rural Access Project or ‘MHEC-RAP’ was developed in 2007 following a series of consultations held in rural towns and implemented in 2008 within the Greater Western Area Health Service (GWAHS), New South Wales, Australia. GWAHS is a primary example of a rural and remote health service. It serves 287,481 people (8.3% of whom are Indigenous Australians) in an area that is 445,197sq km or 55% of the state of New South Wales (Australian Bureau of Statistics, 2001; Greater Western Area Health Service, 2007, 2009). The communities within GWAHS are mostly small, the towns are widely dispersed and local services are “limited by distance, expense, transport, and the difficulty of recruiting health professionals to these areas” (Dunbar, 2007 page 587). The chapter focuses on the design of the service, its implementation and its performance in the first year. We conclude with a discussion about the service, its broader relevance, transferability and its sustainability.
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"Yamatji (Central Western Australia)." In Encyclopedia of Public Health, 1479. Dordrecht: Springer Netherlands, 2008. http://dx.doi.org/10.1007/978-1-4020-5614-7_3811.

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Conference papers on the topic "Rural health – Western Australia"

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G. Wilkes, Paul, Brett D. Harris, and Anton Kepic. "GEOPHYSICAL INVESTIGATIONS IN RURAL TOWNS OF WESTERN AUSTRALIA." In 19th EEGS Symposium on the Application of Geophysics to Engineering and Environmental Problems. European Association of Geoscientists & Engineers, 2006. http://dx.doi.org/10.3997/2214-4609-pdb.181.7.

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Wilkes, Paul G., Brett D. Harris, and Anton Kepic. "Geophysical Investigations in Rural Towns of Western Australia." In Symposium on the Application of Geophysics to Engineering and Environmental Problems 2006. Environment and Engineering Geophysical Society, 2006. http://dx.doi.org/10.4133/1.2923722.

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"Health Policy Reform Poor Rural Primary Health Care Delivery in Australia." In 2018 International Conference on Education, Psychology, and Management Science. Francis Academic Press, 2018. http://dx.doi.org/10.25236/icepms.2018.175.

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Coghlan, P. W. "The Impact of the Safety Case Regime in Offshore Western Australia." In SPE Health, Safety and Environment in Oil and Gas Exploration and Production Conference. Society of Petroleum Engineers, 1994. http://dx.doi.org/10.2118/27099-ms.

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Cobby, G. L. "Reaching Agreement Between Oil Explorers And Rock Lobster Fishermen Offshore Dongara, Western Australia." In SPE International Conference on Health, Safety, and Environment in Oil and Gas Exploration and Production. Society of Petroleum Engineers, 2004. http://dx.doi.org/10.2118/86638-ms.

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Tilakaratna Banda, M. H. "Issues encountered in Community Health in Sri Lanka with special reference to rural villages in North -Western Province." In International Conference on Research in Humanities and Social Sciences. Acavent, 2018. http://dx.doi.org/10.33422/icrhs.2018.12.08.

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Acton, C., C. Harris, M. Munyagwa, and A. Greenough. "G292(P) An audit of neonatal admissions to a rural hospital in south-western uganda." In Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference and exhibition, 13–15 May 2019, ICC, Birmingham, Paediatrics: pathways to a brighter future. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2019. http://dx.doi.org/10.1136/archdischild-2019-rcpch.284.

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Chandran, Andrew. "Mosquito management in Western Australia - A case study of the challenges facing major capital projects and key components of a successful program." In International Conference on Health, Safety and Environment in Oil and Gas Exploration and Production. Society of Petroleum Engineers, 2012. http://dx.doi.org/10.2118/156731-ms.

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Girase, Bhushan, Monica Barne, Dhananjay Pathak, Deesha Ghorpade, Dhiraj Agarwal, Prakash Doke, and Sundeep Salvi. "Effectiveness of the training material on COPD for community health workers in rural western India: a quasi-experiment design." In ERS International Congress 2019 abstracts. European Respiratory Society, 2019. http://dx.doi.org/10.1183/13993003.congress-2019.pa4496.

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Penman, Joy, and Kerre A Willsher. "New Horizons for Immigrant Nurses Through a Mental Health Self-Management Program: A Pre- and Post-Test Mixed-Method Approach." In InSITE 2021: Informing Science + IT Education Conferences. Informing Science Institute, 2021. http://dx.doi.org/10.28945/4759.

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Aim/Purpose: This research paper reports on the evaluation of a mental health self-management program provided to immigrant nurses working at various rural South Australian aged care services. Background: The residential aged care staffing crisis is severe in rural areas. To improve immigrant nurses’ employment experiences, a mental health self-management program was developed and conducted in rural and regional health care services in South Australia. Methodology: A mixed approach of pre- and post-surveys and post workshop focus groups was utilized with the objectives of exploring the experiences of 25 immigrant nurses and the impact of the mental health program. Feminist standpoint theory was used to interpret the qualitative data. Contribution: A new learning environment was created for immigrant nurses to learn about the theory and practice of maintaining and promoting mental health. Findings: Statistical tests showed a marked difference in responses before and after the intervention, especially regarding knowledge of mental health. The results of this study indicated that a change in thinking was triggered, followed by a change in behaviour enabling participants to undertake self-management strategies. Recommendations for Practitioners: Include expanding the workshops to cover more health care practitioners. Recommendations for Researchers: Feminist researchers must actively listen and examine their own beliefs and those of others to create knowledge. Extending the program to metropolitan areas and examining differences in data. E technology such as zoom, skype or virtual classrooms could be used. Impact on Society: The new awareness and knowledge would be beneficial in the family and community because issues at work can impact on the ability to care for the family, and there are often problems around family separation. Future Research: Extending the research to include men and staff of metropolitan aged care facilities.
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Reports on the topic "Rural health – Western Australia"

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Sinclair, Laleah, Michele LeBlanc, Claudia Sendanyoye, and Paul A. Peters. Report: Rural Youth Health in Canada, Sweden and Australia. Spatial Determinants of Health Lab, July 2020. http://dx.doi.org/10.22215/sdhlab/2019.6.

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Mahling, Alexa, Michelle LeBlanc, and Paul A. Peters. Report: Rural Resilience and Community Connections in Health: Outcomes of a Community Workshop. Spatial Determinants of Health Lab, Carleton University, December 2020. http://dx.doi.org/10.22215/sdhlab/2020.1.

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Canadians living in rural communities are diverse, with individual communities defined by unique strengths and challenges that impact their health needs. Understanding rural health needs is a complex undertaking, with many challenges pertaining to engagement, research, and policy development. In order to address these challenges, it is imperative to understand the unique characteristics of rural communities as well as to ensure that the voices of rural and remote communities are prioritized in the development and implementation of rural health research programs and policy. Effective community engagement is essential in order to establish rural-normative programs and policies to improve the health of individuals living in rural, remote, and northern communities. This report was informed by a community engagement workshop held in Golden Lake, Ontario in October 2019. Workshop attendees were comprised of residents from communities within the Madawaska Valley, community health care professionals, students and researchers from Carleton University in Ottawa, Ontario, and international researchers from Australia, Sweden, and Austria. The themes identified throughout the workshop included community strengths and initiatives that are working well, challenges and concerns faced by the community in the context of health, and suggestions to build on strengths and address challenges to improve the health of residents in the Madawaska Valley.
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