Revised model for evaluating visiting health care services in rural and remote settings

Healy, Laura J. and Beccaria, Gavin ORCID: https://orcid.org/0000-0002-4341-804X and McIlveen, Peter ORCID: https://orcid.org/0000-0002-1864-9516 (2021) Revised model for evaluating visiting health care services in rural and remote settings. Australian Journal of Rural Health. ISSN 1038-5282


Abstract

Objective
Visiting health care services were developed to improve access to essential health care in rural and remote areas. Evaluating these services requires a robust framework. The objective of this study was to assess the confirmability and credibility of a model of 7 principles for effective visiting health care services.

Setting
Three iterative online survey rounds administered between July and December 2020.

Participants
A heterogeneous panel of 13 experts in rural and remote health care participated, including managers of health care services, senior clinical staff in rural and remote regions and research academics specialising in rural infrastructure.

Design
The model was appraised using the Delphi method involving iterative online survey rounds to facilitate anonymous and structured discussion between panel members.

Results
Findings indicate consensus between panel members and support for a revised model. The revised model includes 4 modifications: (a) proposal of a new principle titled Feasibility, (b) restructure of 2 existing principles, (c) refined shape of the model to more accurately reflect the nature of service delivery and (d) detailed definitions of each principle.

Conclusion
This study presents a credible, revised version of the model of 7 principles for effective visiting services. This will enhance the quality of the health workforce across geographically large countries, like Australia, enabling organisations to more effectively and consistently evaluate the impact of their service on rural and remote communities.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Permanent restricted access to Published version in accordance with the copyright policy of the publisher.
Faculty/School / Institute/Centre: Current - Faculty of Health, Engineering and Sciences - School of Psychology and Counselling (1 Jan 2015 -)
Faculty/School / Institute/Centre: Current - Institute for Resilient Regions
Date Deposited: 13 Sep 2021 01:28
Last Modified: 13 Sep 2021 01:32
Uncontrolled Keywords: Delphi, evaluation, primary health care, rural and remote, visiting services, rural, remote, rural health
Fields of Research (2008): 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111717 Primary Health Care
Fields of Research (2020): 42 HEALTH SCIENCES > 4203 Health services and systems > 420321 Rural and remote health services
42 HEALTH SCIENCES > 4203 Health services and systems > 420319 Primary health care
Socio-Economic Objectives (2008): C Society > 92 Health > 9202 Health and Support Services > 920204 Evaluation of Health Outcomes
C Society > 92 Health > 9202 Health and Support Services > 920201 Allied Health Therapies (excl. Mental Health Services)
Socio-Economic Objectives (2020): 20 HEALTH > 2002 Evaluation of health and support services > 200206 Health system performance (incl. effectiveness of programs)
20 HEALTH > 2003 Provision of health and support services > 200301 Allied health therapies (excl. mental health services)
Identification Number or DOI: https://doi.org/10.1111/ajr.12774
URI: http://eprints.usq.edu.au/id/eprint/43647

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