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A systematic review of disability, rehabilitation and lifestyle services in rural and remote Australia through the lens of the people-centred health care.

India BohannaLinton HarrissMalcolm McDonaldJennifer CullenEdward StrivensKatrina BirdLeisyle BlancoFintan ThompsonHylda WapauAlan WasonRuth N Barker
Published in: Disability and rehabilitation (2021)
Several strengths emerged, with many services tailored to individual need, and significant community engagement. Innovative rural service delivery approaches were also identified. Key areas requiring action included improved coordination or integration within and across professions and sectors. There was limited evidence of co-production of solutions or participatory governance. While people-centred approaches show promise to improve community-based services, large-scale fundamental change is required.IMPLICATIONS FOR REHABILITATIONCommunity-based disability and rehabilitation services in rural and remote Australia performed well at delivering tailored care and engaging in community consultation.These services must urgently implement strategies to enhance community ownership of solutions and participatory governance.Services must place a greater focus on explicit strategies to integrate and coordinate across services and professions, and to create an enabling environment, to deliver people-centred care.The World Health Organisation Integrated People-Centred Health Services framework provides an important roadmap to improving service delivery in rural and remote Australian communities.
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