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Starting with us: Imagining relational, co‐designed policy approaches to improve healthcare access for rural people with disability

CONTEXT: Access to healthcare for rural Australians is a wicked problem, particularly for rural people with disability. Contemporary healthcare access frameworks in Australia tend to overlook geography, use a ‘one‐size‐fits‐all approach’, and disregard the valuable relationships between key rural he...

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Autores principales: Quilliam, Claire, O'Shea, Amie, Holgate, Nadine, Alston, Laura
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10084439/
https://www.ncbi.nlm.nih.gov/pubmed/35724308
http://dx.doi.org/10.1111/ajr.12891
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author Quilliam, Claire
O'Shea, Amie
Holgate, Nadine
Alston, Laura
author_facet Quilliam, Claire
O'Shea, Amie
Holgate, Nadine
Alston, Laura
author_sort Quilliam, Claire
collection PubMed
description CONTEXT: Access to healthcare for rural Australians is a wicked problem, particularly for rural people with disability. Contemporary healthcare access frameworks in Australia tend to overlook geography, use a ‘one‐size‐fits‐all approach’, and disregard the valuable relationships between key rural healthcare stakeholders, including rural people with disability, rural health services and health professionals. The United Nation's Convention on the Rights of Persons with Disabilities requires the Australian Government to engage people with disability in the design of policies that will shape their day‐to‐day lives, including their access to healthcare. However, the nature and extent to which rural people with disability, rural health professionals and other key rural stakeholders are involved in the design of Australian policies impacting the health of rural people with disability are unknown. AIM: This paper examines approaches taken to engage rural people with disability and health professionals in the design of Australian disability policy impacting healthcare access, and reimagines future processes which can improve healthcare access for rural people with disability. APPROACH: Co‐design and ethics of care lenses are applied to policy design approaches in this paper. We approach this work as rural disability and health academics, rural health professionals, and as rural people with disability, neurodivergence and family members of people with disability. CONCLUSION: We argue future co‐designed policy approaches could focus on driving change towards equity in healthcare access for rural people with disability by harnessing the relational nature of rural healthcare.
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spelling pubmed-100844392023-04-11 Starting with us: Imagining relational, co‐designed policy approaches to improve healthcare access for rural people with disability Quilliam, Claire O'Shea, Amie Holgate, Nadine Alston, Laura Aust J Rural Health Special Issue: Co Design CONTEXT: Access to healthcare for rural Australians is a wicked problem, particularly for rural people with disability. Contemporary healthcare access frameworks in Australia tend to overlook geography, use a ‘one‐size‐fits‐all approach’, and disregard the valuable relationships between key rural healthcare stakeholders, including rural people with disability, rural health services and health professionals. The United Nation's Convention on the Rights of Persons with Disabilities requires the Australian Government to engage people with disability in the design of policies that will shape their day‐to‐day lives, including their access to healthcare. However, the nature and extent to which rural people with disability, rural health professionals and other key rural stakeholders are involved in the design of Australian policies impacting the health of rural people with disability are unknown. AIM: This paper examines approaches taken to engage rural people with disability and health professionals in the design of Australian disability policy impacting healthcare access, and reimagines future processes which can improve healthcare access for rural people with disability. APPROACH: Co‐design and ethics of care lenses are applied to policy design approaches in this paper. We approach this work as rural disability and health academics, rural health professionals, and as rural people with disability, neurodivergence and family members of people with disability. CONCLUSION: We argue future co‐designed policy approaches could focus on driving change towards equity in healthcare access for rural people with disability by harnessing the relational nature of rural healthcare. John Wiley and Sons Inc. 2022-06-20 2022-12 /pmc/articles/PMC10084439/ /pubmed/35724308 http://dx.doi.org/10.1111/ajr.12891 Text en © 2022 The Authors. Australian Journal of Rural Health published by John Wiley & Sons Australia, Ltd on behalf of National Rural Health Alliance Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Special Issue: Co Design
Quilliam, Claire
O'Shea, Amie
Holgate, Nadine
Alston, Laura
Starting with us: Imagining relational, co‐designed policy approaches to improve healthcare access for rural people with disability
title Starting with us: Imagining relational, co‐designed policy approaches to improve healthcare access for rural people with disability
title_full Starting with us: Imagining relational, co‐designed policy approaches to improve healthcare access for rural people with disability
title_fullStr Starting with us: Imagining relational, co‐designed policy approaches to improve healthcare access for rural people with disability
title_full_unstemmed Starting with us: Imagining relational, co‐designed policy approaches to improve healthcare access for rural people with disability
title_short Starting with us: Imagining relational, co‐designed policy approaches to improve healthcare access for rural people with disability
title_sort starting with us: imagining relational, co‐designed policy approaches to improve healthcare access for rural people with disability
topic Special Issue: Co Design
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10084439/
https://www.ncbi.nlm.nih.gov/pubmed/35724308
http://dx.doi.org/10.1111/ajr.12891
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