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Patient- and Community-Oriented Primary Care Approaches for Health in Rural, Remote and Resource-Dependent Places: Insights for Eco-Social Praxis

Accelerating ecological and societal changes require re-imagining the role of primary care and public health to address eco-social concerns in rural and remote places. In this narrative review, we searched literatures on: community-oriented primary care, patient-oriented research engagement, public...

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Autores principales: Buse, Chris G., Allison, Sandra, Cole, Donald C., Fumerton, Raina, Parkes, Margot Winifred, Woollard, Robert F.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9178183/
https://www.ncbi.nlm.nih.gov/pubmed/35692331
http://dx.doi.org/10.3389/fpubh.2022.867397
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author Buse, Chris G.
Allison, Sandra
Cole, Donald C.
Fumerton, Raina
Parkes, Margot Winifred
Woollard, Robert F.
author_facet Buse, Chris G.
Allison, Sandra
Cole, Donald C.
Fumerton, Raina
Parkes, Margot Winifred
Woollard, Robert F.
author_sort Buse, Chris G.
collection PubMed
description Accelerating ecological and societal changes require re-imagining the role of primary care and public health to address eco-social concerns in rural and remote places. In this narrative review, we searched literatures on: community-oriented primary care, patient-oriented research engagement, public health and primary care synergies, and primary care addressing social determinants of health. Our analysis was guided by questions oriented to utility for addressing concerns of social-ecological systems in rural, remote contexts characterized by a high degree of reliance on resource extraction and development (e.g., forestry, mining, oil and gas, fisheries, agriculture, ranching and/or renewables). We describe a range of useful frameworks, processes and tools that are oriented toward bolstering the resilience and engagement of both primary care and public health, though few explicitly incorporated considerations of eco-social approaches to health or broader eco-social context(s). In synthesizing the existing evidence base for integration between primary care and public health, the results signal that for community-oriented primary care and related frameworks to be useful in rural and remote community settings, practitioners are required to grapple with complexity, durable relationships, sustainable resources, holistic approaches to clinician training, Indigenous perspectives, and governance.
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spelling pubmed-91781832022-06-10 Patient- and Community-Oriented Primary Care Approaches for Health in Rural, Remote and Resource-Dependent Places: Insights for Eco-Social Praxis Buse, Chris G. Allison, Sandra Cole, Donald C. Fumerton, Raina Parkes, Margot Winifred Woollard, Robert F. Front Public Health Public Health Accelerating ecological and societal changes require re-imagining the role of primary care and public health to address eco-social concerns in rural and remote places. In this narrative review, we searched literatures on: community-oriented primary care, patient-oriented research engagement, public health and primary care synergies, and primary care addressing social determinants of health. Our analysis was guided by questions oriented to utility for addressing concerns of social-ecological systems in rural, remote contexts characterized by a high degree of reliance on resource extraction and development (e.g., forestry, mining, oil and gas, fisheries, agriculture, ranching and/or renewables). We describe a range of useful frameworks, processes and tools that are oriented toward bolstering the resilience and engagement of both primary care and public health, though few explicitly incorporated considerations of eco-social approaches to health or broader eco-social context(s). In synthesizing the existing evidence base for integration between primary care and public health, the results signal that for community-oriented primary care and related frameworks to be useful in rural and remote community settings, practitioners are required to grapple with complexity, durable relationships, sustainable resources, holistic approaches to clinician training, Indigenous perspectives, and governance. Frontiers Media S.A. 2022-05-26 /pmc/articles/PMC9178183/ /pubmed/35692331 http://dx.doi.org/10.3389/fpubh.2022.867397 Text en Copyright © 2022 Buse, Allison, Cole, Fumerton, Parkes and Woollard. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Buse, Chris G.
Allison, Sandra
Cole, Donald C.
Fumerton, Raina
Parkes, Margot Winifred
Woollard, Robert F.
Patient- and Community-Oriented Primary Care Approaches for Health in Rural, Remote and Resource-Dependent Places: Insights for Eco-Social Praxis
title Patient- and Community-Oriented Primary Care Approaches for Health in Rural, Remote and Resource-Dependent Places: Insights for Eco-Social Praxis
title_full Patient- and Community-Oriented Primary Care Approaches for Health in Rural, Remote and Resource-Dependent Places: Insights for Eco-Social Praxis
title_fullStr Patient- and Community-Oriented Primary Care Approaches for Health in Rural, Remote and Resource-Dependent Places: Insights for Eco-Social Praxis
title_full_unstemmed Patient- and Community-Oriented Primary Care Approaches for Health in Rural, Remote and Resource-Dependent Places: Insights for Eco-Social Praxis
title_short Patient- and Community-Oriented Primary Care Approaches for Health in Rural, Remote and Resource-Dependent Places: Insights for Eco-Social Praxis
title_sort patient- and community-oriented primary care approaches for health in rural, remote and resource-dependent places: insights for eco-social praxis
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9178183/
https://www.ncbi.nlm.nih.gov/pubmed/35692331
http://dx.doi.org/10.3389/fpubh.2022.867397
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