Culturally inclusive rural health care

Research Overview

The work of this research group focuses on partnering with consumers, practitioners and rural health services to ensure that everyone living in rural communities, no matter their culture, identity or socio-economic status, has access to quality health care. To this end, research is being conducted into four main domains:

  • the cultures of health consumers (consumer perspectives, expectations and needs);
  • the cultures of rural health services (how the service engages, welcomes and respects consumers);
  • the cultures of rural health professionals (practitioner practices, knowledges and challenges); and
  • the cultures of health care systems (how systems enable inclusive and exclusive health care).

Some projects in this stream focus on a particular domain, such a consumers who are refugees or assylum seekers or the health outcomes of Aboriginal children or the birthing experiences of mothers and fathers.  Other projects analyse what occurs when these four domains intersect—when health consumers and practitioners intersect at a service/s located within the broader health care system. This pursues the dis/connection between these domains to understand how consumers are engaged and/or marginalised and the ability of health practitioners and services to provide inclusive health care.

Staff

Professor Lisa Bourke, Department of Rural Health

Dr Olivia Mitchell, Research Assistant, Culturally Inclusive Rural Health Care

Raelene Nixon, Research Assistant, Indigenous Health

Karyn Ferguson, Department of Rural Health

Funding

Australian Research Council Discovery Project Grant - "Increasing inclusion in rural, generalist health services: Developing a process of change"

The research acknowledges the Australian Government of Health's Rural Health Multidisciplinary Training Program.

Research Outcomes

In Progress

Project Title

UDRH Lead Researcher

Young people’s (dis)engagement from a rurally-based youth mental health service

 

Determinants of inclusive rural health care

 

First Nation Australians experiences of their local rural mainstream health service

 

Staff perspectives on young people's (dis)engagement from a rurally-based youth mental health service

 

Exploring regionally-based maternal and child health nurses perspectives

 

Gender politics in the rural medical workforce

 

Increasing the cultural & social inclusivity of mainstream health services from the perspectives of young people

 

From the perspectives of marginalised families, how can a regionally-based maternal and child health service increase its cultural and social inclusivity?

 

Consumers perspectives on inclusion in a rurally-based mainstream community health service

Zubaidah Mohamed Shaburdin

Listening to the voices of rural young people on health

Carol Reid

Completed

Project Title

UDRH Lead Researcher

Review  of the Koolin Balit Cultural Competency Audit Project Ph1

Dr Olivia Mitchell

Uptake of Aboriginal Health Quality Improvement Tools in rural Victorian Health Services

Dr Olivia Mitchell

Gana Burrai health outcomes in the Goulburn Murray Region

A/Prof Cecily Freemantle

Improving the health of Aboriginal mothers and babies through continuity of midwife care.

A/Prof Cecily Freemantle

Alcohol culture change (Consultancy)

Dr Helen Haines

Research Publications

2018

Malatzky, C., Mitchell, O., & Bourke, L. (2018). Improving inclusion in rural health services for marginalised community members: Developing a process for change. Journal of Social Inclusion, 9(1), 21-36. Retrieved from http://gateway.webofknowledge.com/

Malatzky, C., Nixon, R., Mitchell, O., & Bourke, L. (2018). Prioritising the cultural inclusivity of a rural mainstream health service for First Nation Australians: an analysis of discourse and power. Health Sociology Review, 27(3), 248-262. doi:10.1080/14461242.2018.1474720

Mitchell, O., Malatzky, C., Bourke, L., & Farmer, J. (2018). A modified Continuous Quality Improvement approach to improve culturally and socially inclusive care within rural health services. The Australian Journal of Rural Health, 26(3), 206-210. doi:10.1111/ajr.12409

Malatzky, C., & Bourke, L. (2018). Different perspectives on the key challenges facing rural health: The challenges of power and knowledge. The Australian Journal of Rural Health. doi:10.1111/ajr.12436

Opie, C., & Gibson-Thorpe, B. (2018). Mangan Dunguludja Ngatan (Build Strong Employment) Project Report.: Mangan unguludja Ngatan (Build Strong Employment) Project Report. (1). Echuca: Echuca Regional Health.

Christina Malatzky, Zubaidah Mohamed Shaburdin, Olivia Mitchell and Trudie Newman. Exploring regionally-based maternal and child health nurses’ perspectives on, experiences with and practices related to the provision of culturally inclusive health care. The Department of Rural Health, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, 2018.

Christina Malatzky, Zubaidah Mohamed Shaburdin, Olivia Mitchell, Lisa Bourke, Jane Farmer and Trudie Newman. Staff perspectives on young peoples (dis)engagement with a rurally-based youth mental health service.  The Department of Rural Health, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, 2018.

Malatzky, C. & Bourke, L. (2018). A different perspective on the key challenges facing rural health: The challenges of power and knowledge. The Australian Journal of Rural Health. doi.org/10.1111/ajr.12436

Research Projects




Key Contact

For further information about this research, please contact Director, UDRH Professor Lisa Bourke

Department / Centre

Rural Health

Unit / Centre

Culturally inclusive rural health care

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