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Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care
RESEARCH ARTICLE

Mind the gap: is it time to invest in embedded researchers in regional, rural and remote health services to address health outcome discrepancies for those living in rural, remote and regional areas?

Anna Moran A B L , Helen Haines A C , Nicole Raschke D , David Schmidt E F , Alison Koschel G , Alexandre Stephens F H I , Cynthia Opie J and Susan Nancarrow K
+ Author Affiliations
- Author Affiliations

A Rural Health Academic Network, The University of Melbourne, Melbourne Medical School, Department of Rural Health, 49 Graham Street, Shepparton, Vic. 3632, Australia.

B Albury Hospital, Albury Wodonga Health, PO Box 326, Albury, NSW 2640, Australia.

C North East Health Wangaratta, The Chalet, Docker Street, Wangaratta, Vic. 3676, Australia.

D Mid North Coast Local Health District, Morton Street, Port Macquarie, NSW 2444, Australia.

E Rural Research Capacity Building Program, Health Education and Training Institute, 1 McKee Drive, Bega, NSW 2550, Australia.

F School of Public Health, Faculty of Medicine and Health, The University of Sydney, Edward Ford Building (A27), Fisher Road, NSW 2006, Australia.

G Murrumbidgee Primary Health Network, 1/185 Morgan Street, Wagga Wagga, NSW 2650, Australia.

H Northern NSW Local Health District, Crawford House, Hunter Street, Lismore, NSW 2480, Australia.

I Murwillumbah District Hospital, Ewing Street, Murwillumbah, NSW 2484, Australia.

J Echuca Regional Health, 226 Service Street, Echuca, Vic. 3564, Australia.

K Southern Cross University, Southern Cross Drive, Bilinga, Qld 4225, Australia.

L Corresponding author. Email: anna.moran@unimelb.edu.au

Australian Journal of Primary Health 25(2) 104-107 https://doi.org/10.1071/PY18201
Submitted: 24 December 2018  Accepted: 27 February 2019   Published: 10 April 2019

Abstract

Research capacity building in healthcare works to generate and apply new knowledge to improve health outcomes; it creates new career pathways, improves staff satisfaction, retention and organisational performance. While there are examples of investment and research activity in rural Australia, overall, rural research remains under-reported, undervalued and under-represented in the evidence base. This is particularly so in primary care settings. This lack of contextual knowledge generation and translation perpetuates rural–metropolitan health outcome disparities. Through greater attention to and investment in building research capacity and capability in our regional, rural and remote health services, these issues may be partially addressed. It is proposed that it is time for Australia to systematically invest in rurally focussed, sustainable, embedded research capacity building.


References

Australian Institute of Health and Welfare (AIHW) (2008) ‘Rural, Regional and Remote Health: Indicators of Health Status and Determinants of Health.’ (AIHW: Canberra, ACT, Australia)

Australian Institute of Health and Welfare (AIHW) (2014) ‘Australia’s Health 2014.’ (AIHW: Canberra, ACT, Australia)

Australian Institute of Health and Welfare (AIHW) (2016) ‘Australia’s Health 2016.’ (AIHW: Canberra, ACT, Australia)

Australian Institute of Health and Welfare (AIHW) (2017) Rural & remote health: web report. (AIHW: Canberra, ACT, Australia) Available at https://www.aihw.gov.au/reports/rural-health/rural-remote-health/contents/rural-health [Verified 20 November 2018]

Barclay L, Phillips A, Lyle D (2018) Rural and remote health research: does the investment match the need? The Australian Journal of Rural Health 26, 74–79.
Rural and remote health research: does the investment match the need?Crossref | GoogleScholarGoogle Scholar | 29624788PubMed |

Boaz A, Hanney S, Jones T, Soper B (2015) Does the engagement of clinicians and organisations in research improve healthcare performance: a three-stage review. BMJ Open 5, e009415.

Buykx P, Humphreys J, Wakerman J, Perkins D, Lyle D, McGrail M, Kinsman L (2012) ‘Making evidence count’: a framework to monitor the impact of health services research. The Australian Journal of Rural Health 20, 51–58.
‘Making evidence count’: a framework to monitor the impact of health services research.Crossref | GoogleScholarGoogle Scholar | 22435764PubMed |

Cooke J (2005) A framework to evaluate research capacity building in health care. BMC Family Practice 6, 44
A framework to evaluate research capacity building in health care.Crossref | GoogleScholarGoogle Scholar | 16253133PubMed |

Cooke J, Gardois P, Booth A (2018) Uncovering the mechanisms of research capacity development in health and social care: a realist synthesis. Health Research Policy and Systems 16, 93
Uncovering the mechanisms of research capacity development in health and social care: a realist synthesis.Crossref | GoogleScholarGoogle Scholar | 30241484PubMed |

Duncanson K, Webster EL, Schmidt DD (2018) Impact of a remotely delivered, writing for publication program on publication outcomes of novice researchers. Rural and Remote Health 18, 4468
Impact of a remotely delivered, writing for publication program on publication outcomes of novice researchers.Crossref | GoogleScholarGoogle Scholar | 29793344PubMed |

Goldblatt EM, Lee WH (2010) From bench to bedside: the growing use of translational research in cancer medicine. American Journal of Translational Research 2, 1–18.

Harding K, Lynch L, Porter J, Taylor NF (2017) Organisational benefits of a strong research culture in a health service: a systematic review. Australian Health Review 41, 45–53.
Organisational benefits of a strong research culture in a health service: a systematic review.Crossref | GoogleScholarGoogle Scholar | 27074113PubMed |

Harvey D, Plummer D, Nielsen I, Adams R, Pain T (2016) Becoming a clinician researcher in allied health. Australian Health Review 40, 562–569.
Becoming a clinician researcher in allied health.Crossref | GoogleScholarGoogle Scholar | 26803541PubMed |

Health Education and Training Institute (2018) Rural research capacity building program. (HETI: Sydney, NSW, Australia) Available at https://www.heti.nsw.gov.au/education-and-training/courses-and-programs/rural-research-capacity-building-program [Verified 30 August 2018]

Hieke G, Callaghan P (2017) ‘High Performing Research Environments in Nursing, Midwifery and Allied Health Professions.’ (Council of Deans Health: London, UK)

Humphreys J, Lyle D, Barlow V (2018) University Departments of Rural Health: is a national network of multidisciplinary academic departments in Australia making a difference? Rural and Remote Health 18, 4315
University Departments of Rural Health: is a national network of multidisciplinary academic departments in Australia making a difference?Crossref | GoogleScholarGoogle Scholar |

National Health and Medical Research Council (2018) Centres for innovation in regional health. (NHMRC: Canberra, ACT, Australia) Available at https://www.nhmrc.gov.au/research-policy/research-translation-and-impact/recognised-health-research-and-translation-centres [Verified 1 April 2019]

New South Wales Regional Health Partners Centre for Innovation in Regional Health (2018) New South Wales Regional Health Partners Centre for Innovation in Regional Health. (NSW Regional Health Partners: Newcastle, NSW, Australia) Available at https://nswregionalhealthpartners.org.au/ [Verified 30 August 2018]

Queensland Health (2017) ‘Queensland Advancing Health Research 2026: Healthier Queenslanders Through Research-Informed Healthcare.’ (The State of Queensland (Queensland Health): Brisbane, Qld Australia)

Rural Health Standing Committee (2011) ‘National Strategic Framework for Rural and Remote Health.’ (Department of Health: Canberra, ACT, Australia)

Sarre G, Cooke J (2012) ‘Auditing Research Capacity for Australia. An Organisational Audit Tool for Research Capacity Development.’ (University of Nottingham & University of Sheffield: Nottingham, UK)

Schmidt, D (2017) The place of research in the rural health workplace structure. 14th National Rural Health Conference; 26–29 April 2017; Cairns, Qld, Australia Available at http://www.ruralhealth.org.au/14nrhc/content/schmidt [Verified 1 April 2019]

Schmidt D, Robinson K, Webster E (2014) Factors influencing attrition from a researcher training program. International Journal for Researcher Development 5, 56–67.
Factors influencing attrition from a researcher training program.Crossref | GoogleScholarGoogle Scholar |

The Royal Melbourne Hospital (2016) Publications. (The Royal Melbourne Hospital: Melbourne, Vic., Australia) Available at https://www.thermh.org.au/research/publications?f%5B0%5D=itm_field_year%3A2016 [Verified 13 June 2018]

Wakerman J, Humphreys J, Lyle D, McGrail M, Lavey L (2016) Overcoming access and equity problems relating to primary health care services in rural and remote Australia. (Centre of Research Excellence in Rural and Remote Primary Health Care: Canberra, ACT, Australia)

Webster E, Thomas M, Ong N, Cutler L (2011) Rural research capacity building program: capacity building outcomes. Australian Journal of Primary Health 17, 107–113.
Rural research capacity building program: capacity building outcomes.Crossref | GoogleScholarGoogle Scholar | 21616034PubMed |

Wenke R, Mickan S (2016a) ‘Impact of a Research Capacity Building Initiative: Qualitative Evaluation of HP Research Positions.’ (The State of Queensland (Queensland Health): Brisbane, Qld, Australia)

Wenke R, Mickan S (2016b) The role and impact of research positions within health care settings in allied health: a systematic review. BMC Health Services Research 16, 355
The role and impact of research positions within health care settings in allied health: a systematic review.Crossref | GoogleScholarGoogle Scholar | 27495229PubMed |

Wenke RJ, Ward EC, Hickman I, Hulcombe J, Phillips R, Mickan S (2017) Allied health research positions: a qualitative evaluation of their impact. Health Research Policy and Systems 15, 6
Allied health research positions: a qualitative evaluation of their impact.Crossref | GoogleScholarGoogle Scholar | 28166817PubMed |

Wenke RJ, Tynan A, Scott A, Mickan S (2018) Effects and mechanisms of an allied health research position in a Queensland regional and rural health service: a descriptive case study. Australian Health Review 42, 667–675.
Effects and mechanisms of an allied health research position in a Queensland regional and rural health service: a descriptive case study.Crossref | GoogleScholarGoogle Scholar |