By Siaw-Teng Liaw, Sue Kilpatrick, Australian Rural Health Education Network
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Extra resources for A Textbook of Australian Rural Health
Drought and the ongoing impact of climate change have added to the pressure on many rural communities. These have all resulted in continued population movement away from smaller rural and remote communities to regional and coastal centres, and made the job of closing the health differential and economic gap more difficult. ‘Sustainable health services depend on sustainable communities’ (Humphreys 2005a). In relation to specific health sector issues, institutional capacity has grown significantly since 1991, with a range of organisations, including RCS and UDRH, the NRHA and various rural and remote professional groups.
The ability to sustain good health and a system of care is a necessary part of sustaining rural, regional and remote communities. • The establishment of effective partnerships in the delivery of services, and collaboration for the benefit of communities are essential ingredients in successful implementation of health improvement programs. • There will be no compromise on the safety and quality of health services provided to people living in rural, regional and remote Australia. Safety and quality are paramount in the development and implementation of health services and programs 24 Chapter 1 Rural and remote health — definitions, policy and priorities (AHMAC, NRHPS and NRHA 2003).
Epidemiology allows us to see various risk factors and health outcomes, where they cluster and how they differ according to geographical location. It is used in public health policy and decision-making to assist in developing and evaluating responses to public health issues. Maps of disease distribution and socioeconomic factors can illustrate rural health issues, suggest possible determinants, and so assist with making decisions about health promotion programs and activities, and the placement of health services.