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Regional and remote occupational therapy: A preliminary exploration of private occupational therapy practice

Identifieur interne : 004636 ( Istex/Corpus ); précédent : 004635; suivant : 004637

Regional and remote occupational therapy: A preliminary exploration of private occupational therapy practice

Auteurs : Judith Merritt ; David Perkins ; Frances Boreland

Source :

RBID : ISTEX:9529A2F338B64BE1589504E4F1C56FF1336CD3EB

Abstract

Private providers of Medicare funded services are an integral part of the Australian primary health‐care system. Evidence on private occupational therapy practice in rural and remote Australian settings is sparse.

Url:
DOI: 10.1111/1440-1630.12042

Links to Exploration step

ISTEX:9529A2F338B64BE1589504E4F1C56FF1336CD3EB

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<abstract style="main" xml:id="aot12042-abs-0001"> Background/aim
<p>Private providers of
<hi rend="fc">M</hi>
edicare funded services are an integral part of the
<hi rend="fc">A</hi>
ustralian primary health‐care system. Evidence on private occupational therapy practice in rural and remote
<hi rend="fc">A</hi>
ustralian settings is sparse.</p>
Methods
<p>Providers of private occupational therapy services in outer regional and remote areas were surveyed regarding location and type of services provided, practice models and demographics. Descriptive statistics were used to summarise the findings.</p>
Results
<p>Thirty‐seven respondents completed the survey. In remote areas a number of occupational therapy services are not provided and no practices are based in very remote towns. One quarter of respondents visit at least five towns each week and one third had other paid employment. Nearly half indicated they will leave private practice within the next five years and nearly one third believed they could not sustain their practice. Medicare Chronic Disease Management was the main income source of only around half the respondents.</p>
Conclusions
<p>There is a potential market failure of private occupational therapy in rural and remote areas, impacting on people who need these services and on workforce replacement. Contributing factors include population imbalance between cities and regional/remote areas, financial implications where only face‐to‐face contact is paid for and low incomes and levels of health insurance in regional/remote areas. Potential strategies include addressing the lack of reimbursement for travel, enabling private providers to overcome barriers to providing student placements and recognising rural practice as a specialist field.</p>
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<correspondenceTo>Correspondence: Judith Merritt, Centre for Remote Health Research, Department of Rural Health, Broken Hill University, P.O. Box 457, Broken Hill, NSW 2880, Australia. Email:
<email>jmerritt@gwahs.health.nsw.gov.au</email>
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<title type="main">Regional and remote occupational therapy: A preliminary exploration of private occupational therapy practice</title>
<title type="shortAuthors">J. Merritt
<i>et al</i>
.</title>
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<degrees>GCertEd (TTeach), MHlthSci (OT), BAppSci (OT)</degrees>
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<givenNames>David</givenNames>
<familyName>Perkins</familyName>
<degrees>PhD, BA</degrees>
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<jobTitle>Associate Professor</jobTitle>
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<creator affiliationRef="#aot12042-aff-0001" creatorRole="author" xml:id="aot12042-cr-0003">
<personName>
<givenNames>Frances</givenNames>
<familyName>Boreland</familyName>
<degrees>MPH (Hons), BA(Biol) (Hons)</degrees>
</personName>
<jobTitle>Research Officer</jobTitle>
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<orgName>Broken Hill University</orgName>
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<countryPart>New South Wales</countryPart>
<country>Australia</country>
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<keyword xml:id="aot12042-kwd-0001">primary health care</keyword>
<keyword xml:id="aot12042-kwd-0002">private practice</keyword>
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<title type="main">Background/aim</title>
<p>Private providers of
<fc>M</fc>
edicare funded services are an integral part of the
<fc>A</fc>
ustralian primary health‐care system. Evidence on private occupational therapy practice in rural and remote
<fc>A</fc>
ustralian settings is sparse.</p>
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<title type="main">Methods</title>
<p>Providers of private occupational therapy services in outer regional and remote areas were surveyed regarding location and type of services provided, practice models and demographics. Descriptive statistics were used to summarise the findings.</p>
</section>
<section xml:id="aot12042-sec-0003">
<title type="main">Results</title>
<p>Thirty‐seven respondents completed the survey. In remote areas a number of occupational therapy services are not provided and no practices are based in very remote towns. One quarter of respondents visit at least five towns each week and one third had other paid employment. Nearly half indicated they will leave private practice within the next five years and nearly one third believed they could not sustain their practice. Medicare Chronic Disease Management was the main income source of only around half the respondents.</p>
</section>
<section xml:id="aot12042-sec-0004">
<title type="main">Conclusions</title>
<p>There is a potential market failure of private occupational therapy in rural and remote areas, impacting on people who need these services and on workforce replacement. Contributing factors include population imbalance between cities and regional/remote areas, financial implications where only face‐to‐face contact is paid for and low incomes and levels of health insurance in regional/remote areas. Potential strategies include addressing the lack of reimbursement for travel, enabling private providers to overcome barriers to providing student placements and recognising rural practice as a specialist field.</p>
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<title>Regional and remote occupational therapy: A preliminary exploration of private occupational therapy practice</title>
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<affiliation>Centre for Remote Health Research, Department of Rural Health, Broken Hill University, New South Wales, Broken Hill, Australia</affiliation>
<affiliation>E-mail: jmerritt@gwahs.health.nsw.gov.au</affiliation>
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<abstract>Private providers of Medicare funded services are an integral part of the Australian primary health‐care system. Evidence on private occupational therapy practice in rural and remote Australian settings is sparse.</abstract>
<abstract>Providers of private occupational therapy services in outer regional and remote areas were surveyed regarding location and type of services provided, practice models and demographics. Descriptive statistics were used to summarise the findings.</abstract>
<abstract>Thirty‐seven respondents completed the survey. In remote areas a number of occupational therapy services are not provided and no practices are based in very remote towns. One quarter of respondents visit at least five towns each week and one third had other paid employment. Nearly half indicated they will leave private practice within the next five years and nearly one third believed they could not sustain their practice. Medicare Chronic Disease Management was the main income source of only around half the respondents.</abstract>
<abstract>There is a potential market failure of private occupational therapy in rural and remote areas, impacting on people who need these services and on workforce replacement. Contributing factors include population imbalance between cities and regional/remote areas, financial implications where only face‐to‐face contact is paid for and low incomes and levels of health insurance in regional/remote areas. Potential strategies include addressing the lack of reimbursement for travel, enabling private providers to overcome barriers to providing student placements and recognising rural practice as a specialist field.</abstract>
<subject>
<genre>keywords</genre>
<topic>primary health care</topic>
<topic>private practice</topic>
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<title>Australian Occupational Therapy Journal</title>
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<title>Aust Occup Ther J</title>
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<identifier type="ISSN">0045-0766</identifier>
<identifier type="eISSN">1440-1630</identifier>
<identifier type="DOI">10.1111/(ISSN)1440-1630</identifier>
<identifier type="PublisherID">AOT</identifier>
<part>
<date>2013</date>
<detail type="volume">
<caption>vol.</caption>
<number>60</number>
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<identifier type="DOI">10.1111/1440-1630.12042</identifier>
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<accessCondition type="use and reproduction" contentType="copyright">Australian Occupational Therapy Journal © 2013 Occupational Therapy Australia© 2013 The Authors Australian Occupational Therapy Journal © 2013 Occupational Therapy Australia</accessCondition>
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