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Collaboration: developing integration in multi-purpose services in rural New South Wales, Australia
Judith K Anderson1, Ann Bonner, John Grootjans
1School of Nursing, Midwifery and Indigenous Health, Charles Sturt University, Bathurst, New South Wales, Australia. juanderson@csu.edu.au
Rural and Remote Health
|December 14, 2011
Summary
Participants in rural multi-purpose services (MPS) anticipated risks, influencing collaboration. Trust fostered integration, while suspicion led to service coexistence, impacting the transition to new healthcare models.
Area of Science:
- Rural Health Services Research
- Healthcare Management
- Health Policy Analysis
Background:
- The Multi-purpose Service (MPS) Program was established in rural Australia in 1991 to address health disparities, staffing challenges, and service limitations.
- Rural areas face unique healthcare challenges, including attracting staff and ensuring service viability compared to metropolitan regions.
Purpose of the Study:
- To identify the primary concerns of stakeholders involved in developing multi-purpose services (MPS) in rural New South Wales (NSW).
- To examine the extent of collaboration during the implementation of new multi-purpose service models.
Main Methods:
- A constructivist grounded theory approach was employed.
- In-depth interviews were conducted with 30 participants (community members, managers, staff) from 13 rural NSW multi-purpose services.
Main Results:
- Anticipation of risk was a central concern for all participants, manifesting as trust or suspicion.
- Trust in stakeholders promoted embracing an integrated health service identity.
- Suspicion regarding loss of status or power resulted in maintaining previous hospital services and a coexistence model within the MPS.
Conclusions:
- Stakeholder perceptions during multi-purpose service development are crucial.
- The transition from traditional hospital services to collaborative multi-purpose service models is intrinsically linked to the anticipation of risk.
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