2023-09-28 14:46:10 +00:00
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abstract: 'Background/aim: Private providers of Medicare funded services are an
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integral part of the Australian primary health-care system. Evidence on
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private occupational therapy practice in rural and remote Australian
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settings is sparse.
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Methods: Providers of private occupational therapy services in outer
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regional and remote areas were surveyed regarding location and type of
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services provided, practice models and demographics. Descriptive
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statistics were used to summarise the findings.
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Results: Thirty-seven respondents completed the survey. In remote areas
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a number of occupational therapy services are not provided and no
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practices are based in very remote towns. One quarter of respondents
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visit at least five towns each week and one third had other paid
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employment. Nearly half indicated they will leave private practice
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within the next five years and nearly one third believed they could not
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sustain their practice. Medicare Chronic Disease Management was the main
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income source of only around half the respondents.
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Conclusions: There is a potential market failure of private occupational
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therapy in rural and remote areas, impacting on people who need these
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services and on work-force replacement. Contributing factors include
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population imbalance between cities and regional/remote areas, financial
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implications where only face-to-face contact is paid for and low incomes
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and levels of health insurance in regional/remote areas. Potential
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strategies include addressing the lack of reimbursement for travel,
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enabling private providers to overcome barriers to providing student
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placements and recognising rural practice as a specialist field.'
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affiliation: 'Merritt, J (Corresponding Author), Broken Hill Univ, Dept Rural Hlth,
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Ctr Remote Hlth Res, POB 457, Broken Hill, NSW 2880, Australia.
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Merritt, Judith; Perkins, David; Boreland, Frances, Broken Hill Univ, Dept Rural
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Hlth, Ctr Remote Hlth Res, Broken Hill, NSW 2880, Australia.'
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author: Merritt, Judith and Perkins, David and Boreland, Frances
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author-email: jmerritt@gwahs.health.nsw.gov.au
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author_list:
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- family: Merritt
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given: Judith
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- family: Perkins
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given: David
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- family: Boreland
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given: Frances
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da: '2023-09-28'
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doi: 10.1111/1440-1630.12042
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eissn: 1440-1630
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files: []
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issn: 0045-0766
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journal: AUSTRALIAN OCCUPATIONAL THERAPY JOURNAL
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keywords: primary health care; private practice; rural; remote
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keywords-plus: 'ENHANCED PRIMARY-CARE; ALLIED HEALTH-PROFESSIONALS; SPEECH PATHOLOGISTS
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VIEWS; SERVICES; INTERVENTIONS; COMMUNITY; RECRUITMENT; RETENTION;
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AUSTRALIA; WORKFORCE'
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language: English
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month: AUG
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number: '4'
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number-of-cited-references: '71'
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orcid-numbers: 'Boreland, Frances/0000-0003-0914-5428
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Perkins, David/0000-0001-9739-7339'
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pages: 276-287
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papis_id: fc68b20ff330810a43cc1aae7571b753
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ref: Merritt2013regionalremote
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times-cited: '14'
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title: 'Regional and remote occupational therapy: A preliminary exploration of private
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occupational therapy practice'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000322318400007
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usage-count-last-180-days: '0'
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usage-count-since-2013: '13'
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volume: '60'
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web-of-science-categories: Rehabilitation
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year: '2013'
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