Rural maternity and media discourse analysis: Framing new narratives
- Brundell, Kath, Vasilevski, Vidanka, Farrell, Tanya, Sweet, Linda
- Authors: Brundell, Kath , Vasilevski, Vidanka , Farrell, Tanya , Sweet, Linda
- Date: 2023
- Type: Text , Journal article
- Relation: Australian Journal of Rural Health Vol. 31, no. 3 (2023), p. 395-407
- Full Text:
- Reviewed:
- Description: Continued rural maternity closure across Australia has seen impacts on women and families such as financial pressures, quality and safety concerns, and emotional pressure. This review aimed at understanding how media coverage of rural maternity and closure are presented and what impact this may have on maternity service sustainability. This research seeks to examine media discourse and characteristics of online newspaper articles related to rural maternity services. A narrative review was conducted using thematic discourse analysis to examine online newspaper content published in Victoria, Australia from 2010 to June 2021. Local maternity services were a source of community interest for rural people. Coverage of negative outcomes for mothers and babies was highlighted by rural newspapers however, increased content over the last 12-month period focused on community support for the sustainability of rural maternity services. Recent community support in newspaper articles coincided with maternity services reviews and retaining some of these rural services. Community support in media may provide a protective social pressure, leading rural health services to consider this when reviewing the sustainability or closure of rural maternity services. Media attention about sustaining local maternity services by highlighting issues and representing community voices may influence health executive to consider opportunities to remodel and sustain high-quality and safe maternity care in rural settings. Knowing how rural health executives consider media, community pressure, and how it impacts expediency of maternity service closure decisions is unknown and an important gap in knowledge to explore and understand.
- Authors: Brundell, Kath , Vasilevski, Vidanka , Farrell, Tanya , Sweet, Linda
- Date: 2023
- Type: Text , Journal article
- Relation: Australian Journal of Rural Health Vol. 31, no. 3 (2023), p. 395-407
- Full Text:
- Reviewed:
- Description: Continued rural maternity closure across Australia has seen impacts on women and families such as financial pressures, quality and safety concerns, and emotional pressure. This review aimed at understanding how media coverage of rural maternity and closure are presented and what impact this may have on maternity service sustainability. This research seeks to examine media discourse and characteristics of online newspaper articles related to rural maternity services. A narrative review was conducted using thematic discourse analysis to examine online newspaper content published in Victoria, Australia from 2010 to June 2021. Local maternity services were a source of community interest for rural people. Coverage of negative outcomes for mothers and babies was highlighted by rural newspapers however, increased content over the last 12-month period focused on community support for the sustainability of rural maternity services. Recent community support in newspaper articles coincided with maternity services reviews and retaining some of these rural services. Community support in media may provide a protective social pressure, leading rural health services to consider this when reviewing the sustainability or closure of rural maternity services. Media attention about sustaining local maternity services by highlighting issues and representing community voices may influence health executive to consider opportunities to remodel and sustain high-quality and safe maternity care in rural settings. Knowing how rural health executives consider media, community pressure, and how it impacts expediency of maternity service closure decisions is unknown and an important gap in knowledge to explore and understand.
The urban-rural divide : hypertensive disease hospitalisations in Victoria 2010–2015
- Robins, Shalley, Gardiner, Samantha, Terry, Daniel
- Authors: Robins, Shalley , Gardiner, Samantha , Terry, Daniel
- Date: 2017
- Type: Text , Journal article
- Relation: Australasian Medical Journal Vol. 10, no. 11 (2017), p. 953-963
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- Description: Background Hypertension is present in 23–32 per cent of Australians, making it one of the most prevalent diseases in the country. It is the greatest risk factor for cardiovascular disease, the leading cause of death in Australia and it affects rural populations at a higher rate than urban residents. Aims The aims of this study were to investigate the differences in hypertensive disease hospitalisations across rural and urban Victoria, and to determine predicting variables. Methods Hospital admission data from 1 July 2010 to 30 June 2015 were obtained through the Victorian Admitted Episodes Dataset and other organisations. Data included various patient demographics for each hospital admission entry. The rates of hospitalisation for each Local Government Area were analysed. Further regression analysis was undertaken to examine the association between hypertensive disease hospitalisation and various predictor variables. Results From 2010–2015 11,205 hypertensive disease hospital admissions were recorded of which 64.8 per cent were female, 74.7 per cent admissions were at urban hospitals, and 65.0 per cent were public patients. Hospitalisation rates were consistently higher in rural areas than in urban areas, and rural residents on average stayed in hospital for longer. Significant predictor variables for hypertensive disease hospitalisation included various indicators of socioeconomic disadvantage, GPs per 1,000 population and GP attendance per 1,000 population. Conclusion Hypertensive disease hospitalisation in Victoria continues to rise and rates of hospitalisation of rural Victorians continue to be higher than their urban counterparts. Females were hospitalised almost twice as often as males. Further research is required to identify the specific factors that impede access to health services, particularly in the identified high-risk populations. © 2017, Australasian Medical Journal Pty Ltd. All rights reserved.
- Authors: Robins, Shalley , Gardiner, Samantha , Terry, Daniel
- Date: 2017
- Type: Text , Journal article
- Relation: Australasian Medical Journal Vol. 10, no. 11 (2017), p. 953-963
- Full Text:
- Reviewed:
- Description: Background Hypertension is present in 23–32 per cent of Australians, making it one of the most prevalent diseases in the country. It is the greatest risk factor for cardiovascular disease, the leading cause of death in Australia and it affects rural populations at a higher rate than urban residents. Aims The aims of this study were to investigate the differences in hypertensive disease hospitalisations across rural and urban Victoria, and to determine predicting variables. Methods Hospital admission data from 1 July 2010 to 30 June 2015 were obtained through the Victorian Admitted Episodes Dataset and other organisations. Data included various patient demographics for each hospital admission entry. The rates of hospitalisation for each Local Government Area were analysed. Further regression analysis was undertaken to examine the association between hypertensive disease hospitalisation and various predictor variables. Results From 2010–2015 11,205 hypertensive disease hospital admissions were recorded of which 64.8 per cent were female, 74.7 per cent admissions were at urban hospitals, and 65.0 per cent were public patients. Hospitalisation rates were consistently higher in rural areas than in urban areas, and rural residents on average stayed in hospital for longer. Significant predictor variables for hypertensive disease hospitalisation included various indicators of socioeconomic disadvantage, GPs per 1,000 population and GP attendance per 1,000 population. Conclusion Hypertensive disease hospitalisation in Victoria continues to rise and rates of hospitalisation of rural Victorians continue to be higher than their urban counterparts. Females were hospitalised almost twice as often as males. Further research is required to identify the specific factors that impede access to health services, particularly in the identified high-risk populations. © 2017, Australasian Medical Journal Pty Ltd. All rights reserved.
Coping with stigma : Coming out and living as lesbians and gay men in regional and rural areas in the context of rural confidentiality and social exclusion
- Authors: Gottschalk, Lorene
- Date: 2007
- Type: Text , Journal article
- Relation: Rural Social Work and Community Practice Vol. 12, no. 2 (2007), p. 31-46
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- Description: The lesbian and gay community largely depend on each other to organise services and support. This informal system (in that it is removed from the State) enjoys some success in Melbourne where there is a sizeable lesbian and gay population, but does not work so well in regional and rural Victoria where the lesbian and gay population is smaller and more dispersed. This study, conducted for the Department of Human Services (Grampians Region) in Victoria, found that gay men and lesbians experience similar types of stigma and discrimination in rural areas as those in urban centres, but that this was exacerbated by the lack of anonymity in the smaller communities. Furthermore it was found that few services and little support were available for lesbians and gay men in regional and rural areas and indeed were difficult to provide in the context of rural confidentiality and social exclusion.
- Description: C1
- Description: 2003005681
- Authors: Gottschalk, Lorene
- Date: 2007
- Type: Text , Journal article
- Relation: Rural Social Work and Community Practice Vol. 12, no. 2 (2007), p. 31-46
- Full Text:
- Reviewed:
- Description: The lesbian and gay community largely depend on each other to organise services and support. This informal system (in that it is removed from the State) enjoys some success in Melbourne where there is a sizeable lesbian and gay population, but does not work so well in regional and rural Victoria where the lesbian and gay population is smaller and more dispersed. This study, conducted for the Department of Human Services (Grampians Region) in Victoria, found that gay men and lesbians experience similar types of stigma and discrimination in rural areas as those in urban centres, but that this was exacerbated by the lack of anonymity in the smaller communities. Furthermore it was found that few services and little support were available for lesbians and gay men in regional and rural areas and indeed were difficult to provide in the context of rural confidentiality and social exclusion.
- Description: C1
- Description: 2003005681
Stories from the back paddock : Community building in the Pyrenees shire
- Harman, Jessie, Clark, David
- Authors: Harman, Jessie , Clark, David
- Date: 2005
- Type: Text , Conference paper
- Relation: Paper presented at the 2nd National Conference on the Future of Australia's Country Towns, Bendigo, Victoria : 11th - 13th July, 2005
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- Description: In 2001 the Victorian Government launched its Community Building initiative. As part of this initiative the government funded 11 locally based community building demonstration projects. One of these projects is located within the Pyrenees Shire. In this discussion paper the authors examine the Pyrenees Shire’s Community Building Demonstration Project, describing the program and its objectives. They focus on the factors which have had a significant impact on the community building process within the municipality, identifying factors which have both facilitated and impeded the process. In terms of facilitating factors they identify a number: the involvement of community champions, strong local government support and community readiness, the capacity to deliver ‘runs on the board’ early in the life of the project, along with a flexible planning process. Conversely, they identify factors which have impeded the community building process in the Shire. Lack of continuity of personnel, an inability to develop shared understanding on occasions and difficulties associated with engaging disparate groups are described. This paper is significant for a number of reasons. In the first instance, it contributes useful, ‘real time’ insights into the implementation of community building in regional Victoria. Secondly it may, through its contribution to theory building and managerial practice, develop and strengthen community building programs in the future. Finally, at the level of public policy, it may contribute to the growing body of knowledge around the efficiency, effectiveness and appropriateness of these types of regional interventions.
- Description: E1
- Description: 2003001459
- Authors: Harman, Jessie , Clark, David
- Date: 2005
- Type: Text , Conference paper
- Relation: Paper presented at the 2nd National Conference on the Future of Australia's Country Towns, Bendigo, Victoria : 11th - 13th July, 2005
- Full Text:
- Reviewed:
- Description: In 2001 the Victorian Government launched its Community Building initiative. As part of this initiative the government funded 11 locally based community building demonstration projects. One of these projects is located within the Pyrenees Shire. In this discussion paper the authors examine the Pyrenees Shire’s Community Building Demonstration Project, describing the program and its objectives. They focus on the factors which have had a significant impact on the community building process within the municipality, identifying factors which have both facilitated and impeded the process. In terms of facilitating factors they identify a number: the involvement of community champions, strong local government support and community readiness, the capacity to deliver ‘runs on the board’ early in the life of the project, along with a flexible planning process. Conversely, they identify factors which have impeded the community building process in the Shire. Lack of continuity of personnel, an inability to develop shared understanding on occasions and difficulties associated with engaging disparate groups are described. This paper is significant for a number of reasons. In the first instance, it contributes useful, ‘real time’ insights into the implementation of community building in regional Victoria. Secondly it may, through its contribution to theory building and managerial practice, develop and strengthen community building programs in the future. Finally, at the level of public policy, it may contribute to the growing body of knowledge around the efficiency, effectiveness and appropriateness of these types of regional interventions.
- Description: E1
- Description: 2003001459
The public health care cost of physical inactivity in a regional city of Australia
- Dassanayake, Jayantha, Payne, Warren, Liya, T., Turville, Christopher
- Authors: Dassanayake, Jayantha , Payne, Warren , Liya, T. , Turville, Christopher
- Date: 2005
- Type: Text , Conference paper
- Relation: Journal of Science and Medicine in Sport Vol. 8, no. 4 Supplement (2005), p. 84
- Full Text: false
- Reviewed:
- Description: 2003006002
Unwrapping packages : An exploration of the implementation of community care policy in rural Victoria
- Authors: Brown, Katrina
- Date: 2004
- Type: Text , Conference paper
- Relation: Paper presented at the 3rd National Conference for emerging researchers in Ageing, Brisbane, Australia : 2nd December, 2004 p. 80-83
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- Reviewed:
- Description: This paper will discuss research being conducted into the implementation of community care for the aged in rural Victoria, by focusing on one program – Community Aged Care Packages (CACP). This program has expanded rapidly in the last 15 years to provide case management and service brokerage as a community based alternative to low level residential care. The research is being undertaken as part of a PhD thesis and utilises a multi-method qualitative design of semi-structured interviews, documentary analysis and case study analysis. This paper will focus on a discussion of the preliminary results of the study, utilising data from an initial series of exploratory semi-structured interviews. The data from these interviews suggests that although the program is delivering highly valued services, program implementation choices have had unintended consequences and do not take account of rural issues in service provision. This data has implications for the development of policy and delivery in the aged care area, however it also illustrates the way in which policy implementation choices can impact on the quality of life of those who need support services.
- Description: E1
- Description: 2003000945
- Authors: Brown, Katrina
- Date: 2004
- Type: Text , Conference paper
- Relation: Paper presented at the 3rd National Conference for emerging researchers in Ageing, Brisbane, Australia : 2nd December, 2004 p. 80-83
- Full Text:
- Reviewed:
- Description: This paper will discuss research being conducted into the implementation of community care for the aged in rural Victoria, by focusing on one program – Community Aged Care Packages (CACP). This program has expanded rapidly in the last 15 years to provide case management and service brokerage as a community based alternative to low level residential care. The research is being undertaken as part of a PhD thesis and utilises a multi-method qualitative design of semi-structured interviews, documentary analysis and case study analysis. This paper will focus on a discussion of the preliminary results of the study, utilising data from an initial series of exploratory semi-structured interviews. The data from these interviews suggests that although the program is delivering highly valued services, program implementation choices have had unintended consequences and do not take account of rural issues in service provision. This data has implications for the development of policy and delivery in the aged care area, however it also illustrates the way in which policy implementation choices can impact on the quality of life of those who need support services.
- Description: E1
- Description: 2003000945
- Authors: Golding, Barry
- Date: 2004
- Type: Text , Book chapter
- Relation: Equity in Vocational Education and Training: Research reading Chapter 17 p. 225-241
- Full Text: false
- Reviewed:
- Description: Adults in Australia have tended to return relatively recently to learning in patterns that are significantly different by gender. These patterns of gender segmentation for adults are particularly noticeable in the findings of recent research by the author into adult, community and vocational learning in small and remote towns in Victoria. The issues associated with such patterns form the basis of this exploratory paper.
- Description: B1
- Description: 2003000772
Rural social welfare practice : Stories from the western region of Victoria
- Authors: Green, Rosemary
- Date: 2003
- Type: Text , Conference paper
- Relation: Paper presented at the 7th National Rural Health Conference, Canberra : 1st - 4th March, 2003
- Full Text:
- Reviewed:
- Description: This study explored rural welfare practice issues with six welfare professionals working in contentious fields of practice such as child welfare, family violence and the justice system in the western region of Victoria. Participants were selected on the basis of difference to provide a range of experiences. The six participants completed a questionnaire and were subsequently interviewed in depth about their own experiences. The study asked participants about issues of concern to them and strategies that they find useful in their professional practice in small communities. Issues of concern included: risk and experience of violence and harassment, managing confidential information gathered from formal and informal sources, providing services that are non stigmatising, managing dual and multiple roles and lack of anonymity and privacy. Participants were concerned about the dilemmas of personal privacy versus community “right to know” particularly when they had privileged information about perpetrators of violence and child sexual assault within their communities. Participants shared their practical solutions and personal survival strategies, as well as their concerns. Many employing organisations did not recognise these factors effectively in work practices, and supervision was focused on agency accountability rather than professional development and support. On a broader level, workplaces and educators need to recognise the impact of the occupational demands and stressors relevant for rural practitioners, where anonymity and privacy are frequently compromised, and respond sensitively to these issues. This paper includes a number of recommendations for educators and organisations employing welfare staff in rural areas. The author sincerely thanks the six welfare professionals for sharing their stories in such rich detail and with such honesty and frankness. Identifying details have been altered to protect their privacy.
- Description: E1
- Description: 2003000562
- Authors: Green, Rosemary
- Date: 2003
- Type: Text , Conference paper
- Relation: Paper presented at the 7th National Rural Health Conference, Canberra : 1st - 4th March, 2003
- Full Text:
- Reviewed:
- Description: This study explored rural welfare practice issues with six welfare professionals working in contentious fields of practice such as child welfare, family violence and the justice system in the western region of Victoria. Participants were selected on the basis of difference to provide a range of experiences. The six participants completed a questionnaire and were subsequently interviewed in depth about their own experiences. The study asked participants about issues of concern to them and strategies that they find useful in their professional practice in small communities. Issues of concern included: risk and experience of violence and harassment, managing confidential information gathered from formal and informal sources, providing services that are non stigmatising, managing dual and multiple roles and lack of anonymity and privacy. Participants were concerned about the dilemmas of personal privacy versus community “right to know” particularly when they had privileged information about perpetrators of violence and child sexual assault within their communities. Participants shared their practical solutions and personal survival strategies, as well as their concerns. Many employing organisations did not recognise these factors effectively in work practices, and supervision was focused on agency accountability rather than professional development and support. On a broader level, workplaces and educators need to recognise the impact of the occupational demands and stressors relevant for rural practitioners, where anonymity and privacy are frequently compromised, and respond sensitively to these issues. This paper includes a number of recommendations for educators and organisations employing welfare staff in rural areas. The author sincerely thanks the six welfare professionals for sharing their stories in such rich detail and with such honesty and frankness. Identifying details have been altered to protect their privacy.
- Description: E1
- Description: 2003000562
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