By Siaw-Teng Liaw, Sue Kilpatrick, Australian Rural Health Education Network
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Extra resources for A Textbook of Australian Rural Health
The local community context can promote and improve health and health behaviours but can also undermine them. Examples of factors that can affect the health of individuals include a local culture of drinking, availability of fresh fruit and vegetables, the local economy and the role of sport. Local health professionals need to know about the 34 Chapter 2 Understanding rural health — key concepts community, its support networks and any planned healthy activities. They can identify patterns in health and be proactive in addressing health problems (eg recognising that drought may lead to high rates of depression).
Mary agreed to provide this support as long as Johno agreed to have contact with the GP, take antidepressant medication and use the social worker if Mary was not available. She also asked that the social worker, who would see Johno regularly at school, have permission to ring her or the GP if she had concerns about Johno. For Johno’s part, he was concerned that all his school friends would find out and he begged the social worker to ‘keep this on the quiet’. When this plan was discussed with Johno’s parents, they were surprised, but eventually accepted the arrangement as Johno’s decision.
The composition of the team will depend on the degree of autonomy and range of practice skills desired, as well as on the location, patient profile and professional supports, all of which vary widely across rural settings. Working as part of a team and showing leadership as well as collaboration is vital for rural health professionals (Sturmberg et al 2001). This does not mean that interprofessional practice is inherently cohesive, collaborative and harmonious; tension between practitioners working in a team is common.
A Textbook of Australian Rural Health by Siaw-Teng Liaw, Sue Kilpatrick, Australian Rural Health Education Network