Introduction The increasing technological advancement, changing healthcare policies and progression of some illness calls for evidence-based research in heath care. The need to adapting to new techniques in the contemporary nursing has led to researchers coming up with a large volume of literature. Decision in healthcare has then turned out very complex. It requires a systematic search and analysis of every article and document by caregivers to get the appropriate evidence-based information. The use of a systematic review in managing large volumes of research evidence involves the process of documenting the methods before starting any search to identify different studies under the research topic. The process will lead to a comprehensive search, location, description and relevance of the document to the topic at hand. In the case of this paper, I will search and analyze the report of primary healthcare delivery in rural and remote Australia using a systematic review. The paper will check the relevance of the document’s information to the aged and dementia care sector. Article summary The article talks about how different Australian literatures since 1993 ended up sought and analyzed. The analysis of the report was for seeking and relevantly applying it in the appropriate models of primary health care delivery. A systematic review in the article analyzed the available and published Australian literature to describe different innovative models of primary health care in the Australian’s rural and remote areas (Wakerman, 7). The article begins by showing the background on the need of systematically reviewing the PHC delivery models. The method used as seen in this article involved the use of professionals from the field of rural health as a reference group. Peer-reviewed publications ended up sourced from electronic databases such as CINAHL, Medline, AMED and EBM. The article also talks about the results of the analysis alongside giving a recommended framework for adoption in developing PHC models in remote and rural areas. The use of the article The article ended up used for in the application of the various primary health care models to different settlement patterns across the rural and remote communities of Australia. The models under analysis ended up used in illustrating their suitability to different settlement population. The recommendable choice of the model for application in rural and remote Australians depended on accessibility, population size and density. According to Wakerman, et al., the analysis of different PHC models will serve as guidelines in the choice of the appropriate approach applicable to a particular settlement pattern (3). In the management of the aged and dementia patients, a systematic review ended up as very beneficial. Many cases of chronic illness amongst the aged and dementia patients in rural and remote communities ended up easily managed by easy access of patients. The broad relevance of the article The article also had broad relevance in the PHC service provision in the rural and remote communities. The broad application of the article was during legislation and in facilities and resource allocation to healthcare department. Getting an understanding of the PHC needs of the aged and dementia clients alongside the characteristics of the population led to coming up with ways of providing health practitioners. The Australian government had an understanding of PHC required by different settlement partners. Smith and Wilkin argued that planning in the provision of PHC requires evidence-based research (65). For instance, the aged and dementia sector would choose the model that deals in the management of chronic illness such as diabetes, stroke and cancer. The federal, state and national government ended up using the information from the review to come up with health policies that suit specific settlement patterns in the rural and remote communities. The article commissioning and the underlying reason The article ended up commissioned by Professor Nicholas Glasgow to give information about the discussion over the PHC models in rural and remote communities of Australia. Commissioning was important because it led to authors accepting the responsibility of the article fully. Commissioning acted as a representative that the information from the article is out the efforts and views of the authors but not by professor Nicholas Glasgow or Australian Primary Care Research Institute. An action prompted by the article and why The article prompted the action of supportive policy, community readiness and commonwealth relations to engage in supporting the PHC in rural and remote areas. The supportive policy granted funds to enable the offering of furnished doctor housing and equipment required for the aged and dementia patient (Smith and Wilkin, 68). Commonwealth relation end up engaging in negotiating contracts in cashing out some services to enable reliable income for doctors. The article also led to the action of increasing the workforce in primary health care. More nurses and other health practitioners specialized in rural health ended up recruited by the Australian government. Application of relevant models to different population settlement in the rural and remote communities of Australia appropriately required more professionals in the healthcare. It also led to linkages to in provision of the platform in integrating a strong community to help in involving health care teamwork. Conclusion Conclusively, the article showed the need for improving the poor health conditions in rural and remote communities of Australia in ensuring PHC. A systematic review of the PHC models in rural and remote communities in Australia called for the foundation to build upon in improving PHC in rural communities. Instead of seeking for more researchers in improving quality healthcare, a systematic review of the available literature could offer the best approaches in bringing a synergy for patient care. Analysis of the PHC models as seen in this report reveals different application of the models to different population settlements in Australia. The article is of benefit to different sectors in the healthcare including the government, health practitioners and patients including the aged and dementia. As a result, the article gives a conceptual framework from different literatures as a paradigm in implementation of policies and funding programs in healthcare.
Smith, D & Wilkin. Changes in rural primary healthcare. An Australian journal of Primary Health Interchange, 2011. 2: 63-71,
Wakerman, J, et al. Primary health care delivery models in rural and remote Australia- a systematic review. BMC Health Services Research. 2008. Pages 1-10