Health Service Implementation and Antifragile Characteristics in Rural Communities
A Dirt Research Approach
Bibliographic Data
| ID | 15460804 |
|---|---|
| Authors | Stephanie Petrie (0000-0001-6809-6027, University Health Network, corresponding author), Samuel Petrie (Ted Rogers Centre for Heart Research, University Health Network, Toronto, ON M5G 2C4, Canada), Paul A Peters (0000-0001-5225-2005, Carleton University) |
| Year | 2023 |
| Volume | 20 |
| Issue | 14 |
| Pages | 6418-6418 |
| Publication date | 2023-07-20 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph20146418 |
| PMID | 37510650 |
| OpenAlex | W4385069415 |
| Language | EN |
| References cited | 29 |
The implementation of health and care services within rural communities requires necessary sensitivity to the unique facets of rural places. Often, rural service implementation is executed with inappropriate frameworks based on assumptions derived from urban centres. To understand the characteristics of rural communities that can facilitate successful program implementation better, ethnographic accounts of rural health and care services were compiled in rural communities within Canada, Australia, and Iceland. Ethnographic accounts are presented in the first and third person, with an accompanying reflexive analysis immediately following these accounts. Antifragility was the guiding concept of interest when investigating rural implementation environments, a concept that posits that a system can gain stability from uncertainty rather than lose integrity. These ethnographic accounts provide evidence of antifragile operators such as optionality, hybrid leadership, starting small, nonlinear evaluation, and avoiding suboptimisation. It is shown that the integration of these antifragile operators allows programs to function better in complex rural systems. Further, the presence of capable individuals with sufficient knowledge in several disciplines and with depth in a single discipline allows for innovative local thinking initiatives
Business · Economic growth · Economics · Ethnography · Function (biology · Geography · Health care · Knowledge management · Political science · Public relations · Reflexivity · Rural development · Rural health · Rural management · Service (business · Social science · Sociology · Computer Science · Global Health Workforce Issues · Health disparities and outcomes · Health Policy Implementation Science · Medicine · Nursing · Marketing
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What is ethnography? Can it survive? Should it
Understanding rural and remote health
Considering the implications of place-based approaches for improving rural community wellbeing
A simple guide to chaos and complexity
Brief Note on the Origins, Evolution, and Meaning of the Qualitative Research Concept Thick Description
Place effects on health
Beyond research ethics
| Highly cited | No |
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