Author(s)

Hazel Dalton¹,², Amrita Dasvarma³, Russell Roberts²,³, Julaine Allan¹, Clifford Lewis³

Affiliations

1. Rural Health Research Institute, Charles Sturt University, 2. Equally Well Australia, 3. School of Business, Charles Sturt University

Introduction

People living with mental health conditions in rural Australia experience significantly poorer physical health outcomes and face a markedly higher risk of premature death, nearly three times that of the general population. These disparities are exacerbated by rural health workforce shortages, limited service access, and the limited applicability of metro-based models to rural contexts. Addressing these challenges requires tailored approaches that reflect the unique needs and service environments of rural communities.

Method

As part of a broader trial aimed at improving physical health outcomes for rural populations with mental health conditions, this study explored the perspectives of healthcare professionals and managers on the design and implementation of a physical health care navigation model. Semi-structured interviews were conducted with rurally based participants (or those with rural oversight, n=7), and the data were analysed using a combination of content and thematic analysis to identify key considerations and insights.

Results & findings

Preliminary findings highlight several critical factors for effective implementation of a physical health care navigation model in rural settings. These include the importance of role clarity, particularly in distinguishing between clinical and non-clinical functions, and the need for appropriate support, training, and preparation for those delivering navigation services. Distinct challenges and strengths were identified for delivery of the trial navigator from different rural service providers (state health services and not-for profit organisations).

Discussion

The study underscores the need for context-sensitive approaches to health care navigation in rural Australia. Insights from rural health professionals reveal both challenges and opportunities in designing models that are feasible, culturally appropriate, and capable of improving access and outcomes. These findings will inform the development of a tailored navigation model that supports integrated care and addresses the physical health needs of people living with mental health conditions in rural communities.