Background Rural health outcomes are often worse than their urban counterparts. While rural health theory recognizes the importance of the social determinants of health, there is a lack of insight into public perspectives for improving rural health beyond the provision of health-care services. Gaining insight into perceived solutions, that include and go beyond health- care, can help to inform resource allocation decisions to improve rural health.
Objective To identify and describe shared perspectives within a remote-rural community on how to improve rural health.
Method Using Q methodology, a set of 40 statements were developed representing different perceptions of how to improve rural health. Residents of one remote-rural island community ranked this statement set according to their level of agreement. Card-sorts were analysed using factor analysis to identify shared points of view and interpreted alongside post-sort qualitative interviews.
Results Sixty-two respondents participated in the study. Four shared perspectives were identified, labelled: Local economic activity; Protect and care for the community; Redistribution of resources; and Investing in people. Factors converged on the need to relieve poverty and ensure access to amenities and services.
International Society for the Scientific Study of Subjectivity