{"id":1475,"date":"2023-04-04T11:39:31","date_gmt":"2023-04-04T15:39:31","guid":{"rendered":"https:\/\/carleton.ca\/determinants\/?p=1475"},"modified":"2025-04-29T10:04:48","modified_gmt":"2025-04-29T14:04:48","slug":"new-article-health-service-implementation-and-antifragile-characteristics-a-dirt-research-approach-2","status":"publish","type":"post","link":"https:\/\/carleton.ca\/determinants\/2023\/new-article-health-service-implementation-and-antifragile-characteristics-a-dirt-research-approach-2\/","title":{"rendered":"New Article | Characteristics of High-Resource Health System Users in Rural and Remote Regions: A Scoping Review"},"content":{"rendered":"\n<section class=\"w-screen px-6 cu-section cu-section--white ml-offset-center md:px-8 lg:px-14\">\n    <div class=\"space-y-6 cu-max-w-child-5xl  md:space-y-10 cu-prose-first-last\">\n\n            <div class=\"cu-textmedia flex flex-col lg:flex-row mx-auto gap-6 md:gap-10 my-6 md:my-12 first:mt-0 max-w-5xl\">\n        <div class=\"justify-start cu-textmedia-content cu-prose-first-last\" style=\"flex: 0 0 100%;\">\n            <header class=\"font-light prose-xl cu-pageheader md:prose-2xl cu-component-updated cu-prose-first-last\">\n                                    <h1 class=\"cu-prose-first-last font-semibold !mt-2 mb-4 md:mb-6 relative after:absolute after:h-px after:bottom-0 after:bg-cu-red after:left-px text-3xl md:text-4xl lg:text-5xl lg:leading-[3.5rem] pb-5 after:w-10 text-cu-black-700 not-prose\">\n                        New Article | Characteristics of High-Resource Health System Users in Rural and Remote Regions: A Scoping Review\n                    <\/h1>\n                \n                                \n                            <\/header>\n\n                    <\/div>\n\n            <\/div>\n\n    <\/div>\n<\/section>\n\n<h2 id=\"characteristics-of-high-resource-health-system-users-in-rural-and-remote-regions-a-scoping-review\" class=\"wp-block-heading\">Characteristics of High-Resource Health System Users in Rural and Remote Regions: A Scoping Review<\/h2>\n\n\n\n<p>LeBlanc M, McGaughey T, &amp; PA Peters. (2023) \u201cCharacteristics of High-Resource Health System Users in Rural and Remote Regions: A Scoping Review.\u201d <em>International Journal of Environmental Research and Public Health<\/em>. 20(7): 5385. <a href=\"https:\/\/doi.org\/10.3390\/ijerph20075385\">https:\/\/doi.org\/10.3390\/ijerph20075385<\/a>.<\/p>\n\n\n\n<h3 id=\"abstract\" class=\"wp-block-heading\">Abstract<\/h3>\n\n\n\n<figure class=\"wp-block-image alignright\"><a href=\"https:\/\/carleton.ca\/determinants\/wp-content\/uploads\/sites\/79\/IMG_1447.png\"><img loading=\"lazy\" decoding=\"async\" width=\"400\" height=\"400\" src=\"https:\/\/carleton.ca\/determinants\/wp-content\/uploads\/sites\/79\/IMG_1447-400x400.png\" alt=\"\" class=\"wp-image-477\" srcset=\"https:\/\/carleton.ca\/determinants\/wp-content\/uploads\/sites\/79\/IMG_1447-400x400.png 400w, https:\/\/carleton.ca\/determinants\/wp-content\/uploads\/sites\/79\/IMG_1447-160x160.png 160w, https:\/\/carleton.ca\/determinants\/wp-content\/uploads\/sites\/79\/IMG_1447-240x240.png 240w, https:\/\/carleton.ca\/determinants\/wp-content\/uploads\/sites\/79\/IMG_1447-200x200.png 200w, https:\/\/carleton.ca\/determinants\/wp-content\/uploads\/sites\/79\/IMG_1447.png 600w, https:\/\/carleton.ca\/determinants\/wp-content\/uploads\/sites\/79\/IMG_1447-360x360.png 360w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><\/a><\/figure>\n\n\n\n<p>A small proportion of health care users are recognized to use a significantly higher proportion of health system resources, largely due to systemic, inequitable access and disproportionate health burdens. These high-resource health system users are routinely characterized as older, with multiple comorbidities, and reduced access to adequate health care. Geographic trends also emerge, with more rural and isolated regions demonstrating higher rates of high-resource use than others. Despite known geographical discrepancies in health care access and outcomes, health policy and research initiatives remain focused on urban population centers. To alleviate mounting health system pressure from high-resource users, their characteristics must be better understood within the context in which i arises. To examine this, a scoping review was conducted to provide an overview of characteristics of high-resource users in rural and remote communities in Canada and Australia. In total, 21 papers were included in the review. Using qualitative thematic coding, primary findings characterized rural high-resource users as those of an older age; with increased comorbid conditions and condition severity; lower socioeconomic status; and elevated risk behaviors.<\/p>\n\n\n\n<p>Keywords: health care;&nbsp;rural health;&nbsp;healthcare inequalities;&nbsp;public health systems research;&nbsp;health care costs;&nbsp;health services research<\/p>\n\n\n\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Characteristics of High-Resource Health System Users in Rural and Remote Regions: A Scoping Review LeBlanc M, McGaughey T, &amp; PA Peters. (2023) \u201cCharacteristics of High-Resource Health System Users in Rural and Remote Regions: A Scoping Review.\u201d International Journal of Environmental Research and Public Health. 20(7): 5385. https:\/\/doi.org\/10.3390\/ijerph20075385. Abstract A small proportion of health care users [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":277,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[59,24,108,127,90],"tags":[],"class_list":["post-1475","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dirt-research","category-health","category-health-data","category-health-services","category-rural-health"],"acf":{"cu_post_thumbnail":""},"_links":{"self":[{"href":"https:\/\/carleton.ca\/determinants\/wp-json\/wp\/v2\/posts\/1475","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/carleton.ca\/determinants\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/carleton.ca\/determinants\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/carleton.ca\/determinants\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/carleton.ca\/determinants\/wp-json\/wp\/v2\/comments?post=1475"}],"version-history":[{"count":1,"href":"https:\/\/carleton.ca\/determinants\/wp-json\/wp\/v2\/posts\/1475\/revisions"}],"predecessor-version":[{"id":1476,"href":"https:\/\/carleton.ca\/determinants\/wp-json\/wp\/v2\/posts\/1475\/revisions\/1476"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/carleton.ca\/determinants\/wp-json\/wp\/v2\/media\/277"}],"wp:attachment":[{"href":"https:\/\/carleton.ca\/determinants\/wp-json\/wp\/v2\/media?parent=1475"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/carleton.ca\/determinants\/wp-json\/wp\/v2\/categories?post=1475"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/carleton.ca\/determinants\/wp-json\/wp\/v2\/tags?post=1475"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}