Understanding drivers of rural and remote health outcomes: A conceptual framework in action

Objective: To demonstrate the usefulness of a conceptual framework to increase the understanding of rural and remote health by applying it to specific rural and remote health scenarios. Design: A conceptual framework was applied to two case studies illustrative of key issues in rural health to reflect different contexts, issues and responses. Results: Application of the framework to both case studies highlighted that changes in rural and remote health are diverse. While power was a key element of the framework, the interaction of all framework components underpinned changes. Conclusion: The framework facilitated understanding of change in these rural scenarios and demonstrated that improvement in rural health requires change at both the local and structural levels.