Improving the quality of health care in rural and remote Australia

Australia’s geographical vastness compounds the complexity of its health system and poses unique predicaments for health service delivery. While efforts have been made to address some of these problems, much of the policy conversation thus far has revolved around improving access and workforce shortages that are critical in some parts of the country. Little is known about the quality and outcomes of health care services delivered to rural and remote communities in Australia. Adding to the challenge, Aboriginal and Torres Strait Islander people continue to considerably trail the non-Indigenous population in relation to life expectancy and other health status indicators. In Australia’s most remote areas, Aboriginal and Torres Strait Islander people account for almost half the population, highlighting the importance of culturally competent services. While more health professionals would help, strong governance, innovations in funding, creative thinking and a smarter use of technologies are all required. While efforts to improve access to health care should continue, these should be accompanied by an equal emphasis on measuring and improving quality.