New Review Article for RRH: Rural and remote health care: the case for spatial justice by Karen Hayes, Kristy Coxon and Rosalind Bye.

Description

Rural people across most nations, regardless of relative national wealth and development, live shorter lives, on lower incomes, with less formal education, and experience greater poverty, illness and injury than their urban-dwelling peers. Multiple causes for this inequity have been suggested, including greater physical risk associated with farming, poorer general and health literacy, distance from infrastructure, limited public transport, internet, health service resourcing, and shortages. All these factors, at their most fundamental, are features of geography. In rural and remote health, there appears a dominant assumption that increased inconvenience and cost for accessing health care are features of rural geography that should be expected by rural people. This Review challenges this assumption by applying concepts from critical geography to suggest rural geography has been shaped to result in exactly the health outcomes experienced by rural people, and that focusing policy on reshaping rural geography through the lens of spatial justice may result in better health services and outcomes.

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Western Sydney University Charles Sturt University Karen Hayes Rosalind Bye