From 'problem-describing' to 'problem-solving': Challenging the 'deficit' view of remote and rural health

• Published in: The Australian journal of rural health 2010-10, Vol.18 (5), p.205-209
• Main Authors: Bourke, Lisa, Humphreys, John S., Wakerman, John, Taylor, Judy
• Format: Article
• Language: English
• Subjects: Approaches; Attitude of Health Personnel; Change agents; Community Participation; deficit; Discipline; Embedding; Health; Health care; Health services; Health Services Accessibility; Health status; Humans; Medical practitioners; Medical research; Medically Underserved Area; Needs Assessment; Nursing; Occupational health; Primary care; Primary Health Care - manpower; problem; Problem Solving; Remote areas; remote health; Rewards; Rural areas; Rural communities; Rural conditions; Rural environments; rural health; Rural Health Services - manpower; Social factors; strengths-based
• ISSN: 1038-5282; 1440-1584
• DOI: 10.1111/j.1440-1584.2010.01155.x

Objective:  Rural and remote health research has highlighted the many problems experienced in the bush. While attention to problems has raised awareness of the needs of rural and remote health, embedding a deficit perspective in research has stereotyped rural and remote health as poor environments to work in and as inherently problematic. The objectives of this paper are to challenge this thinking and suggest that a more balanced approach, acknowledging strengths, is beneficial. Design:  This discussion identifies why the deficit approach is problematic, proposes a strengths‐based approach and identifies some key strengths of rural and remote health. Results:  This study suggests alternative ways of thinking about rural and remote practice, including the rewards of rural and remote practice, that rural and remote communities can act as change agents, that these disciplines actively address the social determinants of health, that rural and remote areas have many innovative primary health care services and activities and that rural and remote contexts provide opportunities for evaluation and research. It is proposed that rural and remote health can be viewed as problem‐solving, thus dynamic and improving rather than as inherently problematic. Conclusion:  Critical of a deficit approach to rural and remote health, this paper provides alternatives ways of thinking about these disciplines and recommends a problem‐solving perspective of rural and remote health.