Staff-reported barriers and facilitators to the implementation of healthcare interventions within regional and rural areas: a rapid review

作者：Anna Chapman, Alison Buccheri, Devdini Mohotti, Anna Wong Shee, Catherine Elizabeth Huggins, Laura Veronica Alston, Alison Margaret Hutchinson, Sze Lin Yoong, Hannah Beks, Kevin Mc Namara, Anna Peeters, Anna Ugalde · 发表于：BMC Health Services Research · 年份：2025 · DOI：10.1186/s12913-025-12480-8 · 被引用次数：46 · 研究领域：Global Health Workforce Issues、Health Policy Implementation Science、Primary Care and Health Outcomes

BACKGROUND: Individuals in rural areas consistently demonstrate higher mortality and morbidity rates, and poorer access to healthcare, compared to their metropolitan counterparts. Optimizing the implementation of evidence-based interventions can reduce these inequities. Existing literature outlines numerous barriers and facilitators to the implementation of healthcare interventions, but these are generally not specific to rural areas. This rapid review aims to synthesize barriers and facilitators to the implementation of healthcare interventions in regional and rural healthcare services as reported by healthcare staff, including clinicians, managers, and administrators. METHODS: A systematic search for peer-reviewed publications was conducted using CINAHL, PsycINFO, Medline, and Embase databases (1/1/2000-29/08/2023). Eligible publications were primary research articles published in English, assessing staff-reported barriers and facilitators to implementing healthcare interventions within regional and rural areas of high-income countries. Qualitative, quantitative, and mixed-methods designs were included. Eligible healthcare settings encompassed acute, sub-acute, primary care, community health, and aged care. Barrier and facilitator data were coded and grouped into sub-themes and broader themes, with results presented narratively. RESULTS: Thirty-nine publications met the inclusion criteria. Most studies were conducted in Australia or the USA (both n = 18, 46%), within primar...