Abstract
Purpose
For the 30% of Australians who live in rural areas, access to rehabilitation services after sustaining a major traumatic injury can be challenging. This study aimed to explore the experience of rural major traumatic injury survivors accessing rehabilitation services.
Materials and methods
Semi-structured interviews were conducted with 21 rural major traumatic injury survivors (Mage = 47.86; SD = 11.35; Range: 21–61) who were an average of seven years post-injury (SD = 3.10; Range: 3.25–13.01). Transcribed interviews were thematically analysed.
Results
Four themes were identified: (1) Managing the transition back to local services, (2) Independence and determination to get better, (3) Rehabilitation is an ongoing process, and (4) Limited service access and quality. While injury-related symptoms persisted for many participants, they expressed strong determination for independence and self-management of their recovery. Barriers to accessing rehabilitation services included poor knowledge of local services, travel burden, financial costs, and a lack of local practitioners experienced in major traumatic injury rehabilitation. Facilitating factors included financial, psychological, community, and informal supports.
Conclusions
To support recovery, future rural service models should improve consideration of factors resulting from living at a distance to services and harness independence to self-manage.
Rural major traumatic injury survivors need support to navigate numerous barriers to accessing rehabilitation services.
Rural participants expressed their preference for greater involvement in planning their transition back home following hospitalisation and help to link with available services in their local area.
Specialist training and support for rural rehabilitation practitioners is needed, to effectively treat impairments related to major traumatic injury, particularly psychological and cognitive difficulties.
Future service delivery models should incorporate methods to locate rural services; facilitate telehealth access and client self-management; and provide financial and mental health support to both rural survivors of major traumatic injury and their carers.
IMPLICATIONS FOR REHABILITATION
Acknowledgements
The authors thank Aviva Lefkovits for assisting in cross-coding the transcripts in addition to all of the participants and the community representatives involved in this project who so generously gave their time.
Disclosure statement
No potential competing interest was reported by the author(s).