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Across the Divide - Health and Wellbeing in Rural Australia (Hardcover)
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Across the Divide - Health and Wellbeing in Rural Australia (Hardcover)
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Early Australian pioneers were blocked from advancing into the
interior of the continent by the Great Dividing Range that runs
along the east coast of the country. In their endeavours to expand
the colonies westward and to open Australia economically, these
early developers eventually found routes across the Great Dividing
Range and into the interior. With this expansion, the larger and
more productive Australia was born, for better or worse. Today,
Australians face a divide of a different kind, but one that,
nonetheless, requires crossing if we are to secure our national
wellbeing into the future. The emerging division between rural and
metropolitan Australia, along with the social, cultural and health
inequities between the two groups has been the focus of government
and social programmes in Australia for generations, yet the
condition persists and is today exacerbated by the inexorable
movement of Australian populations to larger regional centres and
to our major coastal cities. For many years health researchers and
health service providers have embraced the idea that scientific
research into the social, economic, physical and psychological
aspects of health problems in the community is the tried and true
way to progress policy and initiate action for improvement of our
healthcare system. The age-old grail is to demonstrate scientific
facts and implement policy on that basis. If this process is
maintained, all will be well. The wellspring of this current work
is its embodiment of a city/country dichotomy in the life of the
author. The strongest message about healing the divide between the
two cultures (if indeed this might even be possible) comes not via
scientific investigation directly, but via the existential and
phenomenological experience first and foremost and is informed by
the scientific motif after the fact. The divide, which is the focus
of this work, has emerged in the interplay between an essentially
nineteenth century European based rural ideology of frontier
freedom, self-reliance, rugged determination and independence and
an emerging Asia-centred urban ideology underpinned by more modern
twenty-first century concepts of economics, life, space, place and
opportunity. The book combines personal experiences of rural living
with overviews of initiatives that aim to reduce inequities between
rural and metro communities by training and supporting health
professionals to work in rural areas where there is often an acute
shortage of practitioners to meet the needs of these communities.
This shortage of professional people in rural areas contributes to
the growing separation of rural and urban cultures and to the
poorer health status of rural people compared with that of urban
populations. In this context, the book Across the Divide: Health
and Wellbeing in Rural Australia explores options for reducing
these divisions and improving the health and wellbeing of rural
populations in Australia. It focuses on health status and the
emerging inequities experienced by rural people and explores ways
of improving access to services and practicing health
professionals, health education and health literacy.
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