However, despite evidence from other predator-prey systems suggesting that infection can greatly impact both host population and infectious disease dynamics, the role of Bd in higher level community interactions, such as predator-prey interactions, has not been well-explored (but see [23], [24]).
We identified six articles that most closely demonstrated higher level community participation; Arnstein's notion of citizen power.
We designed a scoping review to map the existing evidence base on higher level community participation in rural health.
There is a significant gap in understanding how higher level community participation is best enacted in the rural context.
The aim of our study was to identify examples, in the international literature, of higher level community participation in rural healthcare.
A scoping review was designed to map the existing evidence base on higher level community participation in rural healthcare planning, design, management and evaluation.
However, in an environment characterised by increasing interest in community participation in rural communities the need for rigorous research that explores and analyses higher level community participation is needed.
In progressing an agenda of exploration and analysis of the process of higher level community participation, our definition of higher level utilised Arnstein's [ 29] categories of partnership, delegated power and citizen control, most commonly clustered as 'citizen power'.
To guide the search strategy, and ensure that a broad range of literature was captured, the research question: 'What examples of higher level community participation in rural healthcare exist in the international literature?' was developed.
