To optimise service design and development, it is important to understand the changing pattern of emergency surgical care for this group.
Understanding the relative contributions of different barriers to rural MH service use is vital to ensure that efforts to optimise service use are appropriately directed.
Particular attention should be paid to key cross-cutting topics including gender equity, task shifting to optimise service delivery, and leadership and governance.
Modifiable technical, organisational or hospital-related factors play an important role in patient care, and merit further study in order to optimise service delivery and to improve care.
Addressing perceptions of mental illness and attitudes towards help-seeking, through the development and evaluation of appropriate interventions, is likely to be vital in improving and optimising service use and MH outcomes in rural and remote Australia.
This study differs from previous research into smoking cessation in hospital settings, which has typically focused on the content of interventions rather than on means of optimising service provision and uptake.
Therefore it is necessary to optimise technological services in border stations because we need to minimise the time trains spend there.
Qualitative studies and CRT guidelines provided more specific suggestions for how to optimise CRT services, though they were generally based mainly on experience, personal views, and consensus processes.
Further evidence regarding the content of care – i.e. how specific interventions such as brief psychological therapies or peer support programmes delivered by CRTs affect outcomes – would also contribute to knowledge on how to optimise CRT services.
