Sandra Walsh BPsych, BA (Hons), Med, MEval, MAboriginal Studies, Pascale Dettwiller PhD, Lee Puah PhD, Hannah Beks PhD, Vincent Versace PhD, Martin Jones PhD
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Decentralised clinical trials in rural Australia: Opportunities and challenges
Aims
To present opportunities and a model to redress the under-representation of rural communities and people in Australian clinical trials.
Context
Clinical trials are essential for building and understanding the health evidence base. The lack of representation of rural people in clinical trials is evident in other countries. Examining the Australian New Zealand Clinical Trial Registry (ANZCTR) suggests this is also the case in Australia.
Approach
We propose an approach that empowers rurally based academics and clinicians to co-design clinical trials and increase rural Australians' participation in clinical trials to address this inequality of access. A case study of a decentralised, co-designed clinical trial is presented to support this approach.
Conclusion
Decentralising clinical trials could improve access to clinical trials, strengthen the social capital of rural communities and help address the health inequalities that exist between rural and metropolitan communities.
期刊介绍：
The Australian Journal of Rural Health publishes articles in the field of rural health. It facilitates the formation of interdisciplinary networks, so that rural health professionals can form a cohesive group and work together for the advancement of rural practice, in all health disciplines. The Journal aims to establish a national and international reputation for the quality of its scholarly discourse and its value to rural health professionals. All articles, unless otherwise identified, are peer reviewed by at least two researchers expert in the field of the submitted paper.
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