title: Understanding drivers of rural and remote health outcomes: a conceptual framework in action.
abstract: OBJECTIVE
  To demonstrate the usefulness of a conceptual framework to increase the understanding of rural and remote health by applying it to specific rural and remote health scenarios.
  
  
  METHODS
  A conceptual framework was applied to two case studies illustrative of key issues in rural health to reflect different contexts, issues and responses.
  
  
  RESULTS
  Application of the framework to both case studies highlighted that changes in rural and remote health are diverse. While power was a key element of the framework, the interaction of all framework components underpinned changes.
  
  
  CONCLUSIONS
  The framework facilitated understanding of change in these rural scenarios and demonstrated that improvement in rural health requires change at both the local and structural levels.
authors.affiliation: Rural Health Academic Centre, The University of Melbourne, Shepparton, Victoria, Australia. bourke@unimel.edu.au
authors.forename: Lisa
authors.initials: L
authors.lastname: Bourke
authors.forename: John S
authors.initials: JS
authors.lastname: Humphreys
authors.forename: John
authors.initials: J
authors.lastname: Wakerman
authors.forename: Judy
authors.initials: J
authors.lastname: Taylor
mesh_terms: D054521:Cultural Competency; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration* / Q000592:standards; D005843:Geography; D006291:Health Policy; D006297:Health Services Accessibility; D006303:Health Services, Indigenous / Q000458:organization & administration* / Q000592:standards; D054624:Health Status Disparities; D006801:Humans; D007398:Interpersonal Relations; D017146:Models, Organizational; D019982:Organizational Case Studies; D017063:Outcome Assessment, Health Care / Q000379:methods / Q000706:statistics & numerical data; D011209:Power, Psychological; D012423:Rural Health / Q000208:ethnology / Q000706:statistics & numerical data; D019035:Rural Health Services / Q000458:organization & administration / Q000592:standards; D012934:Social Isolation / Q000523:psychology; D012959:Socioeconomic Factors; D014739:Victoria