{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T14:56:43Z","timestamp":1768057003313,"version":"3.49.0"},"reference-count":32,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,10,20]],"date-time":"2022-10-20T00:00:00Z","timestamp":1666224000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["1153592"],"award-info":[{"award-number":["1153592"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian J Rural Health"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Problem<\/jats:title><jats:p>Women in rural and regional Australia experience a number of barriers to accessing sexual and reproductive health care including lack of local services, high costs and misinformation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Nurse\u2010led task\u2010sharing models of care for provision of long\u2010acting reversible contraception (LARC) and early medical abortion (EMA) are one strategy to reduce barriers and improve access to services but have yet to be developed in general practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Key measures for improvement<\/jats:title><jats:p>Through a co\u2010design process, we will develop a nurse\u2010led model of care for LARC and EMA provision that can be delivered through face\u2010to\u2010face consultations or via telehealth in rural general practice in Australia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Strategies for change<\/jats:title><jats:p>A co\u2010design workshop, involving consumers, health professionals (particularly General Practitioners (GPs) and Practice Nurses (PNs)), GP managers and key stakeholders will be conducted to design nurse\u2010led models of care for LARC and EMA including implant insertion by nurses. The workshop will be informed by the \u2018Experience\u2010Based Co\u2010Design\u2019 toolkit and involves participants mapping the patient journey for service provision to inform a new model of care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Effects of change<\/jats:title><jats:p>Recommendations from the workshop will inform a nurse\u2010led model of care for LARC and EMA provision in rural general practice. The model will provide practical guidance for the set\u2010up and delivery of services.<\/jats:p><\/jats:sec><jats:sec><jats:title>Lessons learnt<\/jats:title><jats:p>Nurses will work to their full scope of practice to increase accessibility of EMA and LARC in rural Australia.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajr.12937","type":"journal-article","created":{"date-parts":[[2022,10,20]],"date-time":"2022-10-20T12:03:26Z","timestamp":1666267406000},"page":"876-883","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Co\u2010design of a nurse\u2010led model of care to increase access to medical abortion and contraception in rural and regional general practice: A protocol"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7172-9470","authenticated-orcid":false,"given":"Jessica E.","family":"Moulton","sequence":"first","affiliation":[{"name":"SPHERE, NHMRC Centre of Research Excellence, Department of General Practice Monash University  Notting Hill VIC Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danielle","family":"Mazza","sequence":"additional","affiliation":[{"name":"SPHERE, NHMRC Centre of Research Excellence, Department of General Practice Monash University  Notting Hill VIC Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane","family":"Tomnay","sequence":"additional","affiliation":[{"name":"Centre for Excellence in Rural Sexual Health University of Melbourne  Melbourne VIC Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deborah","family":"Bateson","sequence":"additional","affiliation":[{"name":"Specialty of Obstetrics, Gynaecology and Neonatology, Faculty of Medicine and Health University of Sydney  Sydney NSW Australia"},{"name":"Family Planning NSW  Sydney NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4340-7882","authenticated-orcid":false,"given":"Wendy V.","family":"Norman","sequence":"additional","affiliation":[{"name":"Department of Family Practice University of British Columbia  Vancouver BC Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirsten I.","family":"Black","sequence":"additional","affiliation":[{"name":"Specialty of Obstetrics, Gynaecology and Neonatology, Faculty of Medicine and Health University of Sydney  Sydney NSW Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asvini K.","family":"Subasinghe","sequence":"additional","affiliation":[{"name":"SPHERE, NHMRC Centre of Research Excellence, Department of General Practice Monash University  Notting Hill VIC Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,10,20]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajr.12138"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2008.11.008"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2016.08.033"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12587"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12608"},{"key":"e_1_2_11_7_1","volume-title":"Abortion care guideline","author":"World Health Organization","year":"2022"},{"issue":"1","key":"e_1_2_11_8_1","first-page":"3538","article-title":"Barriers around access to abortion experienced by rural women in New South Wales, Australia","volume":"16","author":"Doran FM","year":"2016","journal-title":"Rural Remote Health"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.srhc.2017.11.008"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.31128\/AJGP-02-20-5223"},{"key":"e_1_2_11_11_1","unstructured":"MS Health.Dispenser and prescriber program December 2021 Update 2021. 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