{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T05:48:33Z","timestamp":1782539313416,"version":"3.54.5"},"reference-count":55,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T00:00:00Z","timestamp":1777680000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T00:00:00Z","timestamp":1777680000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Australian J Rural Health"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Indigenous peoples experience significant health inequities compared to non\u2010Indigenous peoples. The reasons for this are multi\u2010faceted. Access to healthcare for marginalised Indigenous peoples is made more difficult by living rurally; urban counterparts have improved healthcare access and health outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This review aimed to further understand the healthcare experiences of rural Indigenous peoples residing in New Zealand (Aotearoa), Australia, Canada or the United States of America (USA).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Inclusion Criteria<\/jats:title>\n                    <jats:p>Participants were required to self\u2010identify as Indigenous consumers of healthcare aged 18\u2009years or older, with personal or family experiences of receiving healthcare. Contextually, rural healthcare service access in any healthcare setting was chosen. The countries chosen for inclusion were New Zealand, Australia, Canada, and the USA. Exclusion criteria included studies with non\u2010Indigenous participants with healthcare experiences that were unable to be isolated and extracted, as well as studies involving both rural and urban healthcare experiences where the urban experiences were unable to be isolated and removed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The electronic databases Scopus (Elsevier), CINAHL Complete (EBSCOhost) and Medline (OVID) were searched. Articles were screened by one author (TC) to identify primary research studies that reported patient lived experiences and included Indigenous participants who live rurally. Searches were completed in June 2024 and limited to full text, English language and date limited to 2004\u20132024. Articles were then analysed via thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>Seven articles were analysed. The articles were located in Aotearoa, Australia, and Canada. No suitable studies from the USA were identified or included. Five themes were identified as having impacted the healthcare experiences of Indigenous peoples: distance to care; quality of care and racism; support from and impact on, wh\u0101nau (family); health professional communication and knowledge sharing; and Indigenous solutions and holistic care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Ensuring that patient\u2010centred care also involves wider family members has been shown to be beneficial, as has the engagement of Indigenous health professionals and health workers in providing culturally inclusive healthcare. Health professionals should consider language and communication techniques when engaging with people seeking healthcare and not make assumptions, for example around health knowledge.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajr.70202","type":"journal-article","created":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T07:50:36Z","timestamp":1777708236000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Rural Indigenous Experiences of Healthcare Services: A Scoping Review"],"prefix":"10.1111","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-1878-4898","authenticated-orcid":false,"given":"Tayla","family":"Cadigan","sequence":"first","affiliation":[{"name":"He Rau Kawakawa (School of Pharmacy) \u014ct\u0101kou Whakaihu Waka (University of Otago)  \u014ctepoti (Dunedin) Aotearoa New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9068-4391","authenticated-orcid":false,"given":"Lisa","family":"Kremer","sequence":"additional","affiliation":[{"name":"He Rau Kawakawa (School of Pharmacy) \u014ct\u0101kou Whakaihu Waka (University of Otago)  \u014ctepoti (Dunedin) Aotearoa New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alesha","family":"Smith","sequence":"additional","affiliation":[{"name":"He Rau Kawakawa (School of Pharmacy) \u014ct\u0101kou Whakaihu Waka (University of Otago)  \u014ctepoti (Dunedin) Aotearoa New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6792-6607","authenticated-orcid":false,"given":"Joanna","family":"Hikaka","sequence":"additional","affiliation":[{"name":"Te Kupenga Hauora M\u0101ori (Faculty of Medicine and Health Sciences) University of Auckland  Auckland Aotearoa New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,2]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"World Health Organisation \u201cHuman Rights 2023 \u201dhttps:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/human\u2010rights\u2010and\u2010health."},{"key":"e_1_2_11_3_1","unstructured":"Te K\u0101hui Tika Tangata Human Rights Commission \u201cTika ki te Whai Oranga Right to Health \u201dhttps:\/\/tikatangata.org.nz\/human\u2010rights\u2010in\u2010aotearoa\/right\u2010to\u2010health."},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.23.290868"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18063014"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/jep.12601"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthpol.2018.05.001"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12939-019-1082-3"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2004.040907"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)00345-7"},{"key":"e_1_2_11_11_1","volume-title":"The Social, Cultural and Economic Determinants of Health in New Zealand: Action to Improve Health","author":"National Health Committee N.Z","year":"1998"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-016-1707-9"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s44155-023-00040-6"},{"key":"e_1_2_11_14_1","unstructured":"World Health Organisation \u201cSocial Determinants of Health 2025 \u201dhttps:\/\/www.who.int\/health\u2010topics\/social\u2010determinants\u2010of\u2010health#tab=tab_1."},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-018-2103-8"},{"key":"e_1_2_11_16_1","volume-title":"Social Determinants and Indigenous Health: The International Experience and Its Policy Implications","author":"Commission on Social Determinants of Health (CSDH)","year":"2007"},{"issue":"1546","key":"e_1_2_11_17_1","first-page":"47","article-title":"Barriers and Facilitators for M\u0101ori in Accessing Hospital Services in Aotearoa New Zealand","volume":"134","author":"Espiner E.","year":"2021","journal-title":"New Zealand Medical Journal"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.18549\/PharmPract.2016.03.798"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/ans.16557"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1071\/AH17142"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hsr.2024.100158"},{"key":"e_1_2_11_22_1","unstructured":"Australian Bureau of Statistics \u201cAboriginal and Torres Strait Islander People: Census [Internet]. 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