A qualitative descriptive study exploring clinicians’ perspectives of the management of older trauma care in rural Australia

Table 3 Summary of identified themes and subthemes

	Factor-level	Themes
Enablers	Patient	The resilience of people in rural areas
	Staff	The experience and training of rural clinicians
	System	Relationship between clinicians and the rural community
		Delivering better care through a multidisciplinary approach
		A robust system for major trauma
Barriers	Patient	A life-changing event
		Being alone
		Not speaking up
	Staff	Rural clinicians feel unsupported
	Staff	Older adult trauma is hard and not sexy
	System	The tyranny of distance
		The systemic lack of resources in rural practice
		A fragmented health system
Changes	Patient	Supporting patients in their hospital journey
	Patient	Enabling discussions on advanced care planning
	Staff	Multidisciplinary and coordinated care as standard of care
		A coordinator for inpatient and post-acute care
		Enabling the training of rural clinicians in older trauma care
	System	Improving integration within the health system
		Care protocols and standardized referral pathways
		Supporting and expanding the use of telehealth

ISSN: 1472-6963