Remoteness, Indigeneity and Community Health Engagement Processes: A Discursive Approach

Abstract

Using a discursive approach, this paper examines the impact of remoteness and indigeneity on community health engagement processes in rural Australia. The paper asserts that effective community engagement processes are limited by the discordant notion of community in the discursive practices of the government, the indigenous and non-indigenous health workers in rural areas. The analysis, using machine learned textual analysis, thematic analysis and critical discourse techniques, comprises focus group interviews at five hospitals with community health workers and community members. The outcome of this analysis is that the elaborate managerial structure is frequently averted or subverted in order to get on with the job. The analysis also identifies political and cultural assumptions that underlie the positive connotation of 'community', and reveals tensions based on power, gender, and race that need to be addressed

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