Barriers to accessing rural paediatric speech pathology services: Health care consumers’ perspectives
Abstract
Objective: An investigation of consumers’ perceived barriers to access paediatric speech pathology services. Design: Self‐administered, mail‐out questionnaire. Setting: Rural and remote New South Wales (NSW). Subjects: Three hundred and twenty‐nine members of the NSW branch of the Isolated Children's and Parents’ Association. Results: Consumers living in rural and remote areas experience a number of barriers that affected their ability to access speech pathology services. These barriers include the lack, and limited choice, of speech pathologists in rural areas; long distances to travel to access services, expensive travel costs, lack of public transport; poor awareness of speech pathology services; and delays in treatment due to waiting lists. Conclusion: Barriers to access paediatric speech pathology services limit rural and remote consumers’ usage of health services, regardless of need, indicating a possible inequity if compared to larger, more accessible urban areas.
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Limited access to practitioners who can provide clinical diagnoses based on LSA outcomes due to costs and poor availability in areas where service does not meet community demand can further drive inequity and discrimination.
“Moreover, limited access to practitioners who can provide clinical diagnoses based on LSA outcomes (e.g., Speech-Language Pathologists [SLPs]) due to costs and poor availability in areas where service does not meet community demand (Lim et al., 2017; McAllister et al., 2011) can further drive inequity and discrimination (O'Callaghan et al., 2005; Verdon et al., 2011).”
From Early Identification of Language Disorders Using Natural Language Processing and Machine Learning: Challenges and Emerging Approaches (2025) · cites this paper as O'Callaghan et al., 2005
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- Authors
- O'Callaghan, A. M., McAllister, L., & Wilson, L.
- Affiliations
- Charles Sturt University (AU)
- Venue
- Australian Journal of Rural Health
- Publisher
- Wiley
- Published
- 2005-06
- Volume
- 13
- Issue
- 3
- Pages
- 162-171
- ISSN
- 1038-5282 (ISSN-L)
- 1440-1584
- OpenAlex
- W2038069222
- Cited by
- 92
- References
- 9
- Citations by year
- 2026: 6 · 2025: 6 · 2024: 2 · 2023: 4 · 2022: 4 · 2021: 3 · 2020: 9 · 2019: 2 · 2018: 6 · 2017: 4 · 2016: 6 · 2015: 4 · 2014: 1 · 2013: 7 · 2012: 16
- FWCI
- 2.41
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Australian Journal of Rural Health (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Speech Pathology Australia
- Topics
- Health Sciences › Health Professions › Emergency Medical Services › Global Health Workforce Issues
- Social Sciences › Psychology › Developmental and Educational Psychology › Language Development and Disorders
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Keywords
- barriers to health care access, rural health care, remote areas, health care utilization, travel cost, waiting lists, health service awareness, health disparities, customer perspective, New South Wales
- MeSH terms
- Adult, Child, Female, Health Services Accessibility, Humans, Health Knowledge, Attitudes, Practice, Male, New South Wales, Pediatrics, Professional Practice Location, Surveys and Questionnaires, Speech Therapy, Transportation, Rural Health Services, Health Care Surveys
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