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Defining Rural and Remote

“If you’ve seen one rural town, you’ve seen one rural town.”

As you would expect, there isn’t an agreed definition of rurality or remoteness. If you have been born and raised in an urban area, its easy to make the mistake that a single definition will explain anything outside of a major city. However, as the above quote suggests this is not the case.

So how do you define this quality, especially given the often large differences between relative degrees of rurality and remoteness? One way is to illustrate the set of shared characteristics that may be apparent to varying degrees at individual locations.

 

These characteristics include:

  • Geographic isolation – relative distance to major service centres
  • Smaller population – generally decreasing population base
  • Greater Indigenous population – higher proportion of Aboriginal and Torres Strait Islanders
  • Different attitudes and beliefs – rural experience and lifestyle lead to a distinctive shared outlook
  • Distinctive occupational and industrial profile – dominated by primary production and resources

Combined, these characteristics reshape the health profile of populations in rural areas, how healthcare may be provided to them, as well as the practice of individual health professionals. 


Classifying rural and remote areas

A number of attempts have been made to solve the problem of defining rurality and remoteness. One approach is to quantify the differences in the relative degree of rurality and remoteness. This provides governments with a framework for policies aimed at addressing urban-rural issues. Indeed, many government programs and initiatives are based upon one of a number of classification systems.

 

A number of systems have been developed to date and are outlined further below:

ASGC-RA
Australian Standard Geographic Classification-Remoteness Areas

Overview:
Based on 2006 census data and geographic boundaries
Components:
ARIA (Accessibility/Remoteness Index of Australia)
Classifications:
Major Cities – RA1
Inner Regional – RA2
Outer Regional – RA3
Remote – RA4
Very Remote – RA5
Search engine:

 
PhARIA
Pharmacy Access/Remoteness Index of Australia
 

Overview:
Composite index revised on a yearly basis
Components:
ARIA (Accessibility/Remoteness Index of Australia) 
Road distance to the 5 closest pharmacies
Co-location with 9 or more pharmacies
Classifications:
Category 1 - Highly Accessible
Category 2 - Accessible (Group A)
Category 3 - Accessible (Group B)
Category 4 - Moderately Accessible
Category 5 - Remote
Category 6 - Very Remote
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RRMA
Rural, Remote and Metropolitan Area Classification
 

Overview:
Based on 1991 census data and geographic boundaries
Components:
Population data (including density)
Proximity to urban centre
Classifications:
Capital Cities – RRMA 1
Other Metropolitan Centres – RRMA 2
Large Rural Centres – RRMA 3
Small Rural Centres – RRMA 4
Other Rural Centres – RRMA 5
Remote Centres – RRMA 6
Other Remote Areas – RRMA 7
Search engine:

 
GPARIA
Accessibility and Remoteness Index of Australia
 

Overview:
Composite index intended to transpose GP retention with rurality
Components:
ARIA (Accessibility/Remoteness Index of Australia)
Proximity to other GPs and length of service
Classifications:
Category A (least remote)
Category B
Category C
Category D
Category E (most remote)
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