The National Disability Insurance Scheme (NDIS) has transformed the nature of funding available to health and human service organisations to provide services to people with disability in Australia. However, there is relatively scant literature on the rural implementation of the NDIS, particularly how rural NDIS service providers are affected by the NDIS. Researchers conducted semi‐structured interviews with 20 health professionals employed by rural providers, and analysed data using rural and remote health and organisational change frameworks to understand how rural providers were impacted by and responded to the NDIS. The findings suggest rural providers were impacted to differing extents and responded to the NDIS in different ways. Participants reported that disability and community health services were affected more than hospitals and private allied health practices. Impacted rural providers responded by changing the nature and types of services, service processes and their workforce, and redefining organisational characteristics. Impacted rural providers may require additional support to continue providing services, and those less impacted may require other incentives to better engage with the NDIS. Rural proofing of NDIS policy could reveal suitable supports and incentives to ensure rural people with disability can access required services.

中文翻译：

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维多利亚州农村服务提供商对《国家残疾人保险计划》的回应

国家残疾人保险计划（NDIS）改变了卫生和公共服务组织可利用的资金性质，以向澳大利亚的残疾人提供服务。但是，关于NDIS在农村的实施，尤其是农村NDIS服务提供商如何受到NDIS影响的文献相对较少。研究人员对20名农村服务提供者雇用的卫生专业人员进行了半结构化访谈，并使用农村和远程医疗以及组织变革框架对数据进行了分析，以了解NDIS对农村服务提供者的影响和应对方式。调查结果表明，农村服务提供者受到的影响程度不同，对NDIS的反应也不同。与会者报告说，残疾和社区卫生服务受到的影响大于医院和私人联合卫生做法。受影响的农村服务提供者通过改变服务的性质和类型，服务流程及其劳动力并重新定义组织特征来做出回应。受影响的农村服务提供者可能需要其他支持才能继续提供服务，而受影响较小的农村服务提供者可能需要其他激励措施，以更好地与NDIS互动。农村对NDIS政策的证明可以提供适当的支持和激励措施，以确保农村残疾人能够获得所需的服务。受影响的农村服务提供者可能需要其他支持才能继续提供服务，而受影响较小的服务提供者可能需要其他激励措施，以更好地与NDIS互动。农村对NDIS政策的证明可以提供适当的支持和激励措施，以确保农村残疾人能够获得所需的服务。受影响的农村服务提供者可能需要其他支持才能继续提供服务，而受影响较小的服务提供者可能需要其他激励措施，以更好地与NDIS互动。农村对NDIS政策的证明可以提供适当的支持和激励措施，以确保农村残疾人能够获得所需的服务。