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Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care
RESEARCH ARTICLE

‘It’s not therapy, it’s gardening’: community gardens as sites of comprehensive primary healthcare

Pauline Marsh A B , Sebrina Brennan A and Miriam Vandenberg A
+ Author Affiliations
- Author Affiliations

A Centre for Rural Health, University of Tasmania, Private Bag 103, University of Tasmania, Hobart, Tas. 7001, Australia.

B Corresponding author. Email: pauline.marsh@utas.edu.au

Australian Journal of Primary Health 24(4) 337-342 https://doi.org/10.1071/PY17149
Submitted: 18 October 2017  Accepted: 1 March 2018   Published: 28 May 2018

Abstract

Using a participatory research framework, researchers at the Centre for Rural Health, University of Tasmania, explored the potential of Community Gardens to function as comprehensive primary healthcare (CPHC) environments. Community gardeners, coordinators, volunteers and Neighbourhood House coordinators discussed their understandings of the health benefits of community gardens, how they contribute to broad CPHC aims and the barriers and enablers to greater CPHC contributions in the future. This research identifies therapeutic features of Community Gardens and explores the correlations between these and CPHC. It is concluded that there are strong synergies between the aims and activities of Community Gardens and CPHC. To augment the therapeutic capacity of these sites requires adequate resourcing and skill development, suitable design, funding and policy support, along with innovative partnerships with health professionals.

Additional keywords: community healthcare, comprehensive healthcare, primary healthcare, social support.


References

Anderson KA, Chapin K, Reimer Z, Siffri G (2017) On fertile ground: an initial evaluation of green care farms in the United States. Home Health Care Services Quarterly 36, 1–15.
On fertile ground: an initial evaluation of green care farms in the United States.Crossref | GoogleScholarGoogle Scholar |

Austin EN, Johnston YAM, Morgan LL (2006) Community gardening in a senior center: a therapeutic intervention to improve the health of older adults. Therapeutic Recreation Journal 40, 48–56.

Australian Bureau of Statistics (2011) Socio-economic indexes for areas (SEIFA 2011). Catalogue number 2033.0.55.001. Australian Bureau of Statistics, Canberra, ACT, Australia.

Australian Government, Standing Council on Health (2013) National Primary Health Care Strategic Framework. Available at http://www.health.gov.au/internet/main/publishing.nsf/content/nphc-strategic-frame work [Verified 11 April 2018]

Australian Institute of Health and Welfare (2016a) Primary health care in Australia: web report. (AIHW, Canberra, ACT, Australia) Available at https://www.aihw.gov.au/reports/primary-health-care/primary-health-care-in-australia/contents/about-primary-health-care [Verified 18 May 2018)

Australian Institute of Health and Welfare (2016b) Health expenditure Australia 2014–15. Catalogue number HWE 67. AIHW, Canberra, ACT, Australia.

Bajwah S, Higginson IJ, Ross JR, Wells AU, Birring SS, Riley J, Koffman J (2013) The palliative care needs for fibrotic interstitial lung disease: a qualitative study of patients, informal caregivers and health professionals. Palliative Medicine 27, 869–876.
The palliative care needs for fibrotic interstitial lung disease: a qualitative study of patients, informal caregivers and health professionals.Crossref | GoogleScholarGoogle Scholar |

Baum F, Freeman T, Lawless A, Labonté R, Sanders D (2017) What is the difference between comprehensive and selective primary health care? Evidence from a five-year longitudinal realist case study in South Australia. BMJ Open 7, e015271
What is the difference between comprehensive and selective primary health care? Evidence from a five-year longitudinal realist case study in South Australia.Crossref | GoogleScholarGoogle Scholar |

Department of Health and Human Services (2016) Healthy Tasmania Five Year Strategic Plan. Available at http://www.dhhs.tas.gov.au/about_the_department/our_plans_and_strategies/a_healthy_tasmania [Verified 11 April 2018]

Department of Health and Human Services (2017) Tasmanian population health survey. (Primary Health Services: Hobart, Tas., Australia) Available at http://www.dhhs.tas.gov.au/publichealth/epidemiology/tasmanian_population_health_survey_2016 [Verified 14 September 2017]

Dummer TJB (2008) Health geography: supporting public health policy and planning. Canadian Medical Association Journal 178, 1177–1180.
Health geography: supporting public health policy and planning.Crossref | GoogleScholarGoogle Scholar |

Gilling T (2004) Designing for dementia. Landscape Australia 26, 42–44.

Guzys D, Brown R, Halcomb E, Whitehead D (Eds) (2017) ‘An Introduction to Community and Primary Health Care.’ (Cambridge University Press: Cambridge, UK)

Haller RL, Kramer CI (Eds) (2006) ‘Horticultural Therapy Methods.’ (CRC Press: New York, NY, USA)

Higginbottom G, Liamputtong P (2016) ‘Participatory Qualitative Research Methodologies in Health.’ (SAGE: London, UK)

Holmes K, Lockstone-Binney L (2014) An exploratory study of volunteer stress management: the organisational story. Third Sector Review 20, 7–22.

Kearns RA, Andrews GJ (2010) Geographies of wellbeing. In ‘The SAGE Handbook of Social Geographies’. (Eds SJ Smith, R Pain, SA Marston, JP Jones) pp. 299–308. (SAGE: London, UK)

Keleher H (2001) Why primary health care offers a more comprehensive approach to tackling health inequities than primary care. Australian Journal of Primary Health 7, 57–61.
Why primary health care offers a more comprehensive approach to tackling health inequities than primary care.Crossref | GoogleScholarGoogle Scholar |

Kellov N (2011) Evaluation of a rural community pharmacy-based waist management project: bringing the program to the people. Australian Journal of Primary Health 17, 16–22.
Evaluation of a rural community pharmacy-based waist management project: bringing the program to the people.Crossref | GoogleScholarGoogle Scholar |

Labonté R, Sanders D, Baum F, Schaay N, Packer C, Laplante D, Vega-Romero R, Viswanatha V, Barten F, Hurley C, Tujuba Ali H, Manolakos H, Acosta-Ramirez N, Johns J, Ouldzeidoune N, Sinclair R, Pooyak S (2008) Implementation, effectiveness and political context of comprehensive primary health care: preliminary findings of a global literature review. Australian Journal of Primary Health 14, 58–67.
Implementation, effectiveness and political context of comprehensive primary health care: preliminary findings of a global literature review.Crossref | GoogleScholarGoogle Scholar |

Lawless A, Freeman T, Bently M, Baum F, Jolley G (2014) Developing a good practice model to evaluate the effectiveness of comprehensive primary health care in local communities. BMC Family Practice 15, 99
Developing a good practice model to evaluate the effectiveness of comprehensive primary health care in local communities.Crossref | GoogleScholarGoogle Scholar |

Macdonald J (2007) Primary health care or primary medical care: in reality. Australian Journal of Primary Health 13, 18–23.
Primary health care or primary medical care: in reality.Crossref | GoogleScholarGoogle Scholar |

Macdonald J (2010) Health equity and the social determinants of health in Australia. Social Alternatives 29, 34–40.

Magnussen L, Ehiri J, Jolly P (2004) Comprehensive versus selective primary health care: lessons for global health policy. Health Affairs 23, 167–176.
Comprehensive versus selective primary health care: lessons for global health policy.Crossref | GoogleScholarGoogle Scholar |

Mitchell R (2010). Geographies of Wellbeing. In ‘The SAGE Handbook of Social Geographies’. (Eds SJ Smith, R Pain, SA Marston, JP Jones) pp. 329–350. (SAGE: Los Angeles, CA, USA)

Neighbourhood Houses Tasmania (2014) About Neighbourhood Houses Tasmania Inc. (Neighbourhood Houses Tasmania: Hobart, Tas., Australia) Available at http://nht.org.au/home/neighbourhood-houses-in-tasmania [Verified 7 December 2016]

Raske M (2010) Nursing home quality of life: study of an enabling garden. Journal of Gerontological Social Work 53, 336–351.
Nursing home quality of life: study of an enabling garden.Crossref | GoogleScholarGoogle Scholar |

Ulrich RS (1984) View through a window may influence recovery from surgery. Science 224, 420–421.
View through a window may influence recovery from surgery.Crossref | GoogleScholarGoogle Scholar |

Wang D, MacMillan T (2013) The benefits of gardening for older adults: a systematic review of the literature. Activities, Adaptation and Aging 37, 153–181.
The benefits of gardening for older adults: a systematic review of the literature.Crossref | GoogleScholarGoogle Scholar |

Weltin A (2013) A community garden. The American Journal of Nursing 113, 59–62.
A community garden.Crossref | GoogleScholarGoogle Scholar |

World Health Organization (1978) ‘Declaration of Alma-Ata, International Conference on Primary Health Care, USSR, 6–12 September.’ (World Health Organization: Alma Ata, USSR)

World Health Organization (2016) ‘Urban Green Spaces and Health: a Review of Evidence.’ (World Health Organization: Copenhagen, Denmark)