Establishing research priorities for rural health in Aotearoa New Zealand – a modified Delphi study

INTRODUCTION: People in rural Aotearoa New Zealand (NZ) face distinct health challenges, including limited access to health care, workforce shortages, and persistent disparities. Hauora Taiwhenua Rural Health Network NZ (HTRHN) is a collective organisation advocating for the health and well-being of rural New Zealanders. HTRHN aims to foster research that improves rural health and reduces inequities. AIM: This study aims to identify the research priorities for rural health in NZ from the perspectives of HTRHN members. METHODS: A modified Delphi methodology was used with expert panellists from HTRHN. In Round 1, panellists were asked to list broad research areas and specific research topics. Thematic analysis identified six broad research categories with specific research topics assigned to each. In Rounds 2 and 3, panellists rated the importance of the specific research topics using Likert scales. RESULTS: Round 1 was completed by 30 participants, Round 2 by 21, and Round 3 by 19. There was wide representation from HTRHN's membership. Six broad rural health research areas were identified, and consensus ratings prioritised 14 specific research topics. Top-rated research topics included 'Health of place effect' - how features of a place influence health outcomes; improving rural health data collection and analysis; and rural-focused acute palliative care management. DISCUSSION: The broad rural health research categories identified are consistent with those reported in comparable international contexts. These categories also mirror the 2023 New Zealand Rural Health Strategy. Final prioritised topics create a platform for continued rural health research in NZ, providing guidance for researchers/funders in developing future research projects.