Digital Transformation among SMEs: Does Gender Matter?

The COVID-19 pandemic has highlighted and exacerbated some of the challenges that small and medium enterprises (SMEs) face in times of crisis, disrupting their operations, weakening their financial positions, and exposing them to a wide range of financial risks. While previous studies have viewed digital transformation as a vital source of innovation and productivity growth for economic recovery in SMEs, there has been limited focus on digital transformation in the regional context, with very little attention focused on women-led enterprises. This study aims to investigate (i) the determinants of perception of digital transformation among regional SMEs, and (ii) whether the gender of the SME owner or manager has an impact on the drivers of the digital transformation experiences of SMEs operating in regional Australia. Building upon the resource-based view, this study uses a unique dataset of 281 SMEs collected from a survey conducted within a regional area of Queensland, Australia. Employing Feasible Generalised Least Squares and Generalised Least Squares estimations, the study found that the perceptions of digital transformation can be explained by the use of social network platforms, innovation processes, workplace culture, and information and communication technologies. This study also found that there is a significant difference between female-led and male-led SMEs regarding their perceptions of digital transformation. This study offers two key policy and practical insights: (i) digital transformation of regional SMEs should be used as a fundamental tool for crisis recovery strategies, and (ii) the need for policymakers to mainstream gender into postcrisis transformative interventions and policies should be fast tracked.

Beyond population growth: bringing connection, renewal and agency into regional development

Background Boosting the population growth of towns and cities across regional Australia has long been a popular aspiration. However, the reality of many regional locations is long-term population decline. Aims Regional development has been underpinned by a growth paradigm which conflates population growth with success. This article explores how some regional communities have experienced renewal, fostered innovation, and enhanced community wellbeing without population growth. Data and methods A mixed methods approach informs this paper. Five case studies are used to illustrate ways in which regional communities can experience successful economic and social outcomes without population growth. Literature is provided for context and empirical data are used to illustrate key features of the selected towns. Results The case studies reveal themes of connection, place, agency and wellbeing which contribute to ‘successful’ communities. For example, developing connections with a wider network within the region or across sectors enables economic growth through innovation, irrespective of population growth. Conclusions Being able to respond to, or take advantage of, change is an important element in regional development and one which creates community renewal and wellbeing even if not population growth.

Antimicrobial Resistance Surveillance to Support Decision-Making in a High-Prevalence Region: An Evaluation

Despite a high use of antibiotics and a significant burden of infectious disease, ongoing monitoring and reporting of antimicrobial resistant pathogens in rural and regional Australia is insufficient. Many geographically isolated regions of Australia have limited infrastructure, resources and fall outside of surveillance reach, limiting health services’ ability to provide an early warning signal and appropriate response. To monitor trends in the development of antimicrobial resistance (AMR), identify high-risk populations and to evaluate effectiveness of control and prevention in rural and regional Australia, a subnational surveillance system termed HOTspots was developed. To promote the best use of public health resources through the development of effective and efficient surveillance systems, we evaluated HOTspots and its prototype surveillance platform for data quality, acceptability, representativeness, and timeliness. We used the Centers for Disease Prevention and Control (CDC) guidelines for evaluating public health surveillance systems and assessed the four attributes using a descriptive analysis of quantitative data and a thematic analysis of qualitative data. We report that the HOTspots surveillance system and its prototype platform effectively captures and represents AMR data across Northern Australia. The descriptive analysis of HOTspots data demonstrated some variation in data completeness but that data validity and representativeness were high. Thematic analysis of interview transcripts found that the system was acceptable, with almost all study participants identifying timeliness, online accessibility, and community representativeness as drivers for adoption of the system, and that the system provided timely data. The evaluation also identified areas for improvement and made recommendations to the HOTspots surveillance system and its associated prototype platform.

Implementation of a Cellulitis Management Plan in Three Australian Regional Health Services to Address an Evidence–Practice Gap in Antibiotic Prescribing

Despite the availability of evidence-based guidelines, antibiotics for cellulitis remain inappropriately prescribed. This evidence–practice gap is more evident in low-resource settings, such as rural hospitals. This implementation study developed and introduced a cellulitis management plan to improve antibiotic prescribing for cellulitis in three health services in regional Australia. Appropriateness of antibiotic prescribing for cellulitis at Day 1 was the primary outcome measure. Adults with ICD-10-AM codes for lower-limb cellulitis admitted as inpatients of the three health services between May and November 2019 (baseline, n = 165) and March and October 2020 (post-implementation, n = 127) were included in the assessment. The uptake of the cellulitis management plan was 29.1% (37/127). The appropriateness of antibiotic prescribing for cellulitis at Day 1 was similar at baseline (78.7%, 144/183) and in the intention-to-treat post-implementation group (81.8%, 126/154) [95% CI −5.6% to 11.3%, p = 0.50]. Commencement of the cellulitis management plan resulted in a non-statistically significant increase in antibiotic appropriateness at Day 1 compared to when a cellulitis management plan was not commenced (88.1% vs. 79.5%; 95% CI −5.6% to 19.8%; p = 0.20) Evaluation of more real-world strategies to address evidence–practice gaps, such as the appropriateness of antibiotic prescribing for cellulitis, is required.