---
title: "Coordinated International Research to Close the Rural Diabetes Gap"
id: "pubmed-42765135"
canonical_url: "https://medichelpline.com/clinical-feed/pubmed-42765135"
content_type: "clinical_feed_article"
specialty: "Pharmacology"
source_name: "PubMed / NCBI"
source_url: "https://pubmed.ncbi.nlm.nih.gov/42765135/"
doi: "10.1080/16549716.2026.2731493"
published_at: "2026-09-21T12:00:00.000Z"
evidence_level: "Journal Article"
license: "CC-BY-NC-4.0 / Informational Use"
---
# Coordinated International Research to Close the Rural Diabetes Gap
## Provenance & Clinical Metadata
- **Canonical URL:** https://medichelpline.com/clinical-feed/pubmed-42765135
- **Specialty:** [Pharmacology](https://medichelpline.com/clinical-feed/pharmacology.md)
- **Primary Source:** PubMed / NCBI
- **Source URL:** [Original Journal Publication](https://pubmed.ncbi.nlm.nih.gov/42765135/)
- **DOI:** [10.1080/16549716.2026.2731493](https://doi.org/10.1080%2F16549716.2026.2731493)
- **Published At:** 2026-09-21T12:00:00.000Z
- **Evidence Rating:** Journal Article
## Executive GIST (TL;DR)
- Rural, regional and remote communities carry a disproportionate burden of **diabetes** and face persistent barriers to specialist care, including workforce shortages, geographic isolation, transport costs, fragmented services and uneven digital infrastructure. - Most evidence guiding diabetes service design comes from urban settings; rural studies are often local, short-term, localized and hard to compare or scale. - The article argues that isolated projects or direct transfer of urban models into rural contexts are insufficient to address rural diabetes inequity. - It proposes coordinated international research infrastructure to strengthen relevance, implementation and scalability of rural diabetes research. - The paper introduces the **International Consortium for Rural Diabetes Research (ICRDR)**, an international collaboration of clinicians, researchers, health-service leaders and diabetes stakeholders. - The ICRDR’s initial work will develop community-informed research priorities that involve people with lived experience, clinicians, researchers, policymakers and funders. - The consortium aims to align research priorities, develop shared methodologies and outcome measures, and support multicentre and cross-jurisdictional studies. - Its longer-term agenda includes evaluating context-appropriate models of care, digital health approaches, workforce capability, primary–specialist care connections and supporting research capacity in low- and middle-income countries. - The authors recommend governments, funders and health services invest in sustained rural diabetes research infrastructure and include rural communities and clinicians in priority-setting and care redesign. - Coordinated international research infrastructure is presented as a mechanism to improve equity and produce more sustainable, scalable evidence for rural diabetes care.
## Clinical Analysis & Structured Key Points
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Epub 2026 Sep 21. # Closing the rural diabetes research gap: a case for coordinated international collaboration [Giuliana Murfet](https://pubmed.ncbi.nlm.nih.gov/?term=Murfet+G&cauthor_id=42765135)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42765135/#full-view-affiliation-1 "School of Nursing, UTAS Health, University of Tasmania, Burnie Tasmania, Australia."), [Wenyong Wang](https://pubmed.ncbi.nlm.nih.gov/?term=Wang+W&cauthor_id=42765135)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42765135/#full-view-affiliation-1 "School of Nursing, UTAS Health, University of Tasmania, Burnie Tasmania, Australia.")[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42765135/#full-view-affiliation-2 "Queensland Digital Health Centre, The University of Queensland, Herston, QLD, Australia."), [Rahul D Barmanray](https://pubmed.ncbi.nlm.nih.gov/?term=Barmanray+RD&cauthor_id=42765135)[ 3 ](https://pubmed.ncbi.nlm.nih.gov/42765135/#full-view-affiliation-3 "Department of Medicine, The Royal Melbourne Hospital, The University of Melbourne, Melbourne, Australia."), [Ashley H Ng](https://pubmed.ncbi.nlm.nih.gov/?term=Ng+AH&cauthor_id=42765135)[ 4 ](https://pubmed.ncbi.nlm.nih.gov/42765135/#full-view-affiliation-4 "Monash Centre for Health Research and Implementation, Monash University, Clayton, Australia."), [Mette Juel Rothmann](https://pubmed.ncbi.nlm.nih.gov/?term=Rothmann+MJ&cauthor_id=42765135)[ 5 ](https://pubmed.ncbi.nlm.nih.gov/42765135/#full-view-affiliation-5 "Steno Diabetes Center Odense, Odense University Hospital, Odense, Denmark.")[ 6 ](https://pubmed.ncbi.nlm.nih.gov/42765135/#full-view-affiliation-6 "Department of Clinical Research, Faculty of Health Science, University of Southern Denmark, Odense, Denmark."), [Natalie Wischer](https://pubmed.ncbi.nlm.nih.gov/?term=Wischer+N&cauthor_id=42765135)[ 7 ](https://pubmed.ncbi.nlm.nih.gov/42765135/#full-view-affiliation-7 "National Association of Diabetes Centres, Australian Diabetes Society, Sydney, Australia."), [Freda Mold](https://pubmed.ncbi.nlm.nih.gov/?term=Mold+F&cauthor_id=42765135)[ 8 ](https://pubmed.ncbi.nlm.nih.gov/42765135/#full-view-affiliation-8 "School of Health Sciences, Faculty of Health and Medical Sciences, University of Surrey, Guildford, United Kingdom."), [Grant D Brinkworth](https://pubmed.ncbi.nlm.nih.gov/?term=Brinkworth+GD&cauthor_id=42765135)[ 9 ](https://pubmed.ncbi.nlm.nih.gov/42765135/#full-view-affiliation-9 "Health Economics & Research Strategic Programs and Innovation, Diabetes Australia, Milton, Queensland, Australia."), [Wenbo Peng](https://pubmed.ncbi.nlm.nih.gov/?term=Peng+W&cauthor_id=42765135)[ 10 ](https://pubmed.ncbi.nlm.nih.gov/42765135/#full-view-affiliation-10 "School of Public Health, Faculty of Health, University of Technology Sydney, Sydney, Australia."), [Karen Pearce](https://pubmed.ncbi.nlm.nih.gov/?term=Pearce+K&cauthor_id=42765135)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42765135/#full-view-affiliation-1 "School of Nursing, UTAS Health, University of Tasmania, Burnie Tasmania, Australia."), [Nicola Carey](https://pubmed.ncbi.nlm.nih.gov/?term=Carey+N&cauthor_id=42765135)[ 11 ](https://pubmed.ncbi.nlm.nih.gov/42765135/#full-view-affiliation-11 "School of Nursing, Auckland University of Technology, Auckland, New Zealand.") Affiliations Expand ### Affiliations * 1 School of Nursing, UTAS Health, University of Tasmania, Burnie Tasmania, Australia. * 2 Queensland Digital Health Centre, The University of Queensland, Herston, QLD, Australia. * 3 Department of Medicine, The Royal Melbourne Hospital, The University of Melbourne, Melbourne, Australia. * 4 Monash Centre for Health Research and Implementation, Monash University, Clayton, Australia. * 5 Steno Diabetes Center Odense, Odense University Hospital, Odense, Denmark. * 6 Department of Clinical Research, Faculty of Health Science, University of Southern Denmark, Odense, Denmark. * 7 National Association of Diabetes Centres, Australian Diabetes Society, Sydney, Australia. * 8 School of Health Sciences, Faculty of Health and Medical Sciences, University of Surrey, Guildford, United Kingdom. * 9 Health Economics & Research Strategic Programs and Innovation, Diabetes Australia, Milton, Queensland, Australia. * 10 School of Public Health, Faculty of Health, University of Technology Sydney, Sydney, Australia. * 11 School of Nursing, Auckland University of Technology, Auckland, New Zealand. * PMID: **42765135** * DOI: [ 10.1080/16549716.2026.2731493 ](https://doi.org/10.1080/16549716.2026.2731493) Item in Clipboard # Closing the rural diabetes research gap: a case for coordinated international collaboration Giuliana Murfet et al. Glob Health Action. 2026 Dec. Show details Display options Display options Format Abstract PubMed PMID Glob Health Action Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22Glob+Health+Action%22%5Bjour%5D&sort=date&sort_order=desc) * [ Search in NLM Catalog ](https://www.ncbi.nlm.nih.gov/nlmcatalog?term=%22Glob+Health+Action%22%5BTitle+Abbreviation%5D) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42765135/) . 2026 Dec;19(1):2731493. doi: 10.1080/16549716.2026.2731493. Epub 2026 Sep 21. ### Authors [Giuliana Murfet](https://pubmed.ncbi.nlm.nih.gov/?term=Murfet+G&cauthor_id=42765135)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42765135/#short-view-affiliation-1 "School of Nursing, UTAS Health, University of Tasmania, Burnie Tasmania, Australia."), [Wenyong Wang](https://pubmed.ncbi.nlm.nih.gov/?term=Wang+W&cauthor_id=42765135)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42765135/#short-view-affiliation-1 "School of Nursing, UTAS Health, University of Tasmania, Burnie Tasmania, Australia.")[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42765135/#short-view-affiliation-2 "Queensland Digital Health Centre, The University of Queensland, Herston, QLD, Australia."), [Rahul D Barmanray](https://pubmed.ncbi.nlm.nih.gov/?term=Barmanray+RD&cauthor_id=42765135)[ 3 ](https://pubmed.ncbi.nlm.nih.gov/42765135/#short-view-affiliation-3 "Department of Medicine, The Royal Melbourne Hospital, The University of Melbourne, Melbourne, Australia."), [Ashley H Ng](https://pubmed.ncbi.nlm.nih.gov/?term=Ng+AH&cauthor_id=42765135)[ 4 ](https://pubmed.ncbi.nlm.nih.gov/42765135/#short-view-affiliation-4 "Monash Centre for Health Research and Implementation, Monash University, Clayton, Australia."), [Mette Juel Rothmann](https://pubmed.ncbi.nlm.nih.gov/?term=Rothmann+MJ&cauthor_id=42765135)[ 5 ](https://pubmed.ncbi.nlm.nih.gov/42765135/#short-view-affiliation-5 "Steno Diabetes Center Odense, Odense University Hospital, Odense, Denmark.")[ 6 ](https://pubmed.ncbi.nlm.nih.gov/42765135/#short-view-affiliation-6 "Department of Clinical Research, Faculty of Health Science, University of Southern Denmark, Odense, Denmark."), [Natalie Wischer](https://pubmed.ncbi.nlm.nih.gov/?term=Wischer+N&cauthor_id=42765135)[ 7 ](https://pubmed.ncbi.nlm.nih.gov/42765135/#short-view-affiliation-7 "National Association of Diabetes Centres, Australian Diabetes Society, Sydney, Australia."), [Freda Mold](https://pubmed.ncbi.nlm.nih.gov/?term=Mold+F&cauthor_id=42765135)[ 8 ](https://pubmed.ncbi.nlm.nih.gov/42765135/#short-view-affiliation-8 "School of Health Sciences, Faculty of Health and Medical Sciences, University of Surrey, Guildford, United Kingdom."), [Grant D Brinkworth](https://pubmed.ncbi.nlm.nih.gov/?term=Brinkworth+GD&cauthor_id=42765135)[ 9 ](https://pubmed.ncbi.nlm.nih.gov/42765135/#short-view-affiliation-9 "Health Economics & Research Strategic Programs and Innovation, Diabetes Australia, Milton, Queensland, Australia."), [Wenbo Peng](https://pubmed.ncbi.nlm.nih.gov/?term=Peng+W&cauthor_id=42765135)[ 10 ](https://pubmed.ncbi.nlm.nih.gov/42765135/#short-view-affiliation-10 "School of Public Health, Faculty of Health, University of Technology Sydney, Sydney, Australia."), [Karen Pearce](https://pubmed.ncbi.nlm.nih.gov/?term=Pearce+K&cauthor_id=42765135)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42765135/#short-view-affiliation-1 "School of Nursing, UTAS Health, University of Tasmania, Burnie Tasmania, Australia."), [Nicola Carey](https://pubmed.ncbi.nlm.nih.gov/?term=Carey+N&cauthor_id=42765135)[ 11 ](https://pubmed.ncbi.nlm.nih.gov/42765135/#short-view-affiliation-11 "School of Nursing, Auckland University of Technology, Auckland, New Zealand.") ### Affiliations * 1 School of Nursing, UTAS Health, University of Tasmania, Burnie Tasmania, Australia. * 2 Queensland Digital Health Centre, The University of Queensland, Herston, QLD, Australia. * 3 Department of Medicine, The Royal Melbourne Hospital, The University of Melbourne, Melbourne, Australia. * 4 Monash Centre for Health Research and Implementation, Monash University, Clayton, Australia. * 5 Steno Diabetes Center Odense, Odense University Hospital, Odense, Denmark. * 6 Department of Clinical Research, Faculty of Health Science, University of Southern Denmark, Odense, Denmark. * 7 National Association of Diabetes Centres, Australian Diabetes Society, Sydney, Australia. * 8 School of Health Sciences, Faculty of Health and Medical Sciences, University of Surrey, Guildford, United Kingdom. * 9 Health Economics & Research Strategic Programs and Innovation, Diabetes Australia, Milton, Queensland, Australia. * 10 School of Public Health, Faculty of Health, University of Technology Sydney, Sydney, Australia. * 11 School of Nursing, Auckland University of Technology, Auckland, New Zealand. * PMID: **42765135** * DOI: [ 10.1080/16549716.2026.2731493 ](https://doi.org/10.1080/16549716.2026.2731493) Item in Clipboard Cite Display options Display options Format Abstract PubMed PMID ## Abstract Rural, regional and remote communities experience a disproportionate burden of diabetes and persistent barriers to specialist care, including workforce shortages, geographic isolation, transport costs, fragmented services and uneven digital infrastructure. However, much of the evidence guiding diabetes service design is derived from urban settings, while rural studies are often localised, short-term and difficult to compare or scale. This article argues that addressing rural diabetes inequity requires coordinated international research rather than isolated projects or the transfer of urban models into rural contexts. It introduces the International Consortium for Rural Diabetes Research (ICRDR), an international collaboration of clinicians, researchers, health service leaders and diabetes stakeholders established to align research priorities, develop shared methodologies and outcome measures, and support multicentre and cross-jurisdictional studies. The ICRDR will initially develop community-informed research priorities involving people with lived experience, clinicians, researchers, policymakers and funders. Its longer-term agenda includes evaluating contextually appropriate models of care, digital health approaches, workforce capability and connections between primary and specialist care and supporting research capacity in low- and middle-income countries. Coordinated international research infrastructure can strengthen the relevance, implementation and scalability of rural diabetes research and support the translation of evidence into more equitable and sustainable models of care. **Keywords:** Rural health; diabetes mellitus; health equity; nursing; research consortium. ## Plain language summary ● **Main findings** : Rural diabetes research remains fragmented and often relies on evidence generated in metropolitan health systems, highlighting the need for coordinated international rural research infrastructure.● **Added knowledge** : This paper describes how the International Consortium for Rural Diabetes Research can support shared priorities, stronger methods, multicentre studies and community-informed research.● **Global health impact for policy and action** : Governments, funders and health services should invest in sustained rural diabetes research infrastructure and involve rural communities, clinicians and people living with diabetes in setting priorities and redesigning care. [PubMed Disclaimer](https://pubmed.ncbi.nlm.nih.gov/disclaimer/) ## MeSH terms * Developing Countries Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22Developing+Countries%22%5BMeSH%5D&sort=date&sort_order=desc) * [ Search in MeSH ](https://www.ncbi.nlm.nih.gov/mesh?term=Developing+Countries) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42765135/) * Diabetes Mellitus* / therapy Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22Diabetes+Mellitus%2Ftherapy%22%5BMAJR%5D&sort=date&sort_order=desc) * [ Search in MeSH ](https://www.ncbi.nlm.nih.gov/mesh?term=Diabetes+Mellitus) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42765135/) * Health Services Research* / organization & administration Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22Health+Services+Research%2Forganization+and+administration%22%5BMAJR%5D&sort=date&sort_order=desc) * [ Search in MeSH ](https://www.ncbi.nlm.nih.gov/mesh?term=Health+Services+Research) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42765135/) * Humans Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22Humans%22%5BMeSH%5D&sort=date&sort_order=desc) * [ Search in MeSH ](https://www.ncbi.nlm.nih.gov/mesh?term=Humans) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42765135/) * International Cooperation* Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22International+Cooperation%22%5BMAJR%5D&sort=date&sort_order=desc) * [ Search in MeSH ](https://www.ncbi.nlm.nih.gov/mesh?term=International+Cooperation) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42765135/) * Rural Health Services* / organization & administration Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22Rural+Health+Services%2Forganization+and+administration%22%5BMAJR%5D&sort=date&sort_order=desc) * [ Search in MeSH ](https://www.ncbi.nlm.nih.gov/mesh?term=Rural+Health
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