Table 3.

Identified themes and subthemes with mapped Levesque et al. accessibility dimensions and similarly conducted studies identifying comparable themes

Themes and Subthemes	Relevant Levesque et al. Accessibility Dimension/s	Reported in other Regional, Rural, or Remote Studies (Country of Origin)
Facing hurdles to transplant assessment
Disparities in awareness of transplantation	Approachability / Ability to perceive Appropriateness / Ability to engage	Anderson et al. (Aus) [18] Anderson et al. (Aus) [36] Bennett et al. (Aus) [19] Devitt et al. (Aus) [20] Walker et al. (NZ) [22] Misra et al. (India) [37] Scholes-Robertson et al. (Aus) [14]
Frustrated with inflexible scheduling	Acceptability / Ability to seek Availability and accommodation / Ability to reach	Anderson et al. (Aus) [18] Bennett et al. (Aus) [19] Kelly et al. (Aus) [21] Ghahramani et al. (US) [26] Scholes-Robertson et al. (Aus) [14] Scholes-Robertson et al. (Aus) [16] Walker et al. (NZ) [17]
Confused by inconsistent eligibility criteria	Acceptability / Ability to seek Appropriateness / Ability to engage	Devitt et al. (Aus) [20] Walker et al. (NZ) [22] Scholes-Robertson et al. (Aus) [16]
Overcoming barriers to living donation	Acceptability / Ability to seek Appropriateness / Ability to engage	Bennett et al. (Aus) [19] Devitt et al. (Aus) [20] Ghahramani et al. (US) [26]
Insufficient communication and education
Exasperated by poor communication	Approachability / Ability to perceive Appropriateness / Ability to engage	Anderson et al. (Aus) [18] Anderson et al. (Aus) [36] Bennett et al. (Aus) [19] Devitt et al. (Aus) [20] Walker et al. (NZ) [22] Scholes-Robertson et al. (Aus) [15] Scholes-Robertson et al. (Aus) [16] Walker et al. (NZ) [17]
Inadequate pre-transplant education	Approachability / Ability to perceive Acceptability / Ability to seek Appropriateness / Ability to engage	Anderson et al. (Aus) [36] Devitt et al. (Aus) [20] Kelly et al. (Aus) [21] Walker et al. (NZ) [22] Ghahramani et al. (US) [26] Scholes-Robertson et al. (Aus) [15]
Permeating psychosocial hazards
Separated from home and family	Acceptability / Ability to seek Availability and accommodation / Ability to reach Appropriateness / Ability to engage	Anderson et al. (Aus) [18] Anderson et al. (Aus) [36] Bennett et al. (Aus) [19] Kelly et al. (Aus) [21] Scholes-Robertson et al. (Aus) [15] Scholes-Robertson et al. (Aus) [14] Walker et al. (NZ) [17]
Suffering psychological distress	Availability and accommodation / Ability to reach Appropriateness / Ability to engage	Anderson et al. (Aus) [18] Bennett et al. (Aus) [19] Devitt et al. (Aus) [20] Kelly et al. (Aus) [21] Scholes-Robertson et al. (Aus) [15] Scholes-Robertson et al. (Aus) [14] Scholes-Robertson et al. (Aus) [16]
Seeking support from peers	Acceptability / Ability to seek Appropriateness / Ability to engage	Kelly et al. (Aus) [21] Scholes-Robertson et al. (Aus) [15] Scholes-Robertson et al. (Aus) [16]
Repercussions of distance
Navigating unfamiliar environments	Acceptability / Ability to seek Availability and accommodation / Ability to reach Appropriateness / Ability to engage	Bennett et al. (Aus) [19] Devitt et al. (Aus) [20] Kelly et al. (Aus) [21] Scholes-Robertson et al. (Aus) [15] Scholes-Robertson et al. (Aus) [14] Scholes-Robertson et al. (Aus) [16]
Suitability of accommodation and transport	Acceptability / Ability to seek Availability and accommodation / Ability to reach	Kelly et al. (Aus) [21] Scholes-Robertson et al. (Aus) [15] Scholes-Robertson et al. (Aus) [14] Scholes-Robertson et al. (Aus) [16] Walker et al. (NZ) [17]
Calling for sustainable local services	Availability and accommodation / Ability to reach Appropriateness / Ability to engage	Anderson et al. (Aus) [36] Kelly et al. (Aus) [21] Ghahramani et al. (US) [26] Scholes-Robertson et al. (Aus) [14] Scholes-Robertson et al. (Aus) [16] Walker et al. (NZ) [17]
Overwhelming financial strain
Compounding out-of-pocket expenses	Affordability / Ability to pay Appropriateness / Ability to engage	Barnieh et al. (Aus) (LDKT) [24] McGrath et al. (Aus) (LDKT) [25] Kelly et al. (Aus) [21] Ghahramani et al. (US) [26] Scholes-Robertson et al. (Aus) [15] Scholes-Robertson et al. (Aus) [14] Scholes-Robertson et al. (Aus) [16] Walker et al. (NZ) [17] Scholes-Robertson et al. (Aus) [38]
Ongoing medication costs	Affordability / Ability to pay Appropriateness / Ability to engage	Barnieh et al. (Aus) (LDKT) [24] Scholes-Robertson et al. (Aus) [14] Scholes-Robertson et al. (Aus) [38]
Troubling long-term adversities
Broken trust in services	Availability and accommodation / Ability to reach Appropriateness / Ability to engage	Bennett et al. (Aus) [19] Devitt et al. (Aus) [20] Walker et al. (NZ) [22] Scholes-Robertson et al. (Aus) [14] Walker et al. (NZ) [17]
Living with life-altering complications	Appropriateness / Ability to engage	Bennett et al. (Aus) [19] Scholes-Robertson et al. (Aus) [15]
Complexities of medication coordination	Availability and accommodation / Ability to reach Appropriateness / Ability to engage