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Australian Journal of Rural Health

Shauna Hill, Shaun C Ewen, David Paul, Alice Wilkin
No abstract text is available yet for this article.
September 16, 2016: Australian Journal of Rural Health
Sean Taylor, Fintan Thompson, Robyn McDermott
OBJECTIVE: To explore self reported knowledge and attitudes to insulin treatment among a group of adults with poorly controlled diabetes in the Torres Strait islands. DESIGN: Cross-sectional survey in 2014, interviews with 29 adults with HbA1c ā‰„ 8.5% (69 mmol mol(-1) ) and not taking insulin, using Insulin Treatment Appraisal Scale (ITAS) and Barriers to Insulin Treatment Questionnaire (BITQ) scores. SETTING: Five remote Torres Strait Island communities in the Torres Strait region...
September 8, 2016: Australian Journal of Rural Health
Deborah J Russell, Matthew R McGrail
OBJECTIVES: To investigate patterns of Australian GP procedural activity and associations with: geographical remoteness and population size hours worked in hospitals and in total; and availability for on-call DESIGN AND PARTICIPANTS: National annual panel survey (Medicine in Australia: Balancing Employment and Life) of Australian GPs, 2011-2013. MAIN OUTCOME MEASURES: Self-reported geographical work location, hours worked in different settings, and on-call availability per usual week, were analysed against GP procedural activity in anaesthetics, obstetrics, surgery or emergency medicine...
September 7, 2016: Australian Journal of Rural Health
Diann S Eley, Caroline Laurence, Michael David, C Robert Cloninger, Lucie Walters
OBJECTIVE: Despite increases in Commonwealth funded general practice (GP) Registrar training positions, workforce trends continue to show geographical maldistribution. This study aimed to identify Registrar attributes which describe a cohort choosing to work in rural practice. DESIGN: Cross-sectional self-report questionnaire for socio-demographics, prior training, current training pathway, measures of personality and resilience. PARTICIPANTS AND SETTING: GP Registrars (N = 452) training in either the general or rural pathways of three Registered Training Providers in three states, or training through the Australian College of Rural and Remote Medicine's independent pathway...
September 7, 2016: Australian Journal of Rural Health
Vicki Carroll, Rafik Mansour, John Humphries, John Wakerman, Maureen Carter, Carole Reeve
No abstract text is available yet for this article.
September 7, 2016: Australian Journal of Rural Health
Nicola Stephens, David Coleman, Kelly Shaw, Alison Venn
No abstract text is available yet for this article.
September 7, 2016: Australian Journal of Rural Health
Linton R Harriss, Fintan Thompson, Arindam Dey, Jane Mills, Kerrianne Watt, Robyn McDermott
OBJECTIVE: To describe chronic conditions and injuries as a proportion of total emergency presentations to a large public hospital in regional Queensland, and to investigate differences in presentation rates associated with Indigenous status. DESIGN: Cross-sectional analysis using Emergency Department Information System data between 1 July 2012 and 30 June 2014. SETTING: Regional Queensland, Australia. PARTICIPANTS: A total of 95 238 emergency presentations were generated by 50 083 local residents living in the 10 statistical local areas (SLAs) immediately around the hospital...
September 5, 2016: Australian Journal of Rural Health
Sean Taylor, Robyn McDermott
No abstract text is available yet for this article.
August 10, 2016: Australian Journal of Rural Health
David Perkins
No abstract text is available yet for this article.
October 2016: Australian Journal of Rural Health
David Perkins
No abstract text is available yet for this article.
August 2016: Australian Journal of Rural Health
Tejas P Singh, Venkat N Vangaveti, Richard L Kennedy, Usman H Malabu
OBJECTIVES: To review the use of telehealth in subjects with diabetic foot ulcer; evaluating its clinical outcomes, diagnostic accuracy, cost-effectiveness and behavioural perceptions. DESIGN: Systematic review. SETTING: Selected studies were conducted in Australia, USA, the Netherlands, Denmark, Poland and UK. PARTICIPANTS: A total of 948 identified studies were evaluated against the inclusion criteria. Eleven eligible studies were included for review...
August 2016: Australian Journal of Rural Health
Fiona Mactaggart, Liane McDermott, Anna Tynan, Christian Gericke
OBJECTIVE: It is recognised internationally that rural communities often experience greater barriers to accessing services and have poorer health outcomes compared to urban communities. In some settings, health disparities may be further exacerbated by mining activity, which can affect the social, physical and economic environment in which rural communities reside. Direct environmental health impacts are often associated with mining activity and are frequently investigated. However, there is evidence of broader, indirect health and well-being implications emerging in the literature...
August 2016: Australian Journal of Rural Health
Abhijeet Ghosh
OBJECTIVE: To assess the recording status of weight management measures among adults presenting to general practices within regional catchments. DESIGN: Cross-sectional; secondary data analysis. SETTING: Primary health care - 17 general practices located in the Illawarra Shoalhaven region of regional New South Wales. PARTICIPANTS: A subset of the Sentinel Practices Data Sourcing project database (nā€‰=ā€‰118ā€‰709 adults) that included information on demographic indicators, chronic disease status, and obesity and overweight-specific measurement indicators recorded from September 2011 to September 2013...
August 2016: Australian Journal of Rural Health
Belinda E S Bailey, Rosalie G Wharton, C D'Arcy J Holman
OBJECTIVE: To measure the time trends in retention of new rural doctors in Western Australia (WA) and identify factors associated with improved retention. DESIGN: Retrospective inception cohort study of the 1154 doctors first commencing rural practice in WA in 2004-2013, who provided 1222 tours of service consisting of up to eight attachments at different rural practice settings. MAIN OUTCOME MEASURE: Failure of doctor retention as evidenced by an absence from the rural medical workforce of greater than 1 year and analysed using actuarial survival methods and Cox proportional hazards regression...
August 2016: Australian Journal of Rural Health
Angela Martin, Peter O'Meara, Jane Farmer
OBJECTIVE: To evaluate a community paramedicine program in rural Ontario, Canada, through the perceptions and experiences of consumers. DESIGN: An observational ethnographic approach was used to acquire qualitative data through informal discussions, semi-structured interviews and direct observation of interactions between consumers and community paramedics. SETTING: The study was conducted in rural Ontario where a community paramedicine program has been established consisting of four components: ad hoc home visiting, ageing at home, paramedic wellness clinics and community paramedic response unit...
August 2016: Australian Journal of Rural Health
Timothy Marshall, Mayuran Suthersan, Mun Khin Chan, Bridget Jenkins, Mingzhou Toh, Vanessa Giddins, Evan Jones
OBJECTIVE: The aim of this study is to examine and compare the mortality and morbidity of patients with neck of femur (NOF) fracture who presented initially to either Orange Health Service (OHS), a secondary orthopaedic referral centre or to a peripheral hospital and subsequently transferred to OHS. DESIGN, SETTING AND PARTICIPANTS: This study is designed as a retrospective review of medical records of 151 patients with NOF fractures who were treated operatively between March 2013 and March 2014 at OHS...
August 2016: Australian Journal of Rural Health
Pippa L Craig, Christine Phillips, Sally Hall
OBJECTIVE: To describe outcomes of a model of service learning in interprofessional learning (IPL) aimed at developing a sustainable model of training that also contributed to service strengthening. DESIGN: A total of 57 semi-structured interviews with key informants and document review exploring the impacts of interprofessional student teams engaged in locally relevant IPL activities. SETTING: Six rural towns in South East New South Wales...
August 2016: Australian Journal of Rural Health
Kim Riley, David Schmidt
OBJECTIVE: To explore the factors that influence rural nurses engagement with online learning within a rural health district in New Sound Wales (NSW), Australia. DESIGN: This qualitative study based on appreciative inquiry methodology used semi-structured interviews with managers and nurses. Purposive sampling methods were used to recruit facility managers, whereas convenience sampling was used to recruit nurses in 2012-2013. SETTING: Three public health facilities in rural NSW...
August 2016: Australian Journal of Rural Health
Connar J McShane, Frances Quirk, Anne Swinbourne
OBJECTIVE: The aim of this research was to gain insight into the key stressors for Australian farming families. It is well established that the farming work environment consists of a number of unique stressors which arise from dependency on factors beyond an individual's control (e.g. climate conditions) as well as the overlap between work and family environments. Despite this, limited research has included family factors in the assessment of stress felt by farmers and their families...
August 2016: Australian Journal of Rural Health
Karin Fisher, Tony Smith, Karen Nairn, Donna Anderson
OBJECTIVE: To better understand issues related to access to injecting equipment for people who inject drugs (PWID) in a rural area of New South Wales (NSW), Australia. DESIGN: Cross-sectional face-to-face survey using convenience and snowball sampling. SETTING: Six regional and rural population centres in Northern NSW, within the Hunter New England Local Health District. PARTICIPANTS: The sample included 190 PWID who had accessed a needle and syringe program outlet within 4 weeks of the survey...
July 11, 2016: Australian Journal of Rural Health
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