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Australian Journal of Rural Health

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https://www.readbyqxmd.com/read/27869335/australia-s-rural-medical-workforce-supply-from-its-medical-schools-against-career-stage-gender-and-rural-origin
#1
Matthew R McGrail, Deborah J Russell
OBJECTIVE: The aim of this study was to explore the association between career stage and rural medical workforce supply among Australian-trained medical graduates. DESIGN AND SETTING: Descriptive analysis using the national Medicine in Australia: Balancing Employment and Life (MABEL) longitudinal study. PARTICIPANTS: Australian-trained GPs and other specialists who participated in the MABEL study, 2008-2013. MAIN OUTCOME MEASURE(S): Proportions of GPs and specialists working in rural locations, according to career stage (establishing, early, mid and late), gender and childhood-origin type (rural versus metropolitan)...
November 21, 2016: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/27868256/ice-and-the-outback-patterns-and-prevalence-of-methamphetamine-use-in-rural-australia
#2
Ann Roche, Alice McEntee
OBJECTIVE: This study investigated whether lifetime and recent methamphetamine use (including crystal methamphetamine) differed among city, regional and rural residents and whether particular subpopulations were more at-risk. DESIGN: Secondary analyses of the last three National Drug Strategy Household Surveys and corresponding Alcohol and Other Drug Treatment Services National Minimum Data Sets (AODTS NMDS). SETTING: Australian general population...
November 21, 2016: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/27866374/older-men-s-experiences-of-accessing-general-practitioner-services-in-rural-areas
#3
Marita Chisholm, Bernadette Ward
No abstract text is available yet for this article.
November 20, 2016: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/27859825/do-children-with-cystic-fibrosis-receiving-outreach-care-have-poorer-clinical-outcomes-than-those-treated-at-a-specialist-cystic-fibrosis-centre
#4
Heinrich C Weber, Philip F Robinson, Nicole Saxby, Sean A Beggs, Ingrid Els, Rodney I Ehrlich
INTRODUCTION: Although cystic fibrosis (CF) centre care is generally considered ideal, children living in regional Australia receive outreach care supported by the academic CF centres. METHODS: This is a retrospective database review of children with CF treated at the Royal Children's Hospital in Melbourne and its outreach clinics in Albury (Victoria), and Tasmania. The aim was to compare the outcomes of children with CF managed at an academic centre with that of outreach care, using lung function, nutritional status and Pseudomonas aeruginosa colonisation...
November 17, 2016: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/27859815/addressing-engagement-anger-and-aggression-through-the-rock-water-program-rural-adolescent-males-perceptions
#5
Paul Edwards, Thea van de Mortel, John Stevens
OBJECTIVE: The Rock and Water Program (RWP) has been implemented in some Australian schools as a means of addressing school disengagement, anger and aggression, which are significant determinants of mental illness. However, much of the evidence supporting the RWP is anecdotal. This project explored rural adolescent males' perceptions of the RWP. DESIGN: Questionnaires were used to gather data about the students prior to their commencement in the RWP. Focus group interviews were conducted with students at weeks 5 and 9 of the 9-week program...
November 17, 2016: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/27862543/interest-in-rural-clinical-school-is-not-enough-participation-is-necessary-to-predict-an-ultimate-rural-practice-location
#6
Denese Playford, Ian B Puddey
OBJECTIVE: Rural exposure during medical school is associated with increased rural work after graduation. How much of the increase in rural workforce by these graduates is due to pre-existing interest and plans to work rurally and how much is related to the extended clinical placement is not known. DESIGN: This cohort study compared the employment location of medical graduates who professed no rural interest as undergraduates (negative control), with those who applied but did not participate in Rural Clinical School of Western Australia (RCSWA) (positive control), and those who applied and participated in RCSWA (participants)...
November 16, 2016: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/27637066/can-my-mechanic-fix-blue-cars-a-discussion-of-health-clinician-s-interactions-with-aboriginal-australian-clients
#7
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
https://www.readbyqxmd.com/read/27740728/patient-centred-health-care-homes-in-australia-disruptive-innovation
#8
David Perkins
No abstract text is available yet for this article.
October 2016: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/27605456/barriers-to-insulin-treatment-among-australian-torres-strait-islanders-with-poorly-controlled-diabetes
#9
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
https://www.readbyqxmd.com/read/27600557/how-does-the-workload-and-work-activities-of-procedural-gps-compare-to-non-procedural-gps
#10
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
https://www.readbyqxmd.com/read/27600456/rethinking-registrar-attributes-for-australian-rural-general-practice-training
#11
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
https://www.readbyqxmd.com/read/27600359/reducing-primary-health-care-outpatient-did-not-attends-responding-to-community-preferences
#12
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
https://www.readbyqxmd.com/read/27600207/geographical-differences-in-chlamydia-trachomatis-testing-in-15-29-year-olds-in-tasmania-findings-from-a-statewide-laboratory-data-linkage-study
#13
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
https://www.readbyqxmd.com/read/27596837/when-chronic-conditions-become-emergencies-a-report-from-regional-queensland
#14
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
https://www.readbyqxmd.com/read/27506889/high-glycaemia-and-low-uptake-of-insulin-treatment-among-remote-torres-strait-islanders-with-diabetes-implications-for-service-delivery
#15
Sean Taylor, Robyn McDermott
No abstract text is available yet for this article.
August 10, 2016: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/27506690/elections-scare-campaigns-and-medicare-towards-a-balanced-scorecard
#16
EDITORIAL
David Perkins
No abstract text is available yet for this article.
August 2016: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/27098271/role-of-telehealth-in-diabetic-foot-ulcer-management-a-systematic-review
#17
REVIEW
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
https://www.readbyqxmd.com/read/27086770/examining-health-and-well-being-outcomes-associated-with-mining-activity-in-rural-communities-of-high-income-countries-a-systematic-review
#18
REVIEW
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
https://www.readbyqxmd.com/read/26694898/depressed-anxious-and-breathless-missing-out-weight-screening-in-general-practice-in-a-regional-catchment-of-new-south-wales
#19
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
https://www.readbyqxmd.com/read/26692500/glass-half-full-survival-analysis-of-new-rural-doctor-retention-in-western-australia
#20
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
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