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Rural and Remote Health

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https://www.readbyqxmd.com/read/29145728/understanding-how-emergency-medicine-physicians-survive-and-thrive-in-rural-practice-a-theoretical-model
#1
Ashra Kolhatkar, Andrea Keesey, Bob Bluman, Brenna Lynn, Tandi Wilkinson
INTRODUCTION: The challenges facing emergency medicine (EM) services in Canada reflect the limitations of the entire healthcare system. The emergency department (ED) is uniquely situated in the healthcare system such that shortcomings in hospital- and community-based services are often first revealed there. This is especially true in rural settings, where there are additional site-specific barriers to the provision of EM care. Existing studies look at the factors that influence rural EM physicians in isolation...
November 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/29091738/the-evolution-of-the-community-health-worker-program-in-papua-new-guinea
#2
Cathy L Pilang, Marion A Gray, Florin I Oprescu
New Guinea (PNG) has a special history in regard to the training of Community Health Workers (CHWs) and is currently preparing its frontline health workforce to serve the 85% of the total PNG population of 7.3 million people who live in rural and remote settings. This article identifies and explains the five major developmental stages in the current CHW training program, as well as the changes that have occurred over the past century. The developmental stages are: (1) traditional; (2) early contact; (3) innovation; (4) the 1980s; and (5) new millennium...
October 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/29081221/feasibility-and-diagnostic-accuracy-of-using-armband-mid-upper-arm-circumference-as-a-simple-screening-tool-for-maternal-wasting-in-rural-india
#3
LETTER
Vani Sethi, Rabi N Parhi, Shivani Dar, Sutapa Agrawal
No abstract text is available yet for this article.
October 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/29031280/factors-influencing-suicide-in-older-rural-males-a-review-of-australian-studies
#4
Kylie T Crnek-Georgeson, Leigh A Wilson, Andrew Page
INTRODUCTION: Suicide remains an important public health issue in Australia, responsible for around 2500 deaths each year. Although suicide only accounts for around 1.7% of total mortality in Australia per year, 75% of suicide deaths are in males. This article reviews the factors contributing to suicide in older rural males in Australia and then categorises the papers into themes for ease of explanation. Living with experiences of drought, dramatic weather change, lower employment opportunities, out-migration, changing family dynamics, ageism in the community, economic change and competitive labour markets, all add to the diverse experience for an older person who is ageing in a rural setting...
October 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28978204/a-simple-novel-technique-for-fixing-penrose-drains-in-minor-surgeries-with-advantages-for-remote-outpatient-clinics-a-retrospective-comparison-with-conventional-drain-fixation-in-north-ibaraki-japan
#5
Yoichiro Shibuya, Go Matsumoto, Masahiro Sasaki, Kaoru Sasaki, Koji Adachi, Mitsuru Sekido
INTRODUCTON: In rural areas with few doctors, Penrose drains in minor surgeries for soft tissue trauma or small subcutaneous tumors are sometimes avoided, even though the drain would prevent hematoma, because of the limited availability of professional postsurgical care. The authors developed a simple fixation method for Penrose drains that can be used even in remote areas where a doctor is not present to remove the drain. A retrospective study was conducted to compare this new method of fixing Penrose drains with instances in which the Penrose drain was fixed to skin by conventional suturing...
October 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/29040811/mobile-emergency-simulation-training-for-rural-health-providers
#6
Douglas Martin, Brent Bekiaris, Gregory Hansen
INTRODUCTION: Mobile emergency simulation offers innovative continuing medical educational support to regions that may lack access to such opportunities. Furthermore, satisfaction is a critical element for active learning. Together, the authors evaluated Canadian rural healthcare providers' satisfaction from high fidelity emergency simulation training using a modified motorhome as a mobile education unit (MEU). METHODS: Over a 5-month period, data was collected during 14 educational sessions in nine different southern Manitoban communities...
July 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28992714/a-review-of-the-availability-and-cost-effectiveness-of-chronic-obstructive-pulmonary-disease-copd-management-interventions-in-rural-australia-and-new-zealand
#7
Michelle E Brooke, Nicolaos Spiliopoulos, Margaret Collins
INTRODUCTION: Chronic obstructive pulmonary disease (COPD) is a chronic, progressive disease, which consumes a significant proportion of the Australian and New Zealand healthcare budget. Studies have shown that people living with COPD outside of urban areas have higher rates of hospitalisations. Two international reviews have demonstrated reduced hospital admissions and length of stay in people with COPD who participate in an integrated disease management program. However, most studies included in these reviews are in urban settings...
July 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28992713/household-resources-as-determinants-of-child-mortality-in-ghana
#8
Jerry John Nutor, Janice F Bell, Jaime C Slaughter-Acey, Jill G Joseph, Ester Carolina Apesoa-Varano, Mary Lou de Leon Siantz
INTRODUCTION: Although the association between child mortality and socioeconomic status is well established, the role of household assets as predictors of child mortality, over and above other measures of socioeconomic status, is not well studied in developing nations. This study investigated the contribution of several household resources to child mortality, beyond the influence of maternal education as a measure of socioeconomic status. METHODS: This secondary analysis used data from the 2007 Ghana Maternal Health Survey to explore the relationship of child mortality to household resources...
July 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28930638/use-of-telehealth-for-health-care-of-indigenous-peoples-with-chronic-conditions-a-systematic-review
#9
Sarah Fraser, Tamara Mackean, Julian Grant, Kate Hunter, Kurt Towers, Rebecca Ivers
INTRODUCTION: Telehealth may be a cost effective modality in healthcare delivery, but how well used or how appropriate it is for the care of Indigenous peoples is unclear. This review examines the evidence for telehealth in facilitating chronic conditions management with Indigenous peoples. METHODS: Databases were systematically searched for qualitative or quantitative primary research studies that investigated telehealth use for chronic conditions management with Indigenous peoples worldwide...
July 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28918643/speech-language-pathology-telehealth-in-rural-and-remote-schools-the-experience-of-school-executive-and-therapy-assistants
#10
Glenn C Fairweather, Michelle A Lincoln, Robyn Ramsden
INTRODUCTION: Difficulties in accessing allied health services, especially in rural and remote areas, appear to be driving the use of telehealth services to children in schools. The objectives of this study were to investigate the experiences and views of school executive staff and therapy assistants regarding the feasibility and acceptability of a speech-language pathology telehealth program for children attending schools in rural and remote New South Wales, Australia. The program, called Come N See, provided therapy interventions remotely via low-bandwidth videoconferencing, with email follow-up...
July 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28918642/effect-of-an-oral-healthcare-program-on-gingival-health-status-in-rural-areas-of-south-korea
#11
Min-Young Lee, Namhee Kim, Wongyun Chung, Eunmi Choi, Chunbae Kim, Seijin Chang
INTRODUCTION: The purpose of this study was to analyze the effects of an oral health care program administered at rural public health subcenters on oral hygiene status and bleeding on probing (BOP) scores among Korean rural residents older than 40 years. METHODS: Residents older than 40 years living in two rural areas were allocated randomly by order of visit into an intervention group (<i>n=</i>23) and control group (<i>n=</i>23). Changes in plaque and BOP score were analyzed between the groups using repeated-measures ANOVA...
July 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28899101/retention-of-qualified-healthcare-workers-in-rural-senegal-lessons-learned-from-a-qualitative-study
#12
Mari Nagai, Noriko Fujita, Ibrahima S Diouf, Malick Salla
INTRODUCTION: Deployment and retention of a sufficient number of skilled and motivated human resources for health (HRH) at the right place and at the right time are critical to ensure people's right to access a universal quality of health care. Vision Tokyo 2010 Network, an international network of HRH managers at the ministry of health (MoH) level in nine Francophone African countries, identified maldistribution of a limited number of healthcare personnel and their retention in rural areas as overarching problems in the member countries...
July 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28877588/what-do-evaluations-tell-us-about-implementing-new-models-in-rural-and-remote-primary-health-care-findings-from-a-narrative-analysis-of-seven-service-evaluations-conducted-by-an-australian-centre-of-research-excellence
#13
David Lyle, Emily Saurman, Sue Kirby, Debra Jones, John Humphreys, John Wakerman
INTRODUCTION: A Centre of Research Excellence (CRE) in Rural and Remote Primary Healthcare was established in 2012 with the goal of providing evidence to inform policy development to increase equity of access to quality health care and the identification of services that should be available to the diverse communities characterising Australia. This article reports on the key findings from seven CRE service evaluations to better understand what made these primary health care (PHC) models work where they worked, and why...
July 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28877587/gene-therapy-renews-hope-to-lower-the-global-rural-sickle-cell-disease-burden
#14
LETTER
Richardson O Tachere, Anthony O Umunna
No abstract text is available yet for this article.
July 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28870083/socioeconomic-disparities-in-head-and-neck-cancer-patients-access-to-cancer-treatment-centers
#15
Blake Byron Walker, Nadine Schuurman, Ajit Auluck, Scott A Lear, Miriam Rosin
INTRODUCTION: Both socioeconomic status and travel time to cancer treatment have been associated with treatment choice and patient outcomes. An improved understanding of the relationship between these two dimensions of access may enable cancer control experts to better target patients with poor access, particularly in isolated suburban and rural communities. METHODS: Using geographical information systems, head and neck cancer patients across British Columbia, Canada from 1981 to 2009, were mapped and their travel times to the nearest treatment center at their time of diagnosis were modelled...
July 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28854807/retention-of-doctors-in-rural-health-services-in-thailand-impact-of-a-national-collaborative-approach
#16
Rajin Arora, Parinya Chamnan, Achara Nitiapinyasakul, Suwat Lertsukprasert
INTRODUCTION: Little evidence exists about the impact of strategies to increase rural retention in developing countries. To address Thailand's long-lasting critical shortage of doctors, two new government-funded projects to increase the production of rural doctors have been employed through collaboration between the Ministry of Education and the Ministry of Public Health (MOPH). The present study describes the impact of this national collaborative approach on production and retention of doctors in rural health services...
July 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28851228/rural-multidisciplinary-training-opportunity-to-focus-on-interprofessional-rapport-building
#17
Judith N Hudson, Anne Croker
In 2016, the Australian Government committed further funds in support of quality rural health education to improve the health and wellbeing of rural and remote communities. The stated funding requirement for longer rural placements in all disciplines is an exciting opportunity for greater investment in interprofessional education to foster collaborative practice, a global system imperative for health care. This commentary explores how findings from earlier research, which investigated <i>how students in a co-located area learn to work with other health professions</i>, can be translated into practice...
July 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28846850/building-a-local-medical-workforce-in-tasmania-where-are-international-fee-paying-medical-graduates-likely-to-work
#18
Colleen Cheek, Richard Hays, Penny Allen, Gary Walker, Lizzi Shires
INTRODUCTION: Much of regional Australia continues to face challenges in recruitment and retention of medical practitioners, despite the apparently successful rural medical education initiatives funded by the Commonwealth Government. International fee-paying (IFP) medical students are a significant component of Australian medical education, contributing additional income and more diverse learning environments for universities. Their contribution to the Australian medical workforce is harder to determine...
July 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28838246/demographic-and-rural-urban-variations-in-dental-service-utilization-in-taiwan
#19
Pei-Chun Wen, Chiachi Bonnie Lee, Ya-Hui Chang, Li-Jung Elizabeth Ku, Chung-Yi Li
INTRODUCTION: This study assesses whether demographic and rural-urban variations in dental care service utilization still exist in Taiwan after 15 years of the implementation of universal health insurance coverage, which largely reduces financial barriers to dental care. METHODS: The data analysed in this cohort study were based on a random sample of one million beneficiaries retrieved from Taiwan's National Health Insurance Research Database (NHIRD) in 2005. The follow-up was made between 2005 and 2010...
July 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28835106/adaptation-of-the-global-frameworks-for-community-based-rehabilitation-in-southern-africa-a-proof-of-concept
#20
Vyvienne Rp M'kumbuzi, Hellen Myezwa
INTRODUCTION: Community based rehabilitation (CBR) has evolved over the last 30 years and now focuses on empowering persons with disabilities to access and benefit from a wide range of services. The essence and ethos of CBR is captured in several global frameworks, such as the UN Convention on the Rights of People with Disabilities (2006) and the <i>CBR guidelines</i> (2010). The latter contains the CBR matrix. All 15 countries in southern Africa are implementing CBR mostly in rural areas, but the policy framework to guide CBR in the region is unknown...
July 2017: Rural and Remote Health
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