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Rural and Remote Health

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https://www.readbyqxmd.com/read/30447659/current-practices-barriers-and-enablers-for-advance-care-planning-among-healthcare-workers-of-aged-care-facilities-in-western-new-south-wales-australia
#1
Larry Lam, Armaan S Ansari, Patrick J Baquir, Naziha Chowdhury, Kelvin Tran, Jannine Bailey
INTRODUCTION: Advance care planning (ACP) and advance care directives (ACDs) play a vital role in preparing for end-of-life care. However, current literature suggests that uptake of ACP and ACDs in rural Australia is low, which may contribute to lower quality care for the older rural population, as patients' end-of-life wishes may not be recognised and acknowledged. This study aims to provide a current perspective on the attitudes and practices of healthcare workers from residential aged care facilities towards ACP and ACDs in the central west, far west and Orana regions of New South Wales, Australia...
November 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/30447658/what-leads-to-the-subjective-perception-of-a-rural-area-a-qualitative-study-with-undergraduate-students-and-postgraduate-trainees-in-germany-to-tailor-strategies-against-physician-s-shortage
#2
Lisa Wilhelmi, Freya Ingendae, Jost Steinhaeuser
INTRODUCTION: The increasing shortage of physicians, especially general practitioners (GPs), in rural areas is an issue in most western countries. Many redistribution strategies have been utilized in the past to counter this shortage. The physician's perception of rural areas might be an underestimated aspect of a subsequent choice of living and working environment. The aim of this study was to explore determinants influencing this subjective perception of rurality and to develop further strategies to resolve the physician shortage in rural areas...
November 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/30433794/developing-the-health-visitor-concept-of-family-resilience-in-wales-using-group-concept-mapping
#3
Carolyn Wallace, Fran Dale, Georgina Jones, Jane O'Kane, Michelle Thomas, Liz Wilson, David Pontin
INTRODUCTION: A health visitor's ability to assess and analyse aspects of family resilience in daily practice is essential to enable practitioners to support families and facilitate positive lifestyle choices, and improve child health and developmental outcomes. The purpose of this research was to undertake an in-depth exploration of the concept of family resilience as understood by health visitors in Wales and to develop a concept map. This knowledge has been used to develop the Family Resilience Assessment Instrument Tool (FRAIT)...
November 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/30433793/profile-of-gynaecology-surgeries-from-western-province-solomon-islands
#4
Araz Boghossian, Mandy Wang, Angeline Nagu, Alan Tong, David Knox
INTRODUCTION: Evidence is lacking on the profile of gynaecological conditions affecting women in the Solomon Islands, including the availability and quality of surgical management. METHODS: Prospective analysis of hospital records was undertaken on all patients who underwent gynaecological surgery at Gizo Hospital, Western Province during a 6-day program led by volunteer Australian surgeons. Patient data on pre-operative history, investigation results, performed surgical procedures and postoperative recovery were collected...
November 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/30424679/appropriateness-of-task-of-public-health-doctors-in-south-korea
#5
Dae Hyun Lee, Mid-Eum Moon, Youngdoo Go, Jeehyun Song, Jemin Kim, Cheolsu Kim, Kyung Hwa Seo, Seokyoung Kim, Jaerim Kim
INTRODUCTION: Public health doctors (PHDs) in South Korea serve the medically underserved region of South Korea as part of national service duty, but their number has declined in recent years (due to changes in the medical education system). Therefore, there is an increasing need to deploy PHDs efficiently. Consisting of 2138 medical doctors of different specialties, they serve as both primary care physicians and public health experts. METHODS: The purpose of this study was to investigate the appropriateness of tasks of PHDs in South Korea...
November 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/30403491/cardiac-rehabilitation-services-for-people-in-rural-and-remote-areas-an-integrative-literature-review
#6
Patricia E Field, Richard C Franklin, Ruth N Barker, Ian Ring, Peter A Leggat
INTRODUCTION: Morbidity and mortality from heart disease continues to be high in Australia with cardiac rehabilitation (CR) recognised as best practice for people with heart disease. CR is known to reduce mortality, reoccurrence of heart disease, hospital readmissions and costs, and to improve quality of life. Australian Aboriginal and Torres Strait Islanders (Australian First Peoples or Indigenous peoples) have a greater need for CR due to their higher burden of disease. However, CR referral, access and attendance remain low for all people who live in rural and remote areas...
November 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/30403490/expectations-of-rural-community-based-medical-education-a-case-study-from-thailand
#7
Praphun Somporn, Lucie Walters, Julie Ash
INTRODUCTION: Thailand has recognised and sought to remedy rural medical workforce shortages. The Collaborative Project to Increase Production of Rural Doctors (CPIRD) has improved rural workforce recruitment through publicly funding medical school places for students with rural backgrounds. However, challenges in rural retention continue. CPIRD is seeking to develop a Thai rural community-based medical education (RCBME) program in the southern region of Thailand to improve preparation for rural practice and rural medical retention rates...
November 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/30368234/comparing-st-segment-elevation-myocardial-infarction-care-between-patients-residing-in-central-and-remote-locations-a-retrospective-case-series
#8
Ahmad Kamona, Scott Cunningham, Brian Addison, Gordon F Rushworth, Andrew Call, Charles Bloe, Alistair Innes, Raymond R Bond, Aaron Peace, Stephen James Leslie
INTRODUCTION: People who experience an ST-elevation myocardial infarction (STEMI) due to an occluded coronary artery require prompt treatment. Treatments to open a blocked artery are called reperfusion therapies (RTs) and can include intravenous pharmacological thrombolysis (TL) or primary percutaneous coronary intervention (pPCI) in a cardiac catheterisation laboratory (cath lab). Optimal RT (ORT) with pPCI or TL reduces morbidity and mortality. In remote areas, a number of geographical and organisational barriers may influence access to ORT...
October 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/30365899/japanese-regional-quota-medical-students-in-their-final-year-are-less-motivated-to-work-in-medically-underserved-areas-than-they-were-in-their-first-year-a-prospective-observational-study
#9
Yoshihiro Kataoka, Ayumi Takayashiki, Mikiya Sato, Tetsuhiro Maeno
INTRODUCTION: In Japanese medical schools, a special regional quota (chiikiwaku) system has been widely implemented to increase the number of physicians in medically underserved areas (MUAs). Regional quota students are required to take out a student loan but are exempted from repayment after fulfilling an approximately 9-year obligatory practice period. This study investigated the anticipated willingness of final-year regional quota students to remain in MUAs after their obligatory practice period, as well as factors associated with this willingness during students' first year...
October 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/30343581/exploring-roles-and-capacity-development-of-village-midwives-in-sudanese-communities
#10
Kumiko Nakano, Yasuhide Nakamura, Akiko Shimizu, Sojoud Mohamed Alamer
INTRODUCTION: Home birth remains a strong preference and village midwives are the only option for maternal and neonatal care for many rural women in Sudan. This study assessed whether interventions such as strengthening linkages among health facility/staff, skilled birth attendants and village midwives (VMWs); strengthening the supervision system; and strengthening the governance capacity of local health departments improved their service delivery, and it examined factors linked with improved performance of VMWs in their communities...
October 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/30315746/selective-admission-policy-of-medical-undergraduates-in-western-china-applicants-real-attitudes-to-the-choice-of-a-rural-medical-career
#11
Hongbo Pei, Yanyan Sun, ZhengGang Bai, Zhimiao Yu, Pu Chang, Cuipeng Qiu, Jiajia Li, Najuan Zhao, Yongcong Cheng, Aimin Yang
INTRODUCTION: Since 2010, the Chinese government has been introducing selective admission policy to recruit rural students for 5-year western medicine and traditional Chinese medicine undergraduate education in order to improve rural townships' medical services system in western China. This study aimed to analyse the selective admission policy in western China from the perspective of medical students' attitudes towards rural career choice. METHODS: A cross-sectional survey was conducted and an anonymous questionnaire was used to investigate a sample of medical undergraduates chosen under the selective admission policy...
October 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/30308124/lessons-for-health-program-monitoring-and-evaluation-in-a-low-resource-setting
#12
Emma Field, Mafu Vila, Laina Runk, Fiona Mactaggart, Alexander Rosewell, Sally Nathan
Numerous guidelines outline best practices for health program monitoring and evaluation (M&E). However, health programs are often implemented in less than ideal circumstances where these best practices may not be resourced or feasible. This article describes how M&E has been conducted for a health service delivery improvement program in remote Papua New Guinea and outlines lessons learned. The lessons learned were to integrate M&E into every aspect of the program, strengthen existing health information data, link primary data collection with existing program activities, conduct regular monitoring and feedback for early identification of implementation issues, involve the program team in evaluation, and communicate M&E data through multiple mediums to stakeholders...
October 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/30301357/the-patterns-of-self-reported-maternal-complications-in-indonesia-are-there-rural-urban-differences
#13
Vitri Widyaningsih, Khotijah Khotijah
INTRODUCTION: Specific and targeted intervention is needed to reduce the relatively high maternal mortality and morbidity in Indonesia. The apparent rural-urban disparities might require different intervention strategies. Therefore, this study aims to assess patterns and sociodemographic determinants of self-reported maternal morbidity in rural and urban areas. METHODS: Data from the Indonesian Demographic and Health Survey 2012 were analyzed. In this cross-sectional survey, maternal morbidity status and sociodemographic factors were obtained through questionnaire-based interviews...
October 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/30293435/keeping-them-interested-a-national-study-of-factors-that-change-medical-student-interest-in-working-rurally
#14
Matthew Kent, Antonia C Verstappen, Tim Wilkinson, Phillippa Poole
INTRODUCTION: In most countries it remains a challenge to sustain the rural medical workforce. Based on evidence that medical students with rural backgrounds are more likely than their urban peers to enter rural practice, medical schools may have rural entry pathways. It is less well established what happens to career intentions during medical school. This study assessed how rural intentions persist or change during medical school and sought factors associated with either persistence or change in rural intention...
October 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/30290699/contextual-factors-and-health-service-performance-from-the-perspective-of-the-provincial-health-administrators-in-papua-new-guinea
#15
Emma Field, Jethro Usurup, Sally Nathan, Alexander Rosewell
INTRODUCTION: The Rural Primary Health Services Delivery Project aims to improve the quality and coverage of health services to rural populations in Papua New Guinea. There are limitations in measuring performance of such projects through analysis of health information system data alone due to data quality issues and a multitude of unmeasured factors that affect performance. A mixed methods study was undertaken to understand the contextual factors that affect health service performance...
October 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/30290698/telemedicine-in-remote-australia-the-royal-flying-doctor-service-rfds-medical-chest-program-as-a-marker-of-remote-health
#16
John J Cherry, Warren C Rich, Peter L McLennan
INTRODUCTION: Remote communities across Australia lack the ready access to medical care generally afforded to metropolitan populations. The Royal Flying Doctor Service (RFDS) medical chest program provides medical resources to these communities allowing medications to be dispensed in conjunction with a telehealth consulting service. More than 3000 medical chests are located throughout Australia and each year the Queensland RFDS conducts approximately 20 000 telehealth consultations. The aim of this study was to review the use of the medical chest model within the state of Queensland and to analyse changes in the medical chest program from 10 years earlier to evaluate the changing healthcare needs of remote Australian populations...
October 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/30268087/rural-medicine-cooking-up-longitudinal-integrated-clerkships
#17
Lucie Walters, Leesa Walker
No abstract text is available yet for this article.
September 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/30208713/he-s-here-and-he-s-gone-he-s-here-and-he-s-gone-%C3%A2-the-experiences-of-new-mothers-in-rural-newfoundland-and-labrador-canada-whose-partners-work-away-from-home
#18
Holly M LeDrew, Pamela Moores, Trudy Read, Moira O'Regan-Hogan
Introduction Employment-related mobility (ERM) is a complex phenomenon that impacts family life. New mothers who have partners working away from home for intermittent and extended periods of time are particularly affected. As these families transition to parenting roles they are further challenged with the expectation that the mother manages sole responsibility for family and home life while her partner works away. METHODS: A hermeneutic phenomenology approach was used to explore the experiences of new mothers on the island portion of rural Newfoundland and Labrador, Canada, whose partners participated in ERM...
September 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/30207737/paramedic-and-physician-perspectives-on-the-potential-use-of-remotely-supported-prehospital-ultrasound
#19
Genevieve Marsh-Feiley, Leila Eadie, Philip Wilson
INTRODUCTION: During remotely supported prehospital ultrasound (RSPU), an ultrasound operator performs a scan and sends images to a remote expert for interpretation. This novel technology has been undergoing investigation in the randomised controlled SatCare trial, which seeks to assess the capability of RSPU to improve patient outcomes and standard of prehospital care in the Highlands of Scotland. This study aimed to explore the views of emergency medicine physicians and paramedics prior to starting the trial...
September 2018: Rural and Remote Health
https://www.readbyqxmd.com/read/30196705/experience-of-receiving-care-by-interns-reduces-psychological-barrier-of-community-residents-to-further-care-in-japan
#20
Akiteru Takamura, Takeshi Morimoto
INTRODUCTION: A uniform certified basic training program for interns started in Japan in 2004. Following this change, more interns chose to train in community settings, including in rural areas. Patients' experiences of and attitudes toward interns' practice might vary across communities. To examine the geographic and demographic variations linked to the new training system, a nationwide cross-sectional survey was conducted and analyzed. METHODS: Two years after the start of the new certified basic program, 2400 adults were randomly selected from all areas of Japan...
September 2018: Rural and Remote Health
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