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Rural and Remote Health

Motlatso Mlambo, Abigail Dreyer, Rainy Dube, Nontsikelelo Mapukata, Ian Couper, Richard Cooke
INTRODUCTION: Medical education in South Africa is facing a major paradigm shift. The urgency to increase the number of suitable, qualified and socially accountable health sciences graduates has brought to the fore the need to identify alternative training platforms and learning environments, often in rural areas. Subsequently, the focus has now shifted towards strengthening primary health care and community based health services. This scoping review presents a synopsis of the existing literature on decentralized training platform (DTP) strategies for medical education internationally, outlining existing models within it and its impact...
March 2018: Rural and Remote Health
Louise Polson
No abstract text is available yet for this article.
March 2018: Rural and Remote Health
Julianna M Nemeth, Tiffany L Thomson, Bo Lu, Juan Peng, Valdis Krebs, Nathan J Doogan, Amy K Ferketich, Douglas M Post, Christopher R Browning, Electra D Paskett, Mary E Wewers
INTRODUCTION: The social-contextual model of tobacco control and the potential mechanisms of the maintenance or cessation of smoking behavior among disadvantaged women, including rural residents, have yet to be comprehensively studied. The purpose of this study was to determine the association between selected individual, interpersonal, workplace, and neighborhood characteristics and smoking status among women in Appalachia, a US region whose residents experience a disproportionate prevalence of tobacco-related health disparities...
March 2018: Rural and Remote Health
Elizabeth Radcliff, Elizabeth Crouch, Melissa Strompolis
INTRODUCTION: Adverse childhood experiences (ACEs) are traumatic events that occur in a child's life between birth and 18 years. Exposure to one or more ACE has been linked to participation in risky health behaviors and the experience of chronic health conditions in adulthood. The risk for poor outcomes increases as the number of ACEs experienced increases. This research investigates rural-urban differences in exposure to ACEs using a sample from a representative southern US state, South Carolina...
February 2018: Rural and Remote Health
Sneha Lingam, Padmaja Rani, Sethu Sheeladevi, Vimala Kotapati, Taraprasad Das
INTRODUCTION: To report the results of a knowledge, attitude and practice (KAP) study related to diabetes mellitus (DM), hypertension and diabetic retinopathy (DR) of patient populations in India at different levels (Tertiary (T), Secondary (S) and Primary (P)) of a pyramidal model of eye health care. METHODS: In total, 202 participants, composed of equal numbers of diabetic and non-diabetic patients at a Tertiary urban facility (T), a Secondary rural facility (S) and a Primary (P) community-screening program, were surveyed on their knowledge, knowledge sources, attitudes, practices and factors that motivate use of eye health services...
February 2018: Rural and Remote Health
Torres Woolley, Fortunato Cristobal, Jusie Siega-Sur, Simone Ross, Andre-Jacques Neusy, Servando Halili, Carole Reeve
INTRODUCTION: Hundreds of millions of people worldwide lack access to quality health services, largely because of geographic and socioeconomic maldistribution of qualified practitioners. This study describes differences between the practice locations of Philippines medical graduates from two 'socially accountable, community-engaged' health professional education (SAHPE) schools and the practice locations of graduates from two 'conventionally trained' medical schools located in the same respective geographic regions...
February 2018: Rural and Remote Health
Kate Fennell, Melissa Hull, Martin Jones, James Dollman
INTRODUCTION: The prevalence of chronic disease, mortality and suicide rates is higher in rural Australia than in urban centres. Understanding rural Australians' barriers to accessing health services requires urgent attention. The purpose of this study was to compare barriers to help-seeking for physical and mental health issues among rural South Australian adults. METHODS: A total of 409 people from three rural and remote regions in South Australia completed a computer-assisted telephone interview...
February 2018: Rural and Remote Health
Gregorio Zuniga-Villanueva, Luis Sanchez-Espino
No abstract text is available yet for this article.
February 2018: Rural and Remote Health
Hal Lewis, Mirna Becevic, Danny Myers, Dyann Helming, Rachel Mutrux, David Fleming, Karen Edison
INTRODUCTION: The present maldistribution of dermatologists in the USA may make it difficult for patients to access timely and quality care. Access to specialty care may be even more challenging for rural and underserved patients due to geographical limitations and other socioeconomic hardships. With over one-third of primary care patients seeking care for at least one skin problem, it is important to follow the American Academy of Dermatology Special Positioning Workgroup\'s core areas of impact regarding treatment of conditions that affect millions of patients by using a team-based approach and telemedicine technologies...
February 2018: Rural and Remote Health
Sıddıka Gedik, Deniz Kocoglu
INTRODUCTION: This study aims to determine the disease management self-efficacy level for patients with type 2 diabetes living in a rural area of Turkey. METHODS: The study sample consisted of 216 adult patients with type 2 diabetes. Data were collected between April and June of 2015 using the Self-Efficacy Scale for Type 2 Diabetes. The relationship between independent variables and self-efficacy level was evaluated with t-test and one-way ANOVA in independent groups...
February 2018: Rural and Remote Health
Jane Rich, Tonelle Handley, Kerry Inder, David Perkins
INTRODUCTION: Conducting research in rural and remote areas is compounded by challenges associated with accessing relatively small populations spread over large geographical areas. Open-ended questions provided in a postal survey format are an advantageous way of including rural and remote residents in research studies. This method means that it is possible to ask for in-depth perspectives, from a large sample, in a relatively resource-efficient way. Such questions are frequently included in population-based surveys; however, they are rarely analysed...
February 2018: Rural and Remote Health
Debra Dunstan, Donnah Anderson
INTRODUCTION: The Personal Helpers and Mentors (PHaMs) service is a non-clinical, community-based Australian Government initiative aimed at increasing opportunities for recovery for people whose lives are severely affected by mental illness. Using a strengths-based recovery model, PHaMs caseworkers support and mentor people 'at risk of falling through the gaps' between state funded clinical treatment services and federally funded social services (such as supported housing, education and employment)...
February 2018: Rural and Remote Health
Kristy Hill, Nichole Harvey, Catrina Felton-Busch, Judy Hoskins, Roy Rasalam, Peter Malouf, Sabina Knight
CONTEXT: In 2012, the new profession of Aboriginal and Torres Strait Islander health practitioner (ATSIHP) was registered under the Health Practitioner Regulation National Law Act 2009. The project in this present study evolved out of the Australian Government\'s recognition of the need for the existing Indigenous health worker (IHW) workforce to meet the minimum qualification requirements for registration as ATSIHPs through recognition of prior learning and/or further education. A total of 53 IHWs participated in the upskilling project between June 2014 and June 2015, with approximately 200 IHWs from Queensland expressing an interest in undertaking the training...
January 2018: Rural and Remote Health
Jean Smith, Virginia Vandall-Walker
INTRODUCTION: Transitioning into the Canadian rural acute care environment can be challenging for new RNs, and so retention is of concern. Currently, few seasoned registered nurses (RNs) are available to support new RNs during transition because (a) the Canadian RN workforce countrywide is aging and significant numbers are retiring, and (b) the number of Canadian RNs working rurally has plummeted in the past 10 years. Investigations into the phenomenon of new RNs\' transitions into the workforce have been conducted, but little is known about this phenomenon as it relates to Canadian rural acute care hospitals...
December 2017: Rural and Remote Health
Mia Bierbaum, Tania Plueckhahn, Firona Roth, Carmel McNamara, Imogen Ramsey, Nadia Corsini
INTRODUCTION: The Australian Aboriginal and Torres Strait Islander (Aboriginal) population has a higher age-standardised cancer mortality rate and a significantly lower 5-year survival rate for all cancers than the non-Aboriginal population. Aboriginal people from regional and remote South Australia and the Northern Territory, are often required to travel to Adelaide to access specialist cancer care services. The burden and expenses associated with transport and accommodation and cultural and linguistic factors have been identified as barriers to accessing medical treatment and health services...
December 2017: Rural and Remote Health
David Campbell, Lucie Walters, Ian Couper, Jane Greacen
INTRODUCTION:   This article reports the findings from an international research workshop, held over 2 days in October 2014 in Bairnsdale, Australia, which brought together 19 clinician teachers and medical educators who work in rural primary care. The objectives of the workshop were to clarify and identify the key aspects of the development of clinical reasoning in students and junior doctors, particularly as a result of longitudinal immersion in rural community practice...
December 2017: Rural and Remote Health
José Roldán, Marsela Álvarez, María Carrasco, Noé Guarneros, José Ledesma, Mario Cuchillo-Hilario, Adolfo Chávez
INTRODUCTION:   Marginalization is a significant issue in Mexico, involving a lack of access to health services with differential impacts on Indigenous, rural and urban populations. The objective of this study was to understand Mexico’s public health problem across three population areas, Indigenous, rural and urban, in relation to degree of marginalization and health service coverage. METHODS:   The sampling universe of the study consisted of 107 458 geographic locations in the country...
December 2017: Rural and Remote Health
Erden Ali, Andrew Macdowell, Thomas Pagonis
INTRODUCTION:   We present a unique pathway for care aimed specifically at spinal patients. As a result of the shift of the spoke direction from the existing hub-and-spoke model, patient care is being redirected successfully with great benefit to a rural department. Within the rural community, it is the spoke that is the main locality to which patients present and at which they are treated. Subspecialty procurement is often more central and located in tertiary referral centres outside of a rural position...
December 2017: Rural and Remote Health
Ann McKillop, Craig Webster, Win Bennett, Barbara O'Connor, Warwick Bagg
INTRODUCTION: Access to health care as near to where people live as possible is desirable. However, not enough medical graduates choose to work in rural and regional areas, especially in general practice. The career decisions of recent medical graduates are known to be affected by a variety of professional, societal and personal factors. Internationally, medical programmes have exposed students to regional and rural experiences partly to encourage them to seek employment in these areas after graduation...
December 2017: Rural and Remote Health
Akiteru Takamura, Masatoshi Matsumoto, Shizukiyo Ishikawa
No abstract text is available yet for this article.
December 2017: Rural and Remote Health
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