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Rural and remote health

Golam Sorwar, Md Mustafizur Rahamn, Ramiz Uddin, Md Rakibul Hoque
Telemedicine has great potential to overcome geographical barriers to providing access to equal health care services, particularly for people living in remote and rural areas in developing countries like Bangladesh. A number of telemedicine systems have been implemented in Bangladesh. However, no significant studies have been conducted to determine either their cost effectiveness or efficiency in reducing travel time required by patients. In addition, very few studies have analyzed the attitude and level of satisfaction of telemedicine service recipients in Bangladesh...
2016: Studies in Health Technology and Informatics
Alberto Larocca, Roberto Moro Visconti, Michele Marconi
BACKGROUND: Rural populations experience several barriers to accessing clinical facilities for malaria diagnosis. Increasing penetration of ICT and mobile-phones and subsequent m-Health applications can contribute overcoming such obstacles. METHODS: GIS is used to evaluate the feasibility of m-Health technologies as part of anti-malaria strategies. This study investigates where in Uganda: (1) malaria affects the largest number of people; (2) the application of m-Health protocol based on the mobile network has the highest potential impact...
October 24, 2016: Malaria Journal
Angkana Sommanustweechai, Weerasak Putthasri, Mya Lay Nwe, Saw Thetlya Aung, Mya Min Theint, Viroj Tangcharoensathien, San Shway Wynn
BACKGROUND: Myanmar is classified as critical shortage of health workforce. In responses to limited number of trained health workforce in the hard-to-reach and remote areas, the MOH trained the Community Health Worker (CHW) as health volunteers serving these communities on a pro bono basis. This study aimed to assess the socio-economic profiles, contributions of CHW to primary health care services and their needs for supports to maintain their quality contributions in rural hard to reach areas in Myanmar...
October 21, 2016: Human Resources for Health
Kylie Gwynne, Michelle J Irving, Debbie McCowen, Boe Rambaldini, John Skinner, Steve Naoum, Anthony Blinkhorn
A sustainable model of oral health care for disadvantaged Aboriginal people living in rural and remote communities in New South Wales was developed using collective impact methodology. Collective impact is a structured process which draws together organizations to develop a shared agenda and design solutions which are jointly resourced, measured and reported upon.
2016: Journal of Health Care for the Poor and Underserved
Robert Battat, Marc Jhonson, Lorne Wiseblatt, Cruff Renard, Laura Habib, Manouchka Normil, Brian Remillard, Timothy F Brewer, Galit Sacajiu
BACKGROUND: Recent calls for reform in healthcare training emphasize using competency-based curricula and information technology-empowered learning. Continuing Medical Education programs are essential in maintaining physician accreditation. Haitian physicians have expressed a lack access to these activities. The Haiti Medical Education Project works in alliance with Haitian medical leadership, faculty and students to support the Country's medical education system. We present the creation, delivery and evaluation of a competency-based continuing medical education curriculum for physicians in rural Haiti...
October 19, 2016: BMC Medical Education
Yutaka Imai
It has been confirmed that clinical significance of home blood pressure measurements (HBPM) is higher than clinic BP measurements and ambulatory BP monitoring. However, several drawbacks of HBPM have also been mentioned, e.g. selection and reporting biases, difficulties of calculation of multiple measurements, difficulties of onsite judgement of numerous recordings, etc. Recent devices for HBPM incorporate memory function. This function can overcome such drawbacks of HBPM. These memorized data can transmit, storage, retrieve, be arithmetic and control, be judged based on algorithm and be got feedback...
September 2016: Journal of Hypertension
Natalie K Bradford, Liam J Caffery, Anthony C Smith
INTRODUCTION: With the escalating costs of health care, issues with recruitment and retention of health practitioners in rural areas, and poor economies of scale, the question of delivering people to services or services to people is a dilemma for health authorities around the world. People living in rural areas have poorer health outcomes compared to their urban counterparts, and the problem of how to provide health care and deliver services in rural locations is an ongoing challenge...
October 2016: Rural and Remote Health
Donald M Ford
Today, 25% of Canadians live in rural and remote parts of Canada. The evidence is that these Canadians do not enjoy the same health status as citizens living in more urban settings. This article explores four persistent healthcare challenges: population demographics, place, professionals, and public participation. By exploring solutions that some rural communities have used to address these challenges, this article aims to provide insights into lessons that have been learned that they may be considered and potentially applied to both rural and urban environments in the interest of better healthcare for all...
October 15, 2016: Healthcare Management Forum
Tia Renouf, Megan Pollard
Rural and remote places like Sable Island (Nova Scotia) or François (Newfoundland) pose a challenge in delivering both health care and appropriate education that today's learners need to practice in a rural setting. This education can be difficult to deliver to students far from academic centers. This is especially true for learners and practitioners at offshore locations like ships, oil installations, or in the air when patients are transported via fixed wing aircraft or helicopter. The following editorial provides a snapshot of the setting and the challenges faced while working as a physician on a ship, in remote regions...
September 9, 2016: Curēus
Sue Kildea, Sally Tracy, Juanita Sherwood, Fleur Magick-Dennis, Lesley Barclay
The well established disparities in health outcomes between Indigenous and non-Indigenous Australians include a significant and concerning higher incidence of preterm birth, low birth weight and newborn mortality. Chronic diseases (eg, diabetes, hypertension, cardiovascular and renal disease) that are prevalent in Indigenous Australian adults have their genesis in utero and in early life. Applying interventions during pregnancy and early life that aim to improve maternal and infant health is likely to have long lasting consequences, as recognised by Australia's National Maternity Services Plan (NMSP), which set out a 5-year vision for 2010-2015 that was endorsed by all governments (federal and state and territory)...
October 17, 2016: Medical Journal of Australia
Nickolai Titov, Blake F Dear, Lauren G Staples, James Bennett-Levy, Britt Klein, Ronald M Rapee, Gerhard Andersson, Carol Purtell, Greg Bezuidenhout, Olav B Nielssen
OBJECTIVE: The MindSpot Clinic provides online mental health services to Australian adults with anxiety and depression. This paper describes users of MindSpot between January 2013 and June 2015. Outcomes are considered against three key objectives: improving access to mental health services, improving public awareness of how to access services and providing evidence-based treatments. METHOD: Website traffic data were examined to determine patterns of use. Demographic characteristics, past service utilisation and reasons for contacting MindSpot were analysed...
October 12, 2016: Australian and New Zealand Journal of Psychiatry
Teresa Iacono, Kellie Stagg, Natalie Pearce, Alana Hulme Chambers
BACKGROUND: Uptake of e-health, the use of information communication technologies (ICT) for health service delivery, in allied health appears to be lagging behind other health care areas, despite offering the potential to address problems with service access by rural and remote Australians. The aim of the study was to conduct a scoping review of studies into the application of or attitudes towards ehealth amongst allied health professionals conducted in Australia. METHODS: Studies meeting inclusion criteria published from January 2004 to June 2015 were reviewed...
October 4, 2016: BMC Health Services Research
Weerapong Thanapongtharm, Catherine Linard, Pornpiroon Chinson, Suwicha Kasemsuwan, Marjolein Visser, Andrea E Gaughan, Michael Epprech, Timothy P Robinson, Marius Gilbert
BACKGROUND: In Thailand, pig production intensified significantly during the last decade, with many economic, epidemiological and environmental implications. Strategies toward more sustainable future developments are currently investigated, and these could be informed by a detailed assessment of the main trends in the pig sector, and on how different production systems are geographically distributed. This study had two main objectives. First, we aimed to describe the main trends and geographic patterns of pig production systems in Thailand in terms of pig type (native, breeding, and fattening pigs), farm scales (smallholder and large-scale farming systems) and type of farming systems (farrow-to-finish, nursery, and finishing systems) based on a very detailed 2010 census...
October 6, 2016: BMC Veterinary Research
Yingxi Chen, Kathryn Glass, Bette Liu, Kirsty Hope, Martyn Kirk
BACKGROUND: Salmonella infection is one of the most common foodborne bacterial pathogens, and causes a significant health burden globally. We investigated the incidence and risk factors for notification and hospitalization due to Salmonella infection in older adults. MATERIALS AND METHODS: We used the 45 and Up Study, a large-scale Australian prospective study of adults aged ≥45 years, with record linkage to multiple databases for the years 2006-2012 to estimate the incidence of notification and hospitalization for Salmonella infection and estimate hazard ratios using Cox regression...
October 6, 2016: Foodborne Pathogens and Disease
Xiao-Ying Zhang, Peiying Zhang
The telemedicine department of a hospital is an emerging branch in upcoming hospitals and may become an essential component of every hospital. It basically utilizes the information technologies along with telecommunication systems in order to provide clinical care and assistance. Furthermore, the branch of telemedicine offers significant opportunities for the process of developmental freedom from illness, early death, and preventable diseases. It advances development by providing relevant drugs and the necessary care aimed to alleviate patient suffering...
October 2016: Experimental and Therapeutic Medicine
Baukje de Roos, Ferdinando Binacchi, Stephen Whybrow, Alan A Sneddon
OBJECTIVE: To quantitatively analyse expenditure on all fresh foods, fruits and vegetables (F&V) and fish across urban and rural households in Scotland. Fresh foods were chosen since, in general, they are perceived to contribute more to health than processed foods. DESIGN: Descriptive analysis of purchase data of all foods brought into the home during 2012 from the Kantar Worldpanel database. Purchase data were restricted to fresh, unprocessed and raw foods or 'fresh to frozen' foods where freezing was part of harvesting...
October 5, 2016: Public Health Nutrition
Carolyn L Deans, Emma L Little
CONTEXT: This article explores the relevance of the body of military psychology knowledge to the management and support of those living and working in rural/remote industries and locations, particularly within Australia. ISSUES: For those who live and work in rural/remote settings, there are social, occupational, health and environmental challenges. Some of these are shared with families and individuals who are associated with military life. The published literature on the shared attributes between military and rural/remote work environments rarely makes a direct link...
October 2016: Rural and Remote Health
Jennifer L Marino, Lucy N Lewis, Deborah Bateson, Martha Hickey, S Rachel Skinner
BACKGROUND: Australia's teenage birth rate has fallen to historic lows, but teenage motherhood still occurs and can be challenging for mother and baby. OBJECTIVE: The aim of this article is to review current evidence on the epidemiology and clinical care of teenage pregnancy and parenting, and provide recommendations around management of these young people in Australia. DISCUSSION: Teenage mothers may have experienced family, sexual, and partner violence, family disruption, and socioeconomic disadvantage...
October 2016: Australian Family Physician
Jonathan Wistow, Sarah Curtis, Angie Bone
BACKGROUND: Extreme weather events (EWEs) can significantly impact on mortality and morbidity in the UK. How EWE guidance is disseminated and applied across health and social care systems, at the local, operational level, is not well understood. METHODS: This exploratory study develops tools and resources to assist local stakeholders to cascade national 'all weather' EWE guidance across local systems. These resources are also used to evaluate the local interpretation and implementation of this advice and guidance within three local authority areas...
September 21, 2016: Journal of Public Health
Rebecca R Langdon, Herbert C Biggs, Bevan Rowland
BACKGROUND: Australia's mineral, resource and infrastructure sectors continues to expand as operations in rural and remote locations increasingly rely on fly-in, fly-out or drive-in, drive-out workforces in order to become economically competitive. The issues in effectively managing these workforces are becoming more apparent with reported high amounts of turnover and concerns for safety and performance. The issues presented include a range of physical, mental, psychosocial, safety and community challenges...
October 17, 2016: Work: a Journal of Prevention, Assessment, and Rehabilitation
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