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https://www.readbyqxmd.com/read/28810919/patterns-of-resident-health-workforce-turnover-and-retention-in-remote-communities-of-the-northern-territory-of-australia-2013-2015
#1
Deborah J Russell, Yuejen Zhao, Steven Guthridge, Mark Ramjan, Michael P Jones, John S Humphreys, John Wakerman
BACKGROUND: The geographical maldistribution of the health workforce is a persisting global issue linked to inequitable access to health services and poorer health outcomes for rural and remote populations. In the Northern Territory (NT), anecdotal reports suggest that the primary care workforce in remote Aboriginal communities is characterised by high turnover, low stability and high use of temporary staffing; however, there is a lack of reliable information to guide workforce policy improvements...
August 15, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28810064/the-rural-and-remote-health-workforce-of-the-future
#2
Fiona Brooke
No abstract text is available yet for this article.
August 2017: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/28802756/feasibility-of-using-global-system-for-mobile-communication-gsm-based-tracking-for-vaccinators-to-improve-oral-poliomyelitis-vaccine-campaign-coverage-in-rural-pakistan
#3
Subhash Chandir, Vijay Kumar Dharma, Danya Arif Siddiqi, Aamir Javed Khan
Despite multiple rounds of immunization campaigns, it has not been possible to achieve optimum immunization coverage for poliovirus in Pakistan. Supplementary activities to improve coverage of immunization, such as door-to-door campaigns are constrained by several factors including inaccurate hand-drawn maps and a lack of means to objectively monitor field teams in real time, resulting in suboptimal vaccine coverage during campaigns. Global System for Mobile Communications (GSM) - based tracking of mobile subscriber identity modules (SIMs) of vaccinators provides a low-cost solution to identify missed areas and ensure effective immunization coverage...
August 9, 2017: Vaccine
https://www.readbyqxmd.com/read/28770597/can-differentiated-care-models-solve-the-crisis-in-hiv-treatment-financing-analysis-of-prospects-for-38-countries-in-sub-saharan-africa
#4
Catherine Barker, Arin Dutta, Kate Klein
INTRODUCTION: Rapid scale-up of antiretroviral therapy (ART) in the context of financial and health system constraints has resulted in calls to maximize efficiency in ART service delivery. Adopting differentiated care models (DCMs) for ART could potentially be more cost-efficient and improve outcomes. However, no study comprehensively projects the cost savings across countries. We model the potential reduction in facility-level costs and number of health workers needed when implementing two types of DCMs while attempting to reach 90-90-90 targets in 38 sub-Saharan African countries from 2016 to 2020...
July 21, 2017: Journal of the International AIDS Society
https://www.readbyqxmd.com/read/28767719/task-shifting-impact-of-introducing-a-pilot-community-health-worker-cadre-into-zambia-s-public-sector-health-workforce
#5
Brett Keller, Elizabeth McCarthy, Kathryn Bradford Vosburg, Mutinta Musonda, Jere Mwila, Jan Willem van den Broek, Fiona J Walsh
BACKGROUND: The Zambia Ministry of Health (MOH) recruited and trained a new cadre of Community Health Assistants (CHAs) as part of its National Community Health Strategy. The inaugural class of 307 CHAs completed one year of training in July 2012 and deployed to their communities. METHODS: The impact of the CHA program on the volume and type of health services provided at health posts and their respective referral health centers was measured with a non-randomized difference-in-differences design...
2017: PloS One
https://www.readbyqxmd.com/read/28764806/the-relationship-of-primary-care-providers-to-dental-practitioners-in-rural-and-remote-australia
#6
Tony Barnett, Ha Hoang, Jackie Stuart, Len Crocombe
BACKGROUND: Rural residents have poorer oral health and more limited access to dental services than their city counterparts. In rural communities, health care professionals often work in an extended capacity due to the needs of the community and health workforce shortages in these areas. Improved links and greater collaboration between resident rural primary care and dental practitioners could help improve oral health service provision such that interventions are both timely, effective and lead to appropriate follow-up and referral...
August 1, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28756678/a-comparative-analysis-of-policies-addressing-rural-oral-health-in-eight-english-speaking-oecd-countries
#7
Leonard A Crocombe, Lynette R Goldberg, Erica Bell, Bastian Seidel
INTRODUCTON: Oral health is fundamental to overall health. Poor oral health is largely preventable but unacceptable inequalities exist, particularly for people in rural areas. The issues are complex. Rural populations are characterised by lower rates of health insurance, higher rates of poverty, less water fluoridation, fewer dentists and oral health specialists, and greater distances to access care. These factors inter-relate with educational, attitudinal, and system-level issues. An important area of enquiry is whether and how national oral health policies address causes and solutions for poor rural oral health...
July 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28754058/the-impact-of-socially-accountable-community-engaged-medical-education-on-graduates-in-the-central-philippines-implications-for-the-global-rural-medical-workforce
#8
J L Siega-Sur, T Woolley, S J Ross, C Reeve, A-J Neusy
INTRODUCTION: Developing and retaining a high quality medical workforce, especially within low-resource countries has been a world-wide challenge exacerbated by a lack of medical schools, the maldistribution of doctors towards urban practice, health system inequities, and training doctors in tertiary centers rather than in rural communities. AIM: To describe the impact of socially-accountable health professional education on graduates; specifically: their motivation towards community-based service, preparation for addressing local priority health issues, career choices, and practice location...
July 28, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28750915/the-informatics-capability-maturity-of-integrated-primary-care-centres-in-australia
#9
Siaw-Teng Liaw, Rachael Kearns, Jane Taggart, Oliver Frank, Riki Lane, Michael Tam, Sarah Dennis, Christine Walker, Grant Russell, Mark Harris
CONTEXT: Integrated primary care requires systems and service integration along with financial incentives to promote downward substitution to a single entry point to care. Integrated Primary Care Centres (IPCCs) aim to improve integration by co-location of health services. The Informatics Capability Maturity (ICM) describes how well health organisations collect, manage and share information; manage eHealth technology, implementation, change, data quality and governance; and use "intelligence" to improve care...
September 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/28750617/health-system-preparedness-for-integration-of-mental-health-services-in-rural-liberia
#10
Wilfred S Gwaikolo, Brandon A Kohrt, Janice L Cooper
BACKGROUND: There are increasing efforts and attention focused on the delivery of mental health services in primary care in low resource settings (e.g., mental health Gap Action Programme, mhGAP). However, less attention is devoted to systematic approaches that identify and address barriers to the development and uptake of mental health services within primary care in low-resource settings. Our objective was to prepare for optimal uptake by identifying barriers in rural Liberia. The country's need for mental health services is compounded by a 14-year history of political violence and the largest Ebola virus disease outbreak in history...
July 27, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28748086/area-health-education-center-ahec-programs-for-rural-and-underrepresented-minority-students-in-the-alabama-black-belt
#11
Ashruta Patel, Regina J Knox, Alicia Logan, Katie Summerville
BACKGROUND: This paper evaluated the implementation West Central Alabama Area Health Education Center programs for high school students in grades 9-12 through participant-reported evaluations and feedback during the  September 1st, 2013 to August 31st, 2014 fiscal year. The programs targeted racial/ethnic minorities and/or rural individuals interested in pursuing a career as a healthcare provider in medically underserved counties of Alabama. METHODS: Students participated in enrichment activities related to prospective health careers that included: successful college preparedness, knowledge about health careers, and the types of primary care health professions that are needed in underserved Alabama communities...
2017: Archives of Public Health, Archives Belges de Santé Publique
https://www.readbyqxmd.com/read/28744989/impact-of-rurality-and-substance-use-on-young-people-at-ultra-high-risk-for-psychosis
#12
Helen J Stain, Sean A Halpin, Amanda L Baker, Mike Startup, Vaughan J Carr, Ulrich Schall, Kylie Crittenden, Vanessa Clark, Terry J Lewin, Sandra Bucci
BACKGROUND: Longitudinal research into early intervention for youth at ultra high risk (UHR) for psychosis demonstrates beneficial outcomes including increased treatment compliance and greater participation in education and the workforce. Despite known barriers for rural youth accessing mental health services, research comparing urban and rural UHR youth is lacking. The study included an examination of the impact of substance use on functioning of UHR youth. METHODS: Youth aged 12 to 25 years were recruited from the urban area of Newcastle or the rural area of Orange, New South Wales, Australia, and identified as UHR by the Comprehensive Assessment of At Risk Mental States...
July 26, 2017: Early Intervention in Psychiatry
https://www.readbyqxmd.com/read/28724005/human-resources-for-health-global-crisis-and-international-cooperation
#13
Gustavo Zoio Portela, Amanda Cavada Fehn, Regina Lucia Sarmento Ungerer, Mario Roberto Dal Poz
From the 1990s onwards, national economies became connected and globalized. Changes in the demographic and epidemiological profile of the population highlighted the need for further discussions and strategies on Human Resources for Health (HRH). The health workforce crisis is a worldwide phenomenon. It includes: difficulties in attracting and retaining health professionals to work in rural and remote areas, poor distribution and high turnover of health staff particularly physicians, poor training of health workforces in new sanitation and demographic conditions and the production of scientific evidence to support HRH decision making, policy management, programs and interventions...
July 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28712410/achieving-self-sufficiency-training-australia-s-future-medical-workforce
#14
Brian Fernandes, Edward R Scheffer Cliff, Amelia Chowdhury
There is an oversupply of Australian junior doctors, but significant training bottlenecks are developing, and geographical maldistribution in rural and remote areas remains. Last year, the Federal Minister for Immigration rejected a Department of Health recommendation for the removal of 41 health roles from the Skilled Occupation List after concerns that rural and regional communities would be left without access to medical services in areas currently serviced by international medical graduates. In an effort to achieve workforce self-sufficiency, Australia must ensure access to high-quality vocational training places in rural and regional settings while managing immigration of overseas-trained health professionals...
July 17, 2017: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/28701199/effectiveness-of-distance-learning-strategies-for-continuing-professional-development-cpd-for-rural-allied-health-practitioners-a-systematic-review
#15
Angela Berndt, Carolyn M Murray, Kate Kennedy, Mandy J Stanley, Susan Gilbert-Hunt
BACKGROUND: Allied health professionals working in rural areas face unique challenges, often with limited access to resources. Accessing continuing professional development is one of those challenges and is related to retention of workforce. Effectiveness of distance learning strategies for continuing professional development in rural allied healthcare workers has not been evaluated. METHODS: We searched 17 databases and the grey literature up to September 2016 following the PRISMA guidelines...
July 12, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28694267/mobility-of-us-rural-primary-care-physicians-during-2000-2014
#16
Matthew R McGrail, Peter M Wingrove, Stephen M Petterson, Andrew W Bazemore
PURPOSE: Despite considerable investment in increasing the number of primary care physicians in rural shortage areas, little is known about their movement rates and factors influencing their mobility. We aimed to characterize geographic mobility among rural primary care physicians, and to identify location and individual factors that influence such mobility. METHODS: Using data from the American Medical Association Physician Masterfile for each clinically active US physician, we created seven 2-year (biennial) mobility periods during 2000-2014...
July 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/28686628/the-rural-pipeline-to-longer-term-rural-practice-general-practitioners-and-specialists
#17
Marcella M S Kwan, Srinivas Kondalsamy-Chennakesavan, Geetha Ranmuthugala, Maree R Toombs, Geoffrey C Nicholson
BACKGROUND: Rural medical workforce shortage contributes to health disadvantage experienced by rural communities worldwide. This study aimed to determine the regional results of an Australian Government sponsored national program to enhance the Australian rural medical workforce by recruiting rural background students and establishing rural clinical schools (RCS). In particular, we wished to determine predictors of graduates' longer-term rural practice and whether the predictors differ between general practitioners (GPs) and specialists...
2017: PloS One
https://www.readbyqxmd.com/read/28683808/up-close-and-real-living-and-learning-in-a-remote-community-builds-students-cultural-capabilities-and-understanding-of-health-disparities
#18
Rosalie D Thackrah, Maeva Hall, Kathryn Fitzgerald, Sandra C Thompson
BACKGROUND: Rural and remote communities in Australia fare worse than their urban counterparts across major health indicators, with geographic isolation, restricted accessibility to health services, socioeconomic disadvantage, lifestyle and behavioural factors all implicated in poorer health outcomes. Health disparities, which are especially stark in Australian Aboriginal and Torres Strait Islander populations, underscore the urgent need to build a culturally responsive and respectful rural health workforce...
July 6, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28682709/knowing-being-and-doing-aboriginal-and-non-aboriginal-collaboration-in-cancer-services
#19
Joanna Zubrzycki, Rick Shipp, Victoria Jones
This qualitative inquiry explored the processes and practices of collaboration as experienced by a group of Australian multidisciplinary Aboriginal and non-Aboriginal health workers. Each worker had participated, for a period of 2 to 5 years, in an Australian Government-funded project in which a range of health initiatives led to improved access to cancer services by Aboriginal communities in a rural region of South Eastern Australia. Initiatives which addressed high rates of mortality from cancer, poor access to cancer screening, and engagement with cancer treatment were developed through the formation of close working relationships between Aboriginal and non-Aboriginal health workers...
July 2017: Qualitative Health Research
https://www.readbyqxmd.com/read/28678097/the-effect-of-a-community-based-medical-school-on-the-state-and-local-physician-workforce
#20
Julie P Phillips, Andrea L Wendling, Carolyn A Fahey, Brian E Mavis
PURPOSE: To assess the effect of community-based medical education as implemented by Michigan State University College of Human Medicine (MSU-CHM), which has immersed students in diverse communities across Michigan since its founding, on the physician workforce in the six communities in which clinical campuses were initially established. METHOD: The authors used American Medical Association Masterfile data from 2011 to obtain practice locations and specialty data for all MSU-CHM graduates from 1972 through 2006...
July 3, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
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