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https://www.readbyqxmd.com/read/28930763/a-new-community-health-center-academic-medicine-partnership-for-medicaid-cost-control-powered-by-the-mega-teaching-health-center
#1
Richard E Rieselbach, Ted Epperly, Aaron Friedman, David Keahey, Eleanor McConnell, Karen Nichols, Greg Nycz, Jeanette Roberts, Kenneth Schmader, Peter Shin, Derri Shtasel
Community health centers (CHCs), a principal source of primary care for over 24 million patients, provide high-quality affordable care for medically underserved and lower-income populations in urban and rural communities. The authors propose that CHCs can assume an important role in the quest for health care reform by serving substantially more Medicaid patients. Major expansion of CHCs, powered by mega teaching health centers (THCs) in partnership with regional academic medical centers (AMCs) or teaching hospitals, could increase Medicaid beneficiaries' access to cost-effective care...
September 14, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28914165/mobile-instant-messaging-for-rural-community-health-workers-a-case-from-malawi
#2
Christoph Pimmer, Susan Mhango, Alfred Mzumara, Francis Mbvundula
BACKGROUND: Mobile instant messaging (MIM) tools, such as WhatsApp, have transformed global communication practice. In the field of global health, MIM is an increasingly used, but little understood, phenomenon. OBJECTIVES: It remains unclear how MIM can be used by rural community health workers (CHWs) and their facilitators, and what are the associated benefits and constraints. To address this gap, WhatsApp groups were implemented and researched in a rural setting in Malawi...
2017: Global Health Action
https://www.readbyqxmd.com/read/28911337/postings-and-transfers-in-the-ghanaian-health-system-a-study-of-health-workforce-governance
#3
Aku Kwamie, Miriam Asiamah, Marta Schaaf, Irene Akua Agyepong
BACKGROUND: Decision-making on postings and transfers - that is, the geographic deployment of the health workforce - is a key element of health workforce governance. When poorly managed, postings and transfers result in maldistribution, absenteeism, and low morale. At stake is managing the balance between organisational (i.e., health system) and individual (i.e., staff preference) needs. The negotiation of this potential convergence or divergence of interests provides a window on practices of postings and transfers, and on the micro-practices of governance in health systems more generally...
September 15, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28903976/working-hard-but-working-differently-a-qualitative-study-of-the-impact-of-generational-change-on-rural-health-care
#4
David Snadden, Mark Alexander Kunzli
BACKGROUND: There is limited literature evaluating generational change in the physician workforce and the adjustments required of practices, practitioners and the health care system as a whole. The purpose of this study was to explore rural practitioners' experiences of their current contexts relevant to recruitment and retention and to determine how practices are responding to changing aspirations of new practitioners. METHODS: We used qualitative methods. Participants were selected to ensure diversity of career stage...
September 12, 2017: CMAJ Open
https://www.readbyqxmd.com/read/28893243/impact-of-pharmacy-worker-training-and-deployment-on-access-to-essential-medicines-for-children-under-five-in-malawi-a-cluster-quasi-experimental-evaluation
#5
Joseph B Babigumira, Solomon J Lubinga, Alisa M Jenny, Erin Larsen-Cooper, Jessica Crawford, Charles Matemba, Andy Stergachis
BACKGROUND: Poor access to essential medicines is common in many low- and middle-income countries, partly due to an insufficient and inadequately trained workforce to manage the medicines supply chain. We conducted a prospective impact evaluation of the training and deployment of pharmacy assistants (PAs) to rural health centers in Malawi. METHODS: A quasi-experimental design was used to compare access to medicines in two districts where newly trained PAs were deployed to health centers (intervention) and two districts with no trained PAs at health centers (comparison)...
September 11, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28889169/creating-rural-allied-health-leadership-structures-using-district-advisors-an-action-research-project-using-program-logic
#6
David Schmidt, Megan Kurtz, Stuart Davidson
BACKGROUND: District advisors in five allied health disciplines were introduced in a local health district in rural Australia in 2013. These strategic leadership roles provide support to clinicians and managers. As there is little research exploring allied health leadership models from a strategic and operational perspective, the coordinated commencement of these roles provided opportunity to study the creation of this leadership structure. METHODS: Four advisors participated in this action research study which used focus groups and program logic processes to explore the inputs, outputs, barriers, outcomes to date, and preferred future outcomes of the leadership model...
2017: Journal of Allied Health
https://www.readbyqxmd.com/read/28875767/applying-stated-preference-methods-to-improve-health-systems-in-sub-saharan-africa-a-systematic-review
#7
Lauren Brown, Ting-Hsuan Lee, Manuela De Allegri, Krishna Rao, John Fp Bridges
Sub-Saharan African health systems must balance shifting disease burdens with desires for robust institutions. Stated-preference methods have been applied extensively to elicit health care workers' preferences and priorities for rural practice. This systematic review characterizes the range of their applications to African health systems problems. Areas covered: A PRISMA protocol was submitted to PROSPERO. Six databases were queried for peer-reviewed articles using quantitative stated-preference methods to evaluate a health systems-related trade-off...
September 14, 2017: Expert Review of Pharmacoeconomics & Outcomes Research
https://www.readbyqxmd.com/read/28859003/a-rural-grow-your-own-strategy-building-providers-from-the-local-workforce
#8
Ingrid M Johnson
Rural health care leaders are increasingly tasked with the responsibility of providing health access to 21% of the national population with only 10% of the provider workforce. Provider recruitment strategies offering loan repayment have had some success in the short term but are less impactful at creating a long-term retention rate, unless the providers have an existing connection to either the community in which they are working or rural health care. Responding to these data, a demonstration project and study has been underway in Colorado to test a rural focused "grow your own" advanced practice registered nurse (APRN) model...
October 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/28851228/rural-multidisciplinary-training-opportunity-to-focus-on-interprofessional-rapport-building
#9
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/28834845/primary-care-residents-in-teaching-health-centers-their-intentions-to-practice-in-underserved-settings-after-residency-training
#10
Zohray Talib, Mariellen Malloy Jewers, Julia H Strasser, David K Popiel, Debora Goetz Goldberg, Candice Chen, Hayden Kepley, Fitzhugh Mullan, Marsha Regenstein
PURPOSE: To describe the residents who chose to train in teaching health centers (THCs), which are community-based ambulatory patient care sites that sponsor primary care residencies, and their intentions to practice in underserved settings. METHOD: The authors surveyed all THC residents training in academic years 2013-2014, 2014-2015, and 2015-2016, comparing their demographic characteristics with data available for residents nationally, and examined THC residents' intentions to practice in underserved settings using logistic regression analysis...
August 22, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
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
#11
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
#12
Fiona Brooke
No abstract text is available yet for this article.
August 2017: Australian Journal of Rural Health
https://www.readbyqxmd.com/read/28806895/expanding-the-mental-health-workforce-in-china-narrowing-the-mental-health-service-gap
#13
Xinran Hu, Robert Rohrbaugh, Qijian Deng, Qingnan He, Kelley F Munger, Zhening Liu
There is a significant gap between mental health service coverage and the need for these services in China. In particular, workforce shortages impair several aspects of China's national mental health service system, including access to timely diagnosis and treatment in rural areas, expansion of general hospital psychiatric consultation-liaison services, and leadership in establishing a collaborative stepped-care system. This column focuses on China's ongoing efforts to develop its mental health workforce to ensure a sustainable supply of psychiatrists and allied mental health professionals...
August 15, 2017: Psychiatric Services: a Journal of the American Psychiatric Association
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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