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Rural Health Workforce

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https://www.readbyqxmd.com/read/28092967/disparities-in-dental-health-of-rural-australians-hospitalisation-rates-and-utilisation-of-public-dental-services-in-three-communities-in-north-queensland
#1
Karen Carlisle, Sarah Larkins, Felicity Croker
INTRODUCTION: The oral health of rural Australians continues to lag behind that of those living in metropolitan areas. Research has shown that people living in rural areas are more likely to suffer from dental caries (decay), visit the dentist less often and have poorer access to oral health services. The purpose of the study was to examine hospitalisations for dental conditions and utilisation of public dental services in three rural communities in Queensland compared with the whole of Queensland...
January 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28092220/using-teledentistry-in-clinical-practice-an-enabler-to-improve-access-to-oral-health-care-a-qualitative-systematic-review
#2
Michelle Irving, Rosemary Stewart, Heiko Spallek, Anthony Blinkhorn
Background Access to dental care is important for overall health, but can remain problematic for those in rural or isolated locations. It can be difficult to encourage clinicians to choose or continue a rural health career. Teledentistry is showing some promise as a strategy to support rural, isolated and new health care workers. This study aims to explore the quantitative and qualitative framework associated with teledentistry in an effort to uncover the interaction of multiple influences on its delivery and sustainability...
January 1, 2017: Journal of Telemedicine and Telecare
https://www.readbyqxmd.com/read/28076541/private-health-care-coverage-in-the-brazilian-population-according-to-the-2013-brazilian-national-health-survey
#3
Deborah Carvalho Malta, Sheila Rizzato Stopa, Cimar Azeredo Pereira, Célia Landmann Szwarcwald, Martha Oliveira, Arthur Chioro Dos Reis
This study aims to present the percentages of the Brazilian population holding health insurance plans, itemized by social-demographic characteristics, based on the data of the National Health Survey carried out in 2013, and to compare this information with the administrative data of the National Supplementary Health Agency for the same year. Data from the National Health Survey, and from the Beneficiaries Information System of the National Health Agency for the year 2013, were used. The percentage of people having a health plan was described according to stratification for: all of Brazil, urban/rural, Brazilian official Regions, Brazilian States and state capitals, gender, age group, level of schooling, position in the workforce, ethnic classification, and self-assessed state of health...
January 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28062811/moving-upstream-health-extension-and-primary-care
#4
Lyle J Fagnan
Health extension programs represent an opportunity for practice-based research networks (PBRNs) and primary care practices to develop collaborations reaching beyond the clinic walls to address the upstream social determinants of health and engage in community-based research. The Health Extension Regional Officers (HEROs) program at the University of New Mexico described in this issue of the JABFM is an innovative model with a bidirectional approach to linking academic health centers to community-based practices and organizations...
January 2017: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/28056975/impact-of-medical-student-origins-on-the-likelihood-of-ultimately-practicing-in-areas-of-low-vs-high-socio-economic-status
#5
Ian B Puddey, Denese E Playford, Annette Mercer
INTRODUCTION: Medical schools are in general over-represented by students from high socio-economic status backgrounds. The University of Western Australia Medical School has been progressively widening the participation of students from a broader spectrum of the community both through expanded selection criteria and quota-based approaches for students of rural, indigenous and other socio-educationally disadvantaged backgrounds. We proposed that medical students entering medical school from such backgrounds would ultimately be more likely to practice in areas of increased socio-economic disadvantage...
January 5, 2017: BMC Medical Education
https://www.readbyqxmd.com/read/28050999/retaining-health-workforce-in-rural-and-underserved-areas-of-india-what-works-and-what-doesn-t-a-critical-interpretative-synthesis
#6
REVIEW
Sonu Goel, Federica Angeli, Nidhi Bhatnagar, Neetu Singla, Manoj Grover, Hans Maarse
BACKGROUND: Human resource for health is critical in quality healthcare delivery. India, with a large rural population (68.8%), needs to urgently bridge the gaps in health workforce deployment between urban and rural areas. METHODS: We did a critical interpretative synthesis of the existing literature by using a predefined selection criteria to assess relevant manuscripts to identify the reasons for retaining the health workforce in rural and underserved areas. We discuss different strategies for retention of health workforce in rural areas on the basis of four major retention interventions, viz...
July 2016: National Medical Journal of India
https://www.readbyqxmd.com/read/28031305/qualitative-assessment-of-the-application-of-a-discrete-choice-experiment-with-community-health-workers-in-uganda-aligning-incentives-with-preferences
#7
Aurélie Brunie, Mario Chen, Angela Akol
BACKGROUND: Maximizing the benefits of community health worker (CHW) programs requires strategies for improving motivation, performance, and retention. Discrete choice experiments (DCE) are increasingly used to inform policy response to health workforce shortages in rural areas, and may be of value in the context of CHW programs. Participants are presented with pairs of hypothetical jobs that are described by job attributes with varying levels and are asked what their preferred job is within each pair...
December 23, 2016: Global Health, Science and Practice
https://www.readbyqxmd.com/read/28026142/thinking-families-a-study-of-the-characteristics-of%C3%A2-the-workforce-that-delivers-family-focussed-practice
#8
Melinda Goodyear, Darryl Maybery, Andrea Reupert, Rebecca Allchin, Cait Fraser, Sabin Fernbacher, Rose Cuff
Parenting with mental illness is not uncommon and is often associated with a range of challenges for parents, children, and the family unit. Family-focussed practice involves the provision of services to the wider family system, including children. While family-focussed practice is important to consumers and their families, adult mental health practitioners do not routinely discuss parenting or children with their clients, nor work closely with the whole family. In the present study, we aimed to examine the characteristics of practitioners from Australian adult mental health services associated with family-focussed practices...
December 27, 2016: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/27994491/physician-distribution-and-attrition-in-the-public-health-sector-of-ethiopia
#9
Tsion Assefa, Damen Haile Mariam, Wubegzier Mekonnen, Miliard Derbew, Wendimagegn Enbiale
BACKGROUND: Shortages and imbalances in physician workforce distribution between urban and rural and among the different regions in Ethiopia are enormous. However, with the recent rapid expansion in medical education training, it is expected that the country can make progress in physician workforce supply. Therefore, the aim of this study was to examine the distribution of physician workforce in Ethiopia and assess the role of retention mechanisms in the reduction of physician migration from the public health sector of Ethiopia...
2016: Risk Management and Healthcare Policy
https://www.readbyqxmd.com/read/27993961/support-and-performance-improvement-for-primary-health-care-workers-in-low-and-middle-income-countries-a-scoping-review-of-intervention-design-and-methods
#10
REVIEW
Ashwin Vasan, David C Mabey, Simran Chaudhri, Helen-Ann Brown Epstein, Stephen D Lawn
Primary health care workers (HCWs) in low- and middle-income settings (LMIC) often work in challenging conditions in remote, rural areas, in isolation from the rest of the health system and particularly specialist care. Much attention has been given to implementation of interventions to support quality and performance improvement for workers in such settings. However, little is known about the design of such initiatives and which approaches predominate, let alone those that are most effective. We aimed for a broad understanding of what distinguishes different approaches to primary HCW support and performance improvement and to clarify the existing evidence as well as gaps in evidence in order to inform decision-making and design of programs intended to support and improve the performance of health workers in these settings...
December 19, 2016: Health Policy and Planning
https://www.readbyqxmd.com/read/27968830/availability-and-use-of-primary-care-facilities-in-china-a-nationwide-representative-survey
#11
William C W Wong, Sunfang Jiang, Jason Ong, Minghui Peng, Eric Wan, Zhanshu Zhu, Cindy L K Lam, Michael Kidd, Martin Roland
BACKGROUND: China introduced a national policy to develop primary care in 2009, with 8669 community health centres (CHCs) established by 2014, employing more than 300 000 staff. However, against a background of the "barefoot doctor" legacy in rural China, mistrust of doctors, and over-reliance on specialist care, these facilities have been underused. This study aimed to evaluate the current quality of CHCs in China, including the organisation and infrastructure, as well as the use and training of the health-care professionals within primary care...
October 2016: Lancet
https://www.readbyqxmd.com/read/27968823/10-year-trends-in-the-production-and-attrition-of-chinese-medical-graduates-an-analysis-of-nationwide-data
#12
Selina S Lien, Russell O Kosik, Angela P Fan, Lei Huang, Xudong Zhao, Xiaojie Chang, Yuhwa Wang, Qi Chen
BACKGROUND: Over the past decade, China's systems of medical education and health care have undergone unprecedented reform. Despite these reforms, a trend of declining interest among medical graduates in pursuing careers in clinical practice has persisted. The aim of this analysis is to examine physician workforce production and attrition rates and use current trends to predict whether an adequate and equitable supply of physicians will exist in the future. METHODS: We analysed data about Chinese medical graduates and physicians in clinical practice between 2005 and 2015 using the Chinese National Health and Family Planning Commission reports and yearbooks published by the government of China and the Peking Union Medical College...
October 2016: Lancet
https://www.readbyqxmd.com/read/27931780/the-development-of-a-caseload-midwifery-service-in-rural-australia
#13
Tara Tran, Jo Longman, Jude Kornelsen, Lesley Barclay
PROBLEM: The past two decades have seen progressive decline in the number of rural birthing services across Australia. BACKGROUND: Despite health system pressures on small birthing units to close there have been examples of resistance and survival. AIM: This descriptive study explored the evolution of a rural birthing service in a small town to offer insight into the process of transition which may be helpful to other small healthcare services in rural Australia...
December 5, 2016: Women and Birth: Journal of the Australian College of Midwives
https://www.readbyqxmd.com/read/27928887/the-role-of-rural-nurse-managers-in-supporting-new-graduate-nurses-in-rural-practice
#14
Jackie Lea, Mary Cruickshank
AIM: To investigate the nature and timing of support available to new graduate nurses within a rural transition to practice programme. BACKGROUND: For new graduates in rural practice successful transition is complicated by the unique role of the rural nurse, staff ratios and resources within rural environments. Little is known about the support needs of graduates working in rural health services, or who is best placed to provide support during their transition. METHOD: This was a qualitative case study, using individual interviews with new graduate nurses at 3, 6 and 9 months milestones during a 12-month rural transition to practice programme plus interviews with experienced rural nurses who were employed in rural health agencies where the new graduate nurses were employed...
December 8, 2016: Journal of Nursing Management
https://www.readbyqxmd.com/read/27918401/establishing-a-viable-workforce-pipeline-of-primary-care-nurse-practitioners-benefits-of-a-health-system-and-academic-partnership
#15
Billie Madler, Mary Helland
Maldistribution and shortages of primary care providers, changing reimbursement structures, movement from inpatient to community-based models of care, an aging population, and health care reform lead to increased numbers of patients seeking care. All of these phenomena have a part in creating a health care landscape that requires industry leaders enlist innovative strategies to meet the health care needs of their communities. Delivery of high-quality, efficient care by qualified providers is essential for the success of any health care system...
January 2017: Nursing Administration Quarterly
https://www.readbyqxmd.com/read/27914487/factors-affecting-job-satisfaction-of-aboriginal-mental-health-workers-working-in-community-mental-health-in-rural-and-remote-new-south-wales
#16
Catherine Cosgrave, Myfanwy Maple, Rafat Hussain
Objective The aim of the present study was to identify factors affecting the job satisfaction and subsequent retention of Aboriginal mental health workers (AMHWs).Methods Five AMHWs working in New South Wales (NSW) for NSW Health in rural and remote community mental health (CMH) services participated in in-depth, semi-structured interviews to understand how employment and rural living factors affected workers' decisions to stay or leave their CMH positions.Results Using a constructivist grounded theory analysis, three aspects negatively impacting the job satisfaction of AMHWs were identified: (1) difficulties being accepted into the team and organisation; (2) culturally specific work challenges; and (3) professional differences and inequality...
December 5, 2016: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/27903297/variability-of-staffing-and-staff-mix-across-acute-care-units-in-alberta-canada
#17
Krishna Sharma, Stephanie E Hastings, Esther Suter, Judy Bloom
BACKGROUND: The health workforce has a crucial position in healthcare, and effective distribution of the workforce is one of the critical areas for healthcare improvement. This requires a proper understanding of the allocation of healthcare providers including staffing levels and staffing variability within a healthcare system. High variability may imply significant differences in outcomes and greater opportunity to better distribute staffing and improve patient outcomes. The objective of this study was to examine staffing variation across acute care units in a large and integrated healthcare system...
December 1, 2016: Human Resources for Health
https://www.readbyqxmd.com/read/27899109/challenges-for-strengthening-the-health-workforce-in-the-lao-people-s-democratic-republic-perspectives-from-key-stakeholders
#18
Yi Qian, Fei Yan, Wei Wang, Shayna Clancy, Kongsap Akkhavong, Manithong Vonglokham, Somphou Outhensackda, Truls Østbye
BACKGROUND: The Lao People's Democratic Republic is facing a critical shortage and maldistribution of health workers. Strengthening of the health workforce has been adopted as one of the five priorities of the National Health Sector Strategy (2013-2025). This study aims to identify, explore, and better understand the key challenges for strengthening the Laotian health workforce. METHODS: This study applied exploratory and descriptive qualitative methods and adapted a working life-span framework...
November 29, 2016: Human Resources for Health
https://www.readbyqxmd.com/read/27884186/general-practitioners-in-german-metropolitan-areas-distribution-patterns-and-their-relationship-with-area-level-measures-of-the-socioeconomic-status
#19
Jan Bauer, Doerthe Brueggmann, Daniela Ohlendorf, David A Groneberg
BACKGROUND: Geographical variation of the general practitioner (GP) workforce is known between rural and urban areas. However, data about the variation between and within urban areas are lacking. METHOD: We analyzed distribution patterns of GP full time equivalents (FTE) in German cities with a population size of more than 500,000. We correlated their distribution with area measures of social deprivation in order to analyze preferences within neighborhood characteristics...
November 25, 2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27884056/community-assets-and-capabilities-to-recruit-and-retain-gps-the-community-apgar-questionnaire-in-rural-victoria
#20
Daniel R Terry, Ed Baker, David F Schmitz
INTRODUCTION: Rural communities continue to experience significant challenges recruiting and retaining physicians. The Community Apgar Questionnaire (CAQ) was developed in Idaho in the USA to comprehensively assess the characteristics associated with successful recruitment and retention of rural physicians. The CAQ has been utilised and validated across the USA; however, its value in rural Australia has not been examined. The objective of this study was to use the CAQ in rural Australia to examine its utility and develop a greater understanding of the community factors that impact general practitioner (GP) recruitment and retention...
October 2016: Rural and Remote Health
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