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Rural Health Workforce

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https://www.readbyqxmd.com/read/27918401/establishing-a-viable-workforce-pipeline-of-primary-care-nurse-practitioners-benefits-of-a-health-system-and-academic-partnership
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
https://www.readbyqxmd.com/read/27863499/what-do-health-workers-in-timor-leste-want-know-and-do-findings-from-a-national-health-labour-market-survey
#7
Xiaohui Hou, Sophie Witter, Rashid U Zaman, Kay Engelhardt, Firdaus Hafidz, Fernanda Julia, Christophe Lemiere, Eileen B Sullivan, Estanislau Saldanha, Toomas Palu, Tomas Lievens
BACKGROUND: The objectives of this study were to understand the labour market dynamics among health workers, including their preferences and concerns, and to assess the skills, competence and performance (i.e. the 'know-do gap') of doctors working in Timor-Leste. METHODS: This cross-sectional survey was implemented in all 13 districts of Timor-Leste in 2014. We surveyed 443 health workers, including 175 doctors, 150 nurses and 118 midwives (about 20% of the health workers in the country)...
November 18, 2016: Human Resources for Health
https://www.readbyqxmd.com/read/27846242/understanding-health-workers-job-preferences-to-improve-rural-retention-in-timor-leste-findings-from-a-discrete-choice-experiment
#8
Marc-Francois Smitz, Sophie Witter, Christophe Lemiere, Patrick Hoang-Vu Eozenou, Tomas Lievens, Rashid U Zaman, Kay Engelhardt, Xiaohui Hou
BACKGROUND: Timor-Leste built its health workforce up from extremely low levels after its war of independence, with the assistance of Cuban training, but faces challenges as the first cohorts of doctors will shortly be freed from their contracts with government. Retaining doctors, nurses and midwives in remote areas requires a good understanding of health worker preferences. METHODS: The article reports on a discrete choice experiment (DCE) carried out amongst 441 health workers, including 173 doctors, 150 nurses and 118 midwives...
2016: PloS One
https://www.readbyqxmd.com/read/27843857/attitude-of-would-be-medical-graduates-toward-rural-health-services-an-assessment-from-government-medical-colleges-in-chhattisgarh
#9
Meeta Jain, Shubhra Agrawal Gupta, Anil Kumar Gupta, Pritam Roy
BACKGROUND: Understanding the attitude toward rural health care among future medical graduates, the health workforce of the near future, is an important exercise. OBJECTIVE: The objective of this study is to understand the attitude of third year MBBS students in a Government Medical College of Chhattisgarh toward rural health services. METHODOLOGY: A cross-sectional study was conducted in 2014 using a semi-open-ended questionnaire. The analysis was primarily descriptive, and nonparametric test of significance was used...
April 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/27818424/health-care-eligibility-and-availability-and-health-care-reform-are-we-addressing-rural-women-s-barriers-to-accessing-care
#10
Kristine Zimmermann, Leslie R Carnahan, Ellen Paulsey, Yamile Molina
BACKGROUND: Rural populations in the U.S. face numerous barriers to health care access. The Patient Protection and Affordable Care Act (PPACA) was developed in part to reduce health care access barriers. We report rural women's access barriers and the PPACA elements that address these barriers as well as potential gaps. METHODS: For this qualitative study, we analyzed two datasets using a common framework. We used content analysis to understand rural, focus group participants' access barriers prior to PPACA implementation...
2016: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/27818416/the-benefits-of-physician-training-programs-for-rural-communities-lessons-learned-from-the-teaching-health-center-graduate-medical-education-program
#11
Marshala Lee, Helen Newton, Tracey Smith, Malena Crawford, Hayden Kepley, Marsha Regenstein, Candice Chen
Rural communities disproportionately face preventable chronic diseases and death from treatable conditions. Health workforce shortages contribute to limited health care access and health disparities. Efforts to address workforce shortages have included establishing graduate medical education programs with the goal of recruiting and retaining physicians in the communities in which they train. However, rural communities face a number of challenges in developing and maintaining successful residency programs, including concerns over financial sustainability and the integration of resident trainees into existing clinical practices...
2016: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/27809957/profile-of-1-year-of-fieldwork-experiences-for-undergraduate-occupational-therapy-students-from-a-large-regional-australian-university
#12
Lynette Mackenzie, Gjyn O'Toole
Objective Fieldwork experience is a significant component of many health professional education programs and affects future practice for graduates. The present study used self-reported student data to produce a profile of undergraduate student placement experiences.Methods Cross-sectional surveys exploring placement location, setting and client types, models of supervision, interventions and financial costs were completed by students following each placement. Data were analysed using descriptive analysis.Results Placements were predominantly conducted outside capital cities (69...
November 4, 2016: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/27804091/selecting-for-a-sustainable-workforce-to-meet-the-future-healthcare-needs-of-rural-communities-in-australia
#13
M Hay, A M Mercer, I Lichtwark, S Tran, W C Hodgson, H T Aretz, E G Armstrong, D Gorman
An undersupply of generalists doctors in rural communities globally led to widening participation (WP) initiatives to increase the proportion of rural origin medical students. In 2002 the Australian Government mandated that 25% of commencing Australian medical students be of rural origin. Meeting this target has largely been achieved through reduced standards of entry for rural relative to urban applicants. This initiative is based on the assumption that rural origin students will succeed during training, and return to practice in rural locations...
November 1, 2016: Advances in Health Sciences Education: Theory and Practice
https://www.readbyqxmd.com/read/27797293/the-impact-of-socially-accountable-health-professional-education-a-systematic-review-of-the-literature
#14
Carole Reeve, Torres Woolley, Simone J Ross, Leila Mohammadi, Servando Ben Halili, Fortunato Cristobal, Jusie Lydia J Siega-Sur, A-J Neusy
This literature review describes the impact of health professional schools with a social accountability mandate by identifying characteristics of medical education found to impact positively on medical students, health workforce, and health outcomes of disadvantaged communities. A critical appraisal tool was used to identify the strengths and weaknesses of the published articles. Data are presented as a narrative synthesis due to the variety of methodologies in the studies, and characterized using a logic model...
October 31, 2016: Medical Teacher
https://www.readbyqxmd.com/read/27790532/living-with-amputation-anxiety-and-depression-correlates
#15
Sukriti Bhutani, Jaikrit Bhutani, Anurag Chhabra, Rajesh Uppal
INTRODUCTION: Trauma accounts for 16% of the total burden of disease in the world, making it a leading cause of morbidity and mortality especially in the developing nations. India represents about 10% (225million) of the total world workforce in agriculture. With the evolution of new machinery and better techniques of agriculture, there has been a substantial increase in the associated injuries. Depression, anxiety and post-traumatic stress are among the predictors of poor quality of life (QOL)...
September 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27769312/community-health-worker-in-hard-to-reach-rural-areas-of-myanmar-filling-primary-health-care-service-gaps
#16
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
https://www.readbyqxmd.com/read/27737728/surviving-or-thriving-in-the-primary-health-care-research-workforce-the-australian-experience
#17
Jodie Oliver-Baxter, Lynsey Brown, Ellen McIntyre
Primary healthcare research strives for high-quality, priority-driven research to inform policy and practice. This relies on a robust and sustainable workforce to tackle complex problems faced in primary health care locally and globally. The current study investigated characteristics, experiences and career paths of the Australian primary healthcare research workforce. Thirty-seven former Research Higher Degree students from University Departments of General Practice and Rural Health completed a survey. Number of provisions for researchers and career path clarity were associated with job satisfaction...
October 14, 2016: Australian Journal of Primary Health
https://www.readbyqxmd.com/read/27736626/improving-maternity-services-for-indigenous-women-in-australia-moving-from-policy-to-practice
#18
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
https://www.readbyqxmd.com/read/27731864/a-virtual-community-of-practice-for-general-practice-training-a-preimplementation-survey
#19
Stephen Barnett, Sandra C Jones, Sue Bennett, Don Iverson, Laura Robinson
BACKGROUND: Professional isolation is an important factor in low rural health workforce retention. OBJECTIVE: The aim of this study was to gain insights to inform the development of an implementation plan for a virtual community of practice (VCoP) for general practice (GP) training in regional Australia. The study also aimed to assess the applicability of the findings of an existing framework in developing this plan. This included ascertaining the main drivers of usage, or usefulness, of the VCoP for users and establishing the different priorities between user groups...
August 18, 2016: JMIR Medical Education
https://www.readbyqxmd.com/read/27724951/the-promise-and-the-reality-a-mental-health-workforce-perspective-on-technology-enhanced-youth-mental-health-service-delivery
#20
Simone Orlowski, Sharon Lawn, Ben Matthews, Anthony Venning, Kaisha Wyld, Gabrielle Jones, Megan Winsall, Gaston Antezana, Geoffrey Schrader, Niranjan Bidargaddi
BACKGROUND: Digital technologies show promise for reversing poor engagement of youth (16-24 years) with mental health services. In particular, mobile and internet based applications with communication capabilities can augment face-to-face mental health service provision. The literature in this field, however, fails to adequately capture the perspectives of the youth mental health workforce regarding utility and acceptability of technology for this purpose. METHODS: This paper describes results of in-depth qualitative data drawn from various stakeholders involved in provision of youth mental health services in one Australian rural region...
October 10, 2016: BMC Health Services Research
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