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Rural Health Workforce

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https://www.readbyqxmd.com/read/29149314/how-the-introduction-of-a-human-resources-information-system-helped-the-democratic-republic-of-congo-to-mobilise-domestic-resources-for-an-improved-health-workforce
#1
Jean-Robert Likofata Esanga, Claire Viadro, Leah McManus, Jennifer Wesson, Nicaise Matoko, Epiphane Ngumbu, Kate E Gilroy, Daren Trudeau
The Democratic Republic of Congo has flagged health workforce management and compensation as issues requiring attention, including the problem of ghost workers (individuals on payroll who do not exist and/or show up at work). Recognising the need for reliable health workforce information, the government has worked to implement iHRIS, an open source human resources information system that facilitates health workforce management. In Kasaï Central and Kasaï Provinces, health workers brought relevant documentation to data collection points, where trained teams interviewed them and entered contact information, identification, photo, current job, and employment and education history into iHRIS on laptops...
November 1, 2017: Health Policy and Planning
https://www.readbyqxmd.com/read/29141187/factors-associated-with-final-year-nursing-students-desire-to-work-in-the-primary-health-care-setting-findings-from-a-national-cross-sectional-survey
#2
Jacqueline G Bloomfield, Christina Aggar, Tamsin H T Thomas, Christopher J Gordon
BACKGROUND: Registered nurses are under-represented in the primary health care setting both internationally and in Australia, and this shortage is predicted to worsen. To address the increasingly complex healthcare needs of an ageing population, it is vital to develop and sustain a primary health care nursing workforce, yet attracting nurses is challenging. In Australia, registered nurses graduating from university typically commence their careers in hospital-based transition to professional practice programs...
October 23, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/29137508/health-professional-education-and-universal-health-coverage-a-summary-of-challenges-and-selected-case-studies
#3
Arthika Sripathy, Joachim Marti, Hannah Patel, Javaid I Sheikh, Ara W Darzi
Low- and middle-income countries are experiencing serious shortages in meeting health workforce requirements for universal health coverage. We examine how national-level policies can address these deficiencies and support the development of an appropriately skilled health workforce in line with population needs. We discuss three innovative, government-led solutions that are designed to align health workforce training with the demands of universal health coverage. Specifically, we discuss two initiatives to train and retain doctors in rural areas of Thailand, the large-scale training of community health workers within multidisciplinary primary health care teams in Brazil, and the introduction of a postgraduate diploma program in primary care for nurses in India...
November 2017: Health Affairs
https://www.readbyqxmd.com/read/29135781/defining-rurality-in-medicare-administrative-data
#4
John E Snyder, Matthew Jensen, Nguyen X Nguyen, Clara E Filice, Karen E Joynt
Rural beneficiaries make up nearly one quarter of the Medicare population, yet rural providers and patients face specific challenges with health and health care delivery that remain inadequately understood. Health disparities between rural and urban residents are widespread, barriers to health care in rural communities persist, and the rural health care workforce is limited. To better understand and track the relationship between rurality and performance under Medicare's payment programs, researchers must be able to identify rural beneficiaries, providers, and hospitals...
December 2017: Medical Care
https://www.readbyqxmd.com/read/29115979/common-oral-conditions-and-correlates-an-oral-health-survey-in-kwara-state-nigeria
#5
Abiola O Tobin, Ikeoluwapo O Ajayi
BACKGROUND: Oral diseases are one of the most prevalent health problems today with distribution and severity varying in different parts of the world and within the same country. Oral health surveys are needed to determine prevalence of oral conditions and the nature and urgency of oral health interventions. A modified version of World Health Organisation pathfinder survey methods was used to determine prevalence of oral conditions amongst 150 respondents in two local government areas in Kwara State, Nigeria...
November 7, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/29110272/impact-of-county-rurality-and-urologist-density-on-the-practice-of-inguinal-lymph-node-dissection-and-mortality-in-patients-diagnosed-with-squamous-cell-carcinoma-of-the-penis
#6
Michael Romanelli, Tariq Issa, Whitney Zahnd, Danuta Dynda, Shaheen Alanee
BACKGROUND: Inguinal lymphadenectomy (LND) is influential in reducing the mortality of squamous cell carcinoma of the penis (SCCP). We investigated the impact of urologic workforce density (UD) and rural residence (RR) on the practice of LND and mortality of SCCP (SCCP-RM). MATERIALS AND METHODS: UD was determined from the 2014 to 2015 Area Health Resource File data, while RR was determined using the 2003 rural-urban continuum codes. All cases of SCCP within the surveillance, epidemiology, and end results 18 registry with known county codes were used for analysis (n = 2863)...
November 6, 2017: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/29100142/determining-geographic-accessibility-of-family-physician-and-nurse-practitioner-services-in-relation-to-the-distribution-of-seniors-within-two-canadian-prairie-provinces
#7
Tayyab Ikram Shah, Stephan Milosavljevic, Brenna Bath
Equitable access and distribution of health care services for rural and remote populations is a substantial challenge for health workforce planners and policy makers. Geospatial examination of access to health care considers both need and supply dimensions together to determine spatial access scores which contribute to a greater understanding of potential inequity in accessibility. This geospatial investigation explores geographic variation in accessibility to primary health care services utilizing combined access scores for family physicians and nurse practitioner services in urban and rural communities in the Canadian Prairie provinces of Saskatchewan and Alberta...
October 19, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/29091738/the-evolution-of-the-community-health-worker-program-in-papua-new-guinea
#8
Cathy L Pilang, Marion A Gray, Florin I Oprescu
New Guinea (PNG) has a special history in regard to the training of Community Health Workers (CHWs) and is currently preparing its frontline health workforce to serve the 85% of the total PNG population of 7.3 million people who live in rural and remote settings. This article identifies and explains the five major developmental stages in the current CHW training program, as well as the changes that have occurred over the past century. The developmental stages are: (1) traditional; (2) early contact; (3) innovation; (4) the 1980s; and (5) new millennium...
October 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/29084119/high-performing-local-health-departments-relate-their-experiences-at-community-engagement-in-emergency-preparedness
#9
Monica Schoch-Spana, Sanjana Ravi, Diane Meyer, Laura Biesiadecki, Geoffrey Mwaungulu
CONTEXT: Local health departments (LHDs) are implementing a national mandate to engage community partners, including individuals, businesses, and community- and faith-based organizations in the larger public health emergency preparedness (PHEP) enterprise. OBJECTIVE: Investigate how LHDs of varying size and resource levels successfully engage the community in PHEP to help uncover "best practices" that aspiring agencies can replicate, particularly in low-resource environments...
October 27, 2017: Journal of Public Health Management and Practice: JPHMP
https://www.readbyqxmd.com/read/29071335/prevalence-of-untreated-surgical-conditions-in-rural-rwanda-a-population-based-cross-sectional-study-in-burera-district
#10
Rebecca G Maine, Allison F Linden, Robert Riviello, Emmanuel Kamanzi, Gita N Mody, Georges Ntakiyiruta, Grace Kansayisa, Edmond Ntaganda, Francine Niyonkuru, Joel M Mubiligi, Tharcisse Mpunga, John G Meara, Bethany L Hedt-Gauthier
Importance: In low- and middle-income countries, community-level surgical epidemiology is largely undefined. Accurate community-level surgical epidemiology is necessary for surgical health systems planning. Objective: To determine the prevalence of surgical conditions in Burera District, Northern Province, Rwanda. Design, Setting, and Participants: A cross-sectional study with a 2-stage cluster sample design (at village and household level) was carried out in Burera District in March and May 2012...
October 25, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/29058344/identifying-variability-in-patient-characteristics-and-prevalence-of-emergency-department-utilization-for-mental-health-diagnoses-in-rural-and-urban-communities
#11
Shawnda M Schroeder, Mandi-Leigh Peterson
PURPOSE: In order to redirect at-risk patients to more appropriate, cost-effective behavioral health care, research must identify the prevalence, and common characteristics, of patients presenting to the emergency department (ED) for mental disorders. QUESTION: Are large, small, and/or isolated rural patients presenting to the ED for mental disorders in greater proportion than urban ED patients? METHODS: Analyses included data from the Health Care Cost and Utilization Project State Emergency Department Databases (2013) provided by 7 states, covering all Census regions...
October 23, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/29057317/steering-an-idea-in-undergraduate-research-at-a-rural-research-intensive-university
#12
Donald A Sens, Karen L Cisek, Scott H Garrett, Seema Somji, Jane R Dunlevy, Mary Ann Sens, Pat Conway, Van A Doze
This study documents outcomes, including student career choices, of the North Dakota Institutional Development Award Networks of Biomedical Research Excellence program that provides 10-week, summer undergraduate research experiences at the University of North Dakota School of Medicine and Health Sciences. Program evaluation initiated in 2008 and, to date, 335 students have completed the program. Of the 335, 214 students have successfully completed their bachelor's degree, 102 are still undergraduates, and 19 either did not complete a bachelor's degree or were lost to follow-up...
January 2017: Acad Pathol
https://www.readbyqxmd.com/read/29037550/temporal-availability-of-obstetrics-and-gynecology-clinics-in-taiwan-a-nationwide-survey
#13
Wei-Ting Chang, Hsin-I Leu, Huang-Pin Chen, Ming-Hwai Lin, Tzeng-Ji Chen, Shinn-Jang Hwang, Li-Fang Chou, Peng-Hui Wang
OBJECTIVE: Obstetrician-gynecologists are the main providers of women's healthcare. However, workforce shortages and excessive workloads among these providers have been encountered in many countries. While most past studies on this subject have investigated the spatial distribution of obstetrics-gynecology clinics, few have focused on their temporal availability, especially on the national level. MATERIALS AND METHODS: The weekly opening time schedules (divided into morning, afternoon, and evening sessions) of all obstetrics-gynecology clinics in Taiwan were extracted from the web site of Taiwan's National Health Insurance Administration in July 2015...
October 2017: Taiwanese Journal of Obstetrics & Gynecology
https://www.readbyqxmd.com/read/29026060/unmet-needs-in-health-training-among-nurses-in-rural-chinese-township-health-centers-a-cross-sectional-hospital-based-study
#14
Yan Mo, Guijie Hu, Yanhua Yi, Yanping Ying, Huiqiao Huang, Zhongxian Huang, Jiafeng Lin
Purpose: Maintaining a sufficient and competent rural nursing workforce is important in Chinese health delivery system. However, few studies have involved in the health training status and needs assessment of rural Chinese nurses in great transformations of health policy. This study is to explore the current health training status and to ascertain needs perceived by nurses working in rural Chinese township health centers (THCs). Methods: A cross-sectional survey using a self-administered structured questionnaire was conducted to 240 THC nurses in Guangxi Zhuang Autonomous region, China from March 2014 to August 2014...
October 4, 2017: Journal of Educational Evaluation for Health Professions
https://www.readbyqxmd.com/read/28991030/educational-model-to-increase-the-number-and-diversity-of-rn-to-bsn-graduates-from-a-resource-limited-rural-community
#15
Janice E Hawkins, Lynn L Wiles, Karen Karlowicz, Kimberly Adams Tufts
Increasing the number of BSN-prepared nurses at the bedside is directly linked to improved health care outcomes. However, employers are challenged to find enough BSN graduates to meet workforce demands. This article presents an educational model that uses evidence-based practices to increase enrollment, retention, and graduation rates of RN students in a BSN program (RN-BSN) in a resource limited rural community. This exemplar may equip nurse educators with strategies to adopt in their own communities.
October 5, 2017: Nurse Educator
https://www.readbyqxmd.com/read/28983431/evaluation-of-policy-options-for-increasing-the-availability-of-primary-care-services-in-rural-washington-state
#16
Mark W Friedberg, Grant R Martsolf, Chapin White, David I Auerbach, Ryan Kandrack, Rachel O Reid, Emily Butcher, Hao Yu, Simon Hollands, Xiaoyu Nie
The Washington State legislature has recently considered several policy options to address a perceived shortage of primary care physicians in rural Washington. These policy options include opening the new Elson S. Floyd College of Medicine at Washington State University in 2017; increasing the number of primary care residency positions in the state; expanding educational loan-repayment incentives to encourage primary care physicians to practice in rural Washington; increasing Medicaid payment rates for primary care physicians in rural Washington; and encouraging the adoption of alternative models of primary care, such as medical homes and nurse-managed health centers, that reallocate work from physicians to nurse practitioners (NPs) and physician assistants (PAs)...
January 2017: Rand Health Quarterly
https://www.readbyqxmd.com/read/28982194/perceived-needs-of-health-tutors-in-rural-and-urban-health-training-institutions-in-ghana-implications-for-health-sector-staff-internal-migration-control
#17
Robert Kaba Alhassan, Christopher B Beyere, Edward Nketiah-Amponsah, Prudence P Mwini-Nyaledzigbor
BACKGROUND: The population of Ghana is increasingly becoming urbanized with about 70% of the estimated 27 million people living in urban and peri-urban areas. Nonetheless, eight out of the ten regions in Ghana remain predominantly rural where only 32% of the national health sector workforce works. Moreover, the rural-urban disparities in the density of health tutors (staff responsible for pre-service training of health professionals) are enormous. This paper explores perceived needs of health tutors in rural and urban health training institutions in Ghana...
2017: PloS One
https://www.readbyqxmd.com/read/28979986/geographic-diffusion-and-implementation-of-acute-care-surgery-an-uneven-solution-to-the-national-emergency-general-surgery-crisis
#18
Jasmine A Khubchandani, Angela M Ingraham, Vijaya T Daniel, Didem Ayturk, Catarina I Kiefe, Heena P Santry
Importance: Owing to lack of adequate emergency care infrastructure and decline in general surgery workforce, the United States faces a crisis in access to emergency general surgery (EGS) care. Acute care surgery (ACS), an organized system of trauma, general surgery, and critical care, is a proposed solution; however, ACS diffusion remains poorly understood. Objective: To investigate geographic diffusion of ACS models of care and characterize the communities in which ACS implementation is lagging...
October 4, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28976267/chronic-disease-and-health-risk-behaviors-among-rural-agricultural-workforce-in-queensland
#19
Janani Pinidiyapathirage, Megan O'Shannessy, Jane Harte, Susan Brumby, Scott Kitchener
INTRODUCTION: Little is known of the lifestyle behaviors and prevalence of chronic disease in the Australian agricultural workforce. This study aimed to assess behavioral risk factors and the prevalence of chronic disease among attendees of agricultural events in rural Queensland. METHODS: Data on lifestyle risk factors and prevalence of diabetes and cardiovascular diseases were collected from participants in four separate cross-sectional studies in rural southern Queensland...
October 4, 2017: Journal of Agromedicine
https://www.readbyqxmd.com/read/28973137/the-never-ending-road-improving-adapting-and-refining-a-needs-based-model-to-estimate-future-general-practitioner-requirements-in-two-australian-states
#20
Caroline O Laurence, Troy Heywood, Janice Bell, Kaye Atkinson, Jonathan Karnon
Background: Health workforce planning models have been developed to estimate the future health workforce requirements for a population whom they serve and have been used to inform policy decisions. Objectives: To adapt and further develop a need-based GP workforce simulation model to incorporate current and estimated geographic distribution of patients and GPs. Methods: A need-based simulation model that estimates the supply of GPs and levels of services required in South Australia (SA) was adapted and applied to the Western Australian (WA) workforce...
September 8, 2017: Family Practice
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