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Rural Health Workforce

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https://www.readbyqxmd.com/read/28724005/human-resources-for-health-global-crisis-and-international-cooperation
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
#8
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
https://www.readbyqxmd.com/read/28673089/rural-collaborative-model-for-diabetes-prevention-and-management-a-case-study
#9
Susan Kunz, Maia Ingram, Rosalinda Piper, Tianne Wu, Nina Litton, Joanne Brady, Alana Knudson
Diabetes disproportionately affects racial and ethnic minorities, rural, and impoverished populations. This case study describes the program components and key lessons learned from implementing Vivir Mejor! (Live Better!), a diabetes prevention and management program tailored for the rural, Mexican American population. The program used workforce innovations and multisector partnerships to engage and activate a rural, mostly Hispanic population. Community health worker (CHW) roles were designed to reach and support distinct populations...
June 1, 2017: Health Promotion Practice
https://www.readbyqxmd.com/read/28666449/impact-of-health-workforce-availability-on-health-care-seeking-behavior-of-patients-with-diabetes-mellitus-in-china
#10
Yinzi Jin, Weiming Zhu, Beibei Yuan, Qingyue Meng
BACKGROUND: China has a high burden of diabetes mellitus (DM), and a large proportion of DM patients remain untreated for various reasons, including low availability of primary health care providers. DM patient management is one of the priorities in China's national essential public health programs. Shortage of health workforce has been a major barrier to improving access to health care for DM patients. This study examines the impact of the health workforce on outpatient utilization of DM patients...
July 1, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28633647/meeting-the-oral-health-needs-of-12-year-olds-in-china-human-resources-for-oral-health
#11
Xiangyu Sun, Eduardo Bernabé, Xuenan Liu, Shuguo Zheng, Jennifer E Gallagher
BACKGROUND: An appropriate level of human resources for oral health [HROH] is required to meet the oral health needs of population, and enable maximum improvement in health outcomes. The aim of this study was to estimate the required HROH to meet the oral health needs of the World Health Organization [WHO] reference group of 12-year-olds in China and consider the implications for education, practice, policy and HROH nationally. METHODS: We estimated the need of HROH to meet the needs of 12-year-olds based on secondary analysis of the epidemiological and questionnaire data from the 3rd Chinese National Oral Health Survey, including caries experience and periodontal factors (calculus), dentally-related behaviour (frequency of toothbrushing and sugar intake), and social factors (parental education)...
June 20, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28618208/experiences-of-registered-nurses-transitioning-from-employment-in-acute-care-to-primary-health-care-quantitative-findings-from-a-mixed-methods-study
#12
Christine Ashley, Elizabeth Halcomb, Angela Brown, Kath Peters
AIM: To describe the experiences of registered nurses who transition from acute to primary health care (PHC) employment. BACKGROUND: Internationally the provision of health care in PHC settings is increasing. Nurses are moving from acute care employment to meet the growing demand for a PHC workforce. However, little is known about the transition experiences of these nurses. DESIGN: A sequential mixed methods study comprising a survey, and semi-structured interviews...
June 15, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28614465/implementation-strategy-for-advanced-practice-nursing-in-primary-health-care-in-latin-america-and-the-caribbean
#13
David Oldenburger, Silvia Helena De Bortoli Cassiani, Denise Bryant-Lukosius, Ruta Kristina Valaitis, Andrea Baumann, Joyce Pulcini, Ruth Martin-Misener
SYNOPSIS Advanced practice nursing (APN) is a term used to describe a variety of possible nursing roles operating at an advanced level of practice. Historically, APN roles haves evolved informally, out of the need to improve access to health care services for at-risk and disadvantaged populations and for those living in underserved rural and remote communities. To address health needs, especially ones related to primary health care, nurses acquired additional skills through practice experience, and over time they developed an expanded scope of practice...
June 8, 2017: Revista Panamericana de Salud Pública, Pan American Journal of Public Health
https://www.readbyqxmd.com/read/28607241/composition-and-distribution-of-the-health-workforce-in-india-estimates-based-on-data-from-the-national-sample-survey
#14
Krishna D Rao, Renu Shahrawat, Aarushi Bhatnagar
BACKGROUND: The availability of reliable and comprehensive information on the health workforce is crucial for workforce planning. In India, routine information sources on the health workforce are incomplete and unreliable. This paper addresses this issue and provides a comprehensive picture of India's health workforce. METHODS: Data from the 68th round (July 2011 to June 2012) of the National Sample Survey on the Employment and unemployment situation in India were analysed to produce estimates of the health workforce in India...
September 2016: WHO South-East Asia Journal of Public Health
https://www.readbyqxmd.com/read/28597874/evaluation-of-an-extracurricular-program-for-students-interested-in-rural-and-public-health
#15
Do-Hwan Kim, Ah Reum An, Eun Jeong Kim, Jong-Koo Lee, Seung-Hee Lee
PURPOSE: The problem regarding the geographic imbalance of the physician workforce has been a long-standing problem in South Korea. Additionally, rural medicine and public health have been marginalized across whole undergraduate curriculums. The aim of this study was to evaluate the effectiveness of an extracurricular program targeting medical students interested in rural and public health. METHODS: A 2-day extracurricular program was held twice in 2015 and 2016...
June 2017: Korean Journal of Medical Education
https://www.readbyqxmd.com/read/28589011/modelling-the-health-and-economic-impacts-of-the-elimination-of-river-blindness-onchocerciasis-in-africa
#16
Young Eun Kim, Wilma A Stolk, Marcel Tanner, Fabrizio Tediosi
BACKGROUND: Onchocerciasis (river blindness) is endemic mostly in remote and rural areas in sub-Saharan Africa. The treatment goal for onchocerciasis has shifted from control to elimination in Africa. For investment decisions, national and global policymakers need evidence on benefits, costs and risks of elimination initiatives. METHODS: We estimated the health benefits using a dynamical transmission model, and the needs for health workforce and outpatient services for elimination strategies in comparison to a control mode...
March 2017: BMJ Global Health
https://www.readbyqxmd.com/read/28588976/the-how-project-understanding-contextual-challenges-to-global-surgical-care-provision-in-low-resource-settings
#17
Nakul P Raykar, Rachel R Yorlets, Charles Liu, Roberta Goldman, Sarah L M Greenberg, Meera Kotagal, Paul E Farmer, John G Meara, Nobhojit Roy, Rowan D Gillies
INTRODUCTION: 5 billion people around the world do not have access to safe, affordable, timely surgical care. This series of qualitative interviews was launched by The Lancet Commission on Global Surgery (LCoGS) with the aim of understanding the contextual challenges-the specific circumstances-faced by surgical care providers in low-resource settings who care for impoverished patients, and how those providers overcome these challenges. METHODS: From January 2014 to February 2015, 20 LCoGS collaborators conducted semistructured interviews with 148 surgical providers in low-resource settings in 21 countries...
November 2016: BMJ Global Health
https://www.readbyqxmd.com/read/28580824/addressing-health-workforce-inequities-in-the-mindanao-regions-of-the-philippines-tracer-study-of-graduates-from-a-socially-accountable-community-engaged-medical-school-and-graduates-from-a-conventional-medical-school
#18
Servando 'Ben' Halili, Fortunato Cristobal, Torres Woolley, Simone J Ross, Carole Reeve, A-J Neusy
Developing and retaining a high-quality medical workforce in low-resource countries is a worldwide challenge. The Filipino Ateneo de Zamboanga University-School of Medicine (ADZU-SOM) has adopted a strong focus on socially accountable health professional education (SAHPE) in order to address the shortage of physicians across rural and urban communities in the Western Mindanao region. A cross-sectional survey of graduates from two Philippines medical schools: ADZU-SOM in the Mindanao region and a medical school with a more conventional curriculum, found ADZU-SOM graduates were more likely to have joined the medical profession due to a desire to help others (p = 0...
June 5, 2017: Medical Teacher
https://www.readbyqxmd.com/read/28564547/challenges-to-the-provision-of-community-aged-care-services-across-rural-australia-perceptions-of-service-managers
#19
Pauline Savy, Jeni Warburton, Suzanne Hodgkin
INTRODUCTION: The Australian community aged care sector is facing a growing workforce crisis, particularly in rural and regional areas. Its predominantly female workforce is ageing, and recruiting younger, skilled workers is proving difficult. The service sector, too, is proving highly complex and diverse as a result of contemporary aged care service reforms as well as ongoing difficulties in providing services to the growing numbers of older people living in Australia's rural areas. Despite these multiple challenges, there is a gap in research that explores how rural aged care services manage their day-to-day requirements for skilled workers across the diverse service sector...
April 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28561864/longitudinal-tracking-of-workplace-outcomes-for-undergraduate-allied-health-students-undertaking-placements-in-rural-australia
#20
Leanne Brown, Tony Smith, Luke Wakely, Rebecca Wolfgang, Alexandra Little, Julie Burrows
Creating positive experiences in rural practice at the undergraduate level can influence allied health students' attitudes to working rurally. This study aimed to evaluate allied health students' experiences of their short-term, medium-term, or long-term rural placement and to follow their career outcomes. METHODS: The study used a mixed-methods design that utilised qualitative and quantitative data. Students from six allied health degree programs undertaking placements in Tamworth and Taree were invited to participate...
2017: Journal of Allied Health
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