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https://www.readbyqxmd.com/read/29656565/rural-urban-differences-in-costs-of-end-of-life-care-for-the-last-6-months-of-life-among-patients-with-breast-lung-or-colorectal-cancer
#1
Elizabeth Crouch, Jan M Eberth, Janice C Probst, Kevin Bennett, Swann A Adams
PURPOSE: The purpose of this study was to examine rural-urban differences in utilization and expenditures in the last 6 months of life for patients with breast, lung, or colorectal cancer. METHODS: The study used a 5% sample of the 2013 Medicare Research Identifiable Files to study utilization and expenditures for beneficiaries with breast, lung, or colorectal cancer during the last 6 months before death (n = 6,214). End of life expenditures were calculated as the sum of total Medicare expenditures for inpatient, outpatient, physician, home health, hospice, and skilled nursing facility costs during the last 6 months of life...
April 15, 2018: Journal of Rural Health
https://www.readbyqxmd.com/read/29656469/mortality-and-nursing-home-placement-of-dementia-patients-in-rural-and-urban-areas-a-cohort-study-from-the-swedish-dementia-registry
#2
Mandy Roheger, Eva Zupanic, Ingemar Kåreholt, Dorota Religa, Elke Kalbe, Maria Eriksdotter, Sara Garcia-Ptacek
BACKGROUND: Life in rural and urban areas differs in regard to social support and health care. Our aim was to examine the association between nursing home placement and survival of patients with dementia living in urban vs. rural areas. METHODS: We performed a longitudinal cohort study of patients with dementia at time of diagnosis (n = 58 154) and at first follow-up (n = 21 522) including patients registered from 2007 through 2014 in the Swedish Dementia Registry (SveDem)...
April 14, 2018: Scandinavian Journal of Caring Sciences
https://www.readbyqxmd.com/read/29656463/rural-health-networks-how-network-analysis-can-inform-patient-care-and-organizational-collaboration-in-a-rural-breast-cancer-screening-network
#3
Beth Prusaczyk, Julia Maki, Douglas A Luke, Rebecca Lobb
PURPOSE: Rural health networks have the potential to improve health care quality and access. Despite this, the use of network analysis to study rural health networks is limited. The purpose of this study was to use network analysis to understand how a network of rural breast cancer care providers deliver services and to demonstrate the value of this methodology in this research area. METHODS: Leaders at 47 Federally Qualified Health Centers and Rural Health Clinics across 10 adjacent rural counties were asked where they refer patients for mammograms or breast biopsies...
April 15, 2018: Journal of Rural Health
https://www.readbyqxmd.com/read/29656419/oral-health-knowledge-attitudes-and-practices-kap-in-rural-haiti-a-40-year-follow-up-study
#4
Ralph V Katz, Samuel E Prophete, Christina Lafontant, Bette Gebrian, Louis C Bourdeau, Jr Ernst Joseph, Gladys J Lafontant, H Ludwig St Jean, Paul E Rundberg
This paper reports the changed findings over a 40-year period on oral health knowledge, attitudes, and practices (KAP) of a very remote and rural population living the Jeremie region of Haiti. The far-sighted investigators of that original 1970 survey stated in their published 1972 paper that our "…findings are descriptive, but have to be accepted tentatively rather than definitively because time was short, transportation was difficult, and the small sample that had to be used could not random." They further insightfully stated their hopes that their "…results may be regarded as an anthropological cultural baseline from which to review further findings concerning Haitian dental beliefs...
April 14, 2018: Journal of Public Health Dentistry
https://www.readbyqxmd.com/read/29656273/the-feasibility-and-concurrent-validity-of-performing-the-movement-assessment-battery-for-children-2nd-edition-via-telerehabilitation-technology
#5
Kristy Nicola, Jemimah Waugh, Emily Charles, Trevor Russell
BACKGROUND: In rural and remote communities children with motor difficulties have less access to rehabilitation services. Telerehabilitation technology is a potential method to overcome barriers restricting access to healthcare in these areas. Assessment is necessary to guide clinical reasoning; however it is unclear which paediatric assessments can be administered remotely. The Movement Assessment Battery for Children - 2nd Edition is commonly used by various health professionals to assess motor performance of children...
April 12, 2018: Research in Developmental Disabilities
https://www.readbyqxmd.com/read/29653320/is-the-flipped-pedagogical-model-the-answer-to-the-challenges-of-rural-nursing-education-a-discussion-paper
#6
Helena Anolak, Andrew Coleman, Paul Sugden
Rural Australian health services face significant challenges such as aging populations, access and retention of services and health practitioners as well as difficulties with staff training due to geographic isolation. Educational pedagogy, through a 'flipped' or 'flipped' classroom method has become popular in nursing literature whereby discussion surrounding its effectiveness, ability to increase performance, address learning outcomes and resolve the education-clinical practice divide is currently being explored...
April 7, 2018: Nurse Education Today
https://www.readbyqxmd.com/read/29651924/abuse-of-rural-elders-in-mansoura-districts-dakahlia-egypt-prevalence-types-risk-factors-and-lifestyle
#7
Ghada El-Khawaga, Noha Eladawi, Farida Abdel-Wahab
This study was carried out to explore the prevalence of elderly abuse, identify its types, associated risk factors and determine quality of their life in Rural Mansoura districts, Egypt. A cross-section study was conducted on a sample of 272 elders recruited from outpatient clinicsFamily Health Centers in Shawa & Berkin villages from May 1 to September 3, 2016. 200 (73.5%) elders accepted participation. A previously designed and validated questionnaires were used to collect data from participants. 46% of the studied elders were abused...
April 1, 2018: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/29651870/utilization-of-complementary-and-alternative-medicine-in-multiethnic-population-the-malaysian-cohort-study
#8
Noraidatulakma Abdullah, Boekhtiar Borhanuddin, Afzan Effiza Abdul Patah, Mohd Shaharom Abdullah, Andri Dauni, Mohd Arman Kamaruddin, Shamsul Azhar Shah, Rahman Jamal
BACKGROUND: This study aimed to identify the factors of CAM usage for general health and to determine the factors associated with the usage of different types of CAM after the diagnosis of chronic diseases among The Malaysian Cohort participants. METHODS: This was a cross-sectional study derived from The Malaysian Cohort (TMC) project, a prospective population-based cohort aged between 35 to 65 years old that recruited from April 2006 to September 2012. Association between the CAM usage and contributing factors were determined via logistic regression...
January 2018: Journal of evidence-based integrative medicine
https://www.readbyqxmd.com/read/29650007/malaria-incidence-and-prevalence-during-the-first-year-of-life-in-nanoro-burkina-faso-a-birth-cohort-study
#9
Hamtandi Magloire Natama, Eduard Rovira-Vallbona, M Athanase Somé, Serge Henri Zango, Hermann Sorgho, Pieter Guetens, Maminata Coulibaly-Traoré, Innocent Valea, Petra F Mens, Henk D F H Schallig, Luc Kestens, Halidou Tinto, Anna Rosanas-Urgell
BACKGROUND: Infants are thought to be protected against malaria during the first months of life mainly due to passage of maternal antibodies. However, in high transmission settings, malaria in early infancy is not uncommon and susceptibility to the infections varies between individuals. This study aimed to determine malaria morbidity and infection during early childhood in rural Burkina Faso. METHODS: Malariometric indices were determined over 1-year follow-up in a birth cohort of 734 infants living in Nanoro health district...
April 12, 2018: Malaria Journal
https://www.readbyqxmd.com/read/29649972/exploring-barriers-to-the-use-of-formal-maternal-health-services-and-priority-areas-for-action-in-sidama-zone-southern-ethiopia
#10
Aschenaki Z Kea, Olivia Tulloch, Daniel G Datiko, Sally Theobald, Maryse C Kok
BACKGROUND: In 2015 the maternal mortality ratio for Ethiopia was 353 per 100,000 live births. Large numbers of women do not use maternal health services. This study aimed to identify factors influencing the use of maternal health services at the primary health care unit (PHCU) level in rural communities in Sidama zone, south Ethiopia in order to design quality improvement interventions. METHODS: We conducted a qualitative study in six woredas in 2013: 14 focus group discussions (FGDs) and 44 in-depth interviews with purposefully selected community members (women, male, traditional birth attendants, local kebele administrators), health professionals and health extension workers (HEWs) at PHCUs...
April 12, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29649922/perceptions-of-rural-school-mental-health-services-a-focus-group-study
#11
Amy D Habeger, Kimberly S van Vulpen, Teresa F Simmons
The presence of emotional or behavioural disorders has an impact on academic achievement. Access to behavioural health services is a challenge, particularly in rural communities. School-based mental health services have been recognised as an effective means of addressing the needs of students with emotional or behavioural disorders. This qualitative focus group study explored the service needs, gaps, and barriers to mental health services. Themes related to time, space, family engagement, and education for teachers and caregivers emerged from the focus groups...
April 13, 2018: Journal of Child and Adolescent Mental Health
https://www.readbyqxmd.com/read/29649317/-i-could-not-join-because-i-had-to-work-for-pay-a-qualitative-evaluation-of-falciparum-malaria-pro-active-case-detection-in-three-rural-cambodian-villages
#12
Pierluigi Taffon, Gabriele Rossi, Jean-Marie Kindermans, Rafael Van den Bergh, Chea Nguon, Mark Debackere, Lieven Vernaeve, Martin De Smet, Emilie Venables
BACKGROUND: Pro-active case detection (Pro-ACD), in the form of voluntary screening and treatment (VSAT) following community mobilisation about 'asymptomatic malaria', is currently being evaluated as a tool for Plasmodium falciparum elimination in Preah Vihear Province, Cambodia. METHODS: A qualitative study was conducted to explore community understanding, perceptions, expectations and acceptability of the Pro-ACD intervention in order to identify aspects that could be improved in future Pro-ACD activities...
2018: PloS One
https://www.readbyqxmd.com/read/29649126/effects-of-rural-medical-insurance-on-chronically-ill-patients-choice-of-the-same-hospital-again-in-rural-northern-china
#13
Ke Jiang, Daming You, Zhendong Li, Wei Wei, Mitchell Mainstone
The emergence of rural health insurance plays a crucial role in alleviating the pressure on rural medical expenditure. Under the current medical system in northern China, rural medical insurance may reduce the free referral of patients with chronic diseases among hospitals. This study was carried out based on the results of an investigation of rural chronically-ill patients in eight county hospitals in northern China, as well as through the comparison and analysis of patients with chronic diseases, considering whether they were with or without rural health insurance...
April 12, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29648956/chronic-health-risks-in-commercial-fishermen-a-cross-sectional-analysis-from-a-small-rural-fishing-village-in-alaska
#14
Carly Eckert, Torie Baker, Debra Cherry
OBJECTIVES: The purpose of this study is to evaluate chronic health risks before and during the fishing season in a sample of commercial fishermen, addressing the NIOSH priority of Total Worker HealthTM . METHODS: Gillnet license holders in Cordova, Alaska (n = 607) were contacted to participate in a preseason survey (March 2015) assessing health behaviors. A mid-season survey (July 2015) was also conducted. Physical exams and additional assessments were performed on a subset of these fishermen...
2018: Journal of Agromedicine
https://www.readbyqxmd.com/read/29648901/training-health-professions-preceptors-in-rural-practices-a-challenge-for-interprofessional-practice-and-education
#15
Molly L Osborne, Virginia P Tilden, Elizabeth Eckstrom
The ever-increasing mandate for interprofessional practice and education (IPE) faces challenges in rural settings. Oregon Health & Science University (OHSU) launched a preceptor development program as part of its commitment to training interprofessional student groups in rural settings. The objectives of the program were to (1) encourage preceptors to exemplify team behaviors; (2) characterize contemporary learners and learning styles of trainees; (3) encourage interprofessional precepting skills, and (4) apply practical teaching tools in the clinical setting...
April 12, 2018: Journal of Interprofessional Care
https://www.readbyqxmd.com/read/29648637/medium-and-long-term-emergency-department-utilization-after-oesophagectomy-a-population-based-analysis
#16
Biniam Kidane, Binu Jacob, Vaibhav Gupta, John Peel, Refik Saskin, Thomas K Waddell, Gail E Darling
OBJECTIVES: Oesophagectomy is a complex operation with the potential for prolonged recovery. The aim of this study was to evaluate healthcare resource utilization, specifically emergency department (ED) visits within 1 year of oesophagectomy, and to identify risk factors for ED visits and frequent ED use (FEDU). METHODS: A retrospective cohort study of consecutive oesophagectomies for cancer in all Ontario hospitals was conducted using linked health data (2000-2012) including the ability to identify ED visits at non-index hospitals...
April 10, 2018: European Journal of Cardio-thoracic Surgery
https://www.readbyqxmd.com/read/29648523/feasibility-and-costs-of-a-targeted-cholera-vaccination-campaign-in-ethiopia
#17
Samuel Teshome, Sachin Desai, Jerome H Kim, Dires Belay, Vittal Mogasale
Shanchol™, a WHO-prequalified oral cholera vaccine (OCV), has been used to control endemic cholera in Asia, as well as in emergencies and outbreaks elsewhere. The vaccine has not been used by public health systems in cholera-endemic settings of Africa although several outbreak response campaigns have been conducted. Here we present experiences from a mass vaccination campaign in a cholera-endemic setting of Ethiopia in which Shanchol™ was introduced through the public health system. The vaccination site was selected based on cholera cases reported in previous years...
April 12, 2018: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/29644932/the-starr-county-border-health-initiative-focus-groups-on-diabetes-prevention-in-mexican-americans
#18
Sharon A Brown, William B Perkison, Alexandra A García, Heather E Cuevas, Mary M Velasquez, Mary A Winter, Craig L Hanis
Purpose The purpose of the study was to conduct focus groups with Mexican Americans in an impoverished rural community on the Texas-Mexico border to identify current barriers to adopting healthier lifestyles and to obtain recommendations for diabetes prevention. Methods Three separate 2-hour focus groups were led by an experienced bilingual Mexican American moderator. Interviews included questions about cultural factors and barriers that influence lifestyle behaviors, aspects of previous diabetes self-management interventions that were helpful for motivating behavioral change, and recommendations for diabetes prevention...
April 1, 2018: Diabetes Educator
https://www.readbyqxmd.com/read/29644503/inequalities-in-child-immunization-coverage-in-ghana-evidence-from-a-decomposition-analysis
#19
Derek Asuman, Charles Godfred Ackah, Ulrika Enemark
Childhood vaccination has been promoted as a global intervention aimed at improving child survival and health, through the reduction of vaccine preventable deaths. However, there exist significant inequalities in achieving universal coverage of child vaccination among and within countries. In this paper, we examine rural-urban inequalities in child immunizations in Ghana. Using data from the recent two waves of the Ghana Demographic and Health Survey, we examine the probability that a child between 12 and 59 months receives the required vaccinations and proceed to decompose the sources of inequalities in the probability of full immunization between rural and urban areas...
April 11, 2018: Health Economics Review
https://www.readbyqxmd.com/read/29644070/intravenous-drug-users-who-require-dialysis-causes-of-renal-failure-and-outcomes
#20
Jemima K Scott, Dominic M Taylor, Chris R K Dudley
Background: Intravenous drug use is associated with progressive kidney disease of several aetiologies. It is associated with behavioural and lifestyle characteristics that make the provision of renal replacement therapies (RRTs) challenging. We observed that patients who use intravenous drugs [people who inject drugs (PWID)] present late to renal services and struggle to engage with treatment. We describe the experience of a UK centre providing renal services to a mixed city and rural population...
April 2018: Clinical Kidney Journal
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