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https://www.readbyqxmd.com/read/28240040/primary-care-doctors-assessment-of-and-preferences-on-their-remuneration
#1
Stefanos Karakolias, Catherine Kastanioti, Mamas Theodorou, Nikolaos Polyzos
Despite numerous studies on primary care doctors' remuneration and their job satisfaction, few of them have quantified their views and preferences on certain types of remuneration. This study aimed at reporting these views and preferences on behalf of Greek doctors employed at public primary care. We applied a 13-item questionnaire to a random sample of 212 doctors at National Health Service health centers and their satellite clinics. The results showed that most doctors deem their salary lower than work produced and lower than that of private sector colleagues...
January 2017: Inquiry: a Journal of Medical Care Organization, Provision and Financing
https://www.readbyqxmd.com/read/28236713/tinkering-toward-departure-the-limits-of-improvisation-in-rural-ethiopian-biomedical-practices
#2
Stephanie Rieder
This paper explores Ethiopian physicians' responses to tensions produced by gaps between ideals of biomedicine and realities of clinical practice in two rural Ethiopian hospitals. Physicians engage in creativity and improvisation, including relying on informal networks and practices and tinkering within diagnoses and procedures, to overcome constraints of lack of resources and limited opportunities to engage in "good medicine." These courageous, but often unsuccessful attempts to mitigate professional and personal conflicts within their medical practices represent improvisation in impossible circumstances...
February 16, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28236688/interventions-and-working-relationships-of-voluntary-organisations-for-diabetes-self-management-a-cross-national-study
#3
Mari Carmen Portillo, Anne Kennedy, Elka Todorova, Elena Regaira, Michel Wensing, Christina Foss, Christos Lionis, Ivaylo Vassilev, Valentin Goev, Anne Rogers
BACKGROUND: Diabetes has become a challenging health priority globally. Given the tensions of financially burdened health systems in Europe the mobilisation of community resources like voluntary organisations and community groups is seen as a health policy strategy to sustain the management of long-term conditions like diabetes. However, little is known about how this is happening in practice in Europe. OBJECTIVES: To explore diabetes self-management interventions undertaken or promoted by voluntary organisations and community groups in Europe; and describe the types of working relationships between these organisations, European health systems and users when implementing diabetes self-management programmes in different areas...
February 3, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28228115/weight-loss-and-exercise-for-communities-with-arthritis-in-north-carolina-we-can-design-and-rationale-of-a-pragmatic-assessor-blinded-randomized-controlled-trial
#4
Stephen P Messier, Leigh F Callahan, Daniel P Beavers, Kate Queen, Shannon L Mihalko, Gary D Miller, Elena Losina, Jeffrey N Katz, Richard F Loeser, Sara A Quandt, Paul DeVita, David J Hunter, Mary F Lyles, Jovita Newman, Betsy Hackney, Joanne M Jordan
BACKGROUND: Recently, we determined that in a rigorously monitored environment an intensive diet-induced weight loss of 10% combined with exercise was significantly more effective at reducing pain in men and women with symptomatic knee osteoarthritis (OA) than either intervention alone. Compared to previous long-term weight loss and exercise trials of knee OA, our intensive diet-induced weight loss and exercise intervention was twice as effective at reducing pain intensity. Whether these results can be generalized to less intensively monitored cohorts is unknown...
February 22, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28224938/overview-on-the-challenges-and-benefits-of-using-telehealth-tools-in-a-pediatric-population
#5
REVIEW
Patrick D Brophy
Telehealth in Pediatric Medicine presents many of the same benefits and challenges noted in adult-based medicine. In terms of health care delivery, the promise of improving access and reducing costs using telehealth in Pediatrics, particularly chronic care, is high. The ability to address clinician shortages and provide remote guidance for chronic care pathways from pediatric subspecialists to rural-based referring physicians is a developing model that represents a sustainable and cost-effective strategy to improve pediatric care...
January 2017: Advances in Chronic Kidney Disease
https://www.readbyqxmd.com/read/28224426/nutritional-status-of-under-five-children-from-urban-low-income-families-in-xiangtan-and-jilin-in-china
#6
Yan-Fang Guo, Yin-Yan Gan, Chao-Nan Guo, Ju Sun, Li-Ping Hao
There have been many studies on the nutrition and the growth status of children from rural and remote western regions of China, whereas researches on children from urban low-income families are scarce. This study aimed to investigate the growth and nutritional status of children under five years of age from urban low-income families in China. There were 169 children aged 25-60 months recruited from Xiangtan and Jilin, two cities with a population of 2.81 million and 4.26 million respectively, in China in this cluster cross-sectional study...
February 2017: Journal of Huazhong University of Science and Technology. Medical Sciences
https://www.readbyqxmd.com/read/28224422/satisfaction-of-village-doctors-with-the-township-and-village-health-services-integration-policy-in-the-western-minority-inhabited-areas-of-china
#7
Da Feng, Liang Zhang, Yuan-Xi Xiang, Dong-Lan Zhang, Ruo-Xi Wang, Shang-Feng Tang, Hang Fu, Bo-Yang Li
Township and Village Health Services Integration Management (TVHSIM) is an essential form of China's two-tiered health service integration plan at the township and village level. Its main purpose, also one of the target goals in China's new healthcare reform, is to gradually integrate rural health services and appropriately allocate rural health resources. This study aims to assess the village doctors' satisfaction with the TVHSIM and provide scientific base to further improve TVHSIM. A cross-sectional study was carried out in which 162 village doctors from Qinghai, Inner Mongolia and Xinjiang in western China were interviewed...
February 2017: Journal of Huazhong University of Science and Technology. Medical Sciences
https://www.readbyqxmd.com/read/28222724/financial-barriers-and-coping-strategies-a-qualitative-study-of-accessing-multidrug-resistant-tuberculosis-and-tuberculosis-care-in-yunnan-china
#8
C Hutchison, M S Khan, J Yoong, X Lin, R J Coker
BACKGROUND: Tuberculosis (TB) and multidrug-resistance tuberculosis (MDR-TB) pose serious challenges to global health, particularly in China, which has the second highest case burden in the world. Disparities in access to care for the poorest, rural TB patients may be exacerbated for MDR-TB patients, although this has not been investigated widely. We examine whether certain patient groups experience different barriers to accessing TB services, whether there are added challenges for patients with MDR-TB, and how patients and health providers cope in Yunnan, a mountainous province in China with a largely rural population and high TB burden...
February 22, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28219846/changing-caregiving-relationships-for-older-home-based-chinese-people-in-a-transitional-stage-trends-factors-and-policy-implications
#9
Lijuan Gu, Mark W Rosenberg, Juxin Zeng
BACKGROUND: In the transitional stage of socioeconomic development, the traditional practice of home-based care in China is being tested. The evolution and factors of home-based care utilization are the prerequisites for the formulation of a support policy. However, no extant research has studied home-based elder care on a national scale. AIM: This paper aims to examine changing caregiving relationships nationwide for home-based elderly individuals and investigate the changing factors of care utilization in a ten-year period, with special attention to the effects of "location" on care patterns...
February 11, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/28219401/impact-of-the-rural-pipeline-in-medical-education-practice-locations-of-recently-graduated-family-physicians-in-ontario
#10
Elizabeth F Wenghofer, John C Hogenbirk, Patrick E Timony
BACKGROUND: The "rural pipeline" suggests that students educated in rural, or other underserviced areas, are more likely to establish practices in such locations. It is upon this concept that the Northern Ontario School of Medicine (NOSM) was founded. Our analysis answers the following question: Are physicians who were educated at NOSM more likely to practice in rural and northern Ontario compared with physicians who were educated at other Canadian medical schools? METHODS: We used data from the College of Physicians and Surgeons of Ontario...
February 20, 2017: Human Resources for Health
https://www.readbyqxmd.com/read/28219386/advancing-system-and-policy-changes-for-social-and-racial-justice-comparing-a-rural-and-urban-community-based-participatory-research-partnership-in-the-u-s
#11
Carlos Devia, Elizabeth A Baker, Shannon Sanchez-Youngman, Ellen Barnidge, Maxine Golub, Freda Motton, Michael Muhammad, Charmaine Ruddock, Belinda Vicuña, Nina Wallerstein
BACKGROUND: The paper examines the role of community-based participatory research (CBPR) within the context of social justice literature and practice. METHODS: Two CBPR case studies addressing health inequities related to Type 2 Diabetes and Cardiovascular disease were selected from a national cross-site study assessing effective academic-community research partnerships. One CBPR partnership works with African Americans in rural Pemiscot County, Missouri and the other CBPR partnership works with African American and Latinos in urban South Bronx, New York City...
February 21, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28219292/a-manner-of-being-body-languages-of-socio-economic-development
#12
Alexandra Antohin
This article proposes to move forward analytical work on the human aspect of socio-economic development, by featuring how personal decisions about physical appearance in effect negotiate socio-ethnic positions and desired economic aims that arise from new technologies of living. By envisioning how the body can serve as a conduit of consciousness-making, tattoos work as one cultural practice that produces an interplay between traditional precedents and contemporary trends and permits reflecting on how the categorizations of rural/urban can behave as a dialectical medium for internal anxieties and debates regarding social transformation...
July 2016: New Bioethics: a Multidisciplinary Journal of Biotechnology and the Body
https://www.readbyqxmd.com/read/28218939/assessment-of-factors-for-recruiting-and-retaining-medical-students-to-rural-communities-using-the-community-apgar-questionnaire
#13
Alex J Reed, David Schmitz, Edward Baker, James Girvan, Theodore McDonald
BACKGROUND: Rural communities throughout the United States are eager to recruit and retain family physicians. This study examined factors that may contribute to a medical student's decision to consider rural family medicine practice using the Community Apgar Questionnaire (CAQ). METHODS: Third- and fourth-year medical students from 10 medical schools responded to a survey of 62 identified factors deemed to be present when assessing the strengths and challenges of recruiting family physicians to rural communities...
February 2017: Family Medicine
https://www.readbyqxmd.com/read/28217860/maternal-dietary-intake-during-pregnancy-and-its-association-to-birth-size-in-rural-malawi-a-cross-sectional-study
#14
Katrine G Hjertholm, Per Ole Iversen, Gerd Holmboe-Ottesen, Ibrahimu Mdala, Alister Munthali, Kenneth Maleta, Zumin Shi, Elaine Ferguson, Penjani Kamudoni
In low-resource settings, such as rural Malawi, pregnant women are prone to energy and micronutrient deficiencies with the consequence of delivering low-birth weight infants with higher risks of morbidity and mortality. This study aimed to examine the association between maternal dietary intakes during pregnancy and infant birth size. Dietary intakes of 203 pregnant women were assessed between 28 and 35 weeks of gestation and their infants' (n = 132) birth size measured. Intakes of energy, macronutrients, and 11 micronutrients were estimated using a 3-day interactive 24-hr diet recall...
February 19, 2017: Maternal & Child Nutrition
https://www.readbyqxmd.com/read/28217588/promotion-of-sanitation-and-hygiene-in-a-rural-area-of-south-india-a-community-based-study
#15
Nagapraveen Veerapu, P Subramaniyan, B A Praveenkumar, G Arun
INTRODUCTION: Globally, billions of people do not have access to improved sanitation and many defecate in the open air. Poor hand washing practices and limited access to sanitation facilities perpetuate the transmission of disease-causing germs. The objectives of the study were to find out the level of knowledge, attitudes, and practices (KAPs) on sanitary latrine, footwear, and hand washing among rural people and to assess the improvement in KAP after health education intervention. MATERIALS AND METHODS: A health education intervention study was conducted from November 2012 to January 2014 in a rural area of Kuppam, Andhra Pradesh, South India among the people aged 15 years and above...
July 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/28217584/physical-activity-correlates-of-overweight-and-obesity-in-school-going-children-of-dehradun-uttarakhand
#16
Madhavi Bhargava, S D Kandpal, Pradeep Aggarwal
BACKGROUND: Physical activity is important for prevention of overweight and obesity in growing children. OBJECTIVE: The present study aims to explore the association of overweight and obesity in school children of the district of Dehradun with physical activity, sports, and recreation at home and school. MATERIALS AND METHODS: A cross-sectional survey of 1266 schoolchildren of select private and government schools in urban and rural areas was done...
July 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/28215728/domain-specific-accuracy-of-the-montreal-cognitive-assessment-subsections-in-parkinson-s-disease
#17
Taylor R Hendershott, Delphine Zhu, Seoni Llanes, Kathleen L Poston
OBJECTIVE: The Montreal Cognitive Assessment (MoCA) is among the most widely adopted screening tools for cognitive impairment because it includes tests in multiple domains and is available in 55 languages. The MoCA is often the only formal cognitive assessment available when comprehensive neuropsychological testing is not practical, such as rural clinical settings or large retrospective and multi-lingual research settings. However, the MoCA domain-specific subsections have never been formally assessed for sensitivity or specificity...
February 7, 2017: Parkinsonism & related Disorders
https://www.readbyqxmd.com/read/28215385/research-to-practice-implementing-physical-activity-recommendations
#18
Sally M Davis, Theresa H Cruz, Richard L Kozoll
INTRODUCTION: Dissemination and implementation science focuses on bridging the gap between research and practice. The Community Preventive Services Task Force published recommendations for increasing physical activity based on scientific review and consensus. Little research on the dissemination and implementation of these recommendations has been conducted in under-represented populations at high risk for inactivity and chronic disease. METHODS: Partnering with one rural community (beta site), the University of New Mexico Prevention Research Center studied the translation of Community Preventive Services Task Force recommendations to practice...
March 2017: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/28214468/difficulties-experienced-by-veterinarians-when-communicating-about-emerging-zoonotic-risks-with-animal-owners-the-case-of-hendra-virus
#19
Diana H Mendez, Petra Büttner, Jenny Kelly, Madeleine Nowak, Rick Speare Posthumously
BACKGROUND: Communication skills are essential for veterinarians who need to discuss animal health related matters with their clients. When dealing with an emerging zoonosis, such as Hendra virus (HeV), veterinarians also have a legal responsibility to inform their clients about the associated risks to human health. Here we report on part of a mixed methods study that examined the preparedness of, and difficulties experienced by, veterinarians communicating about HeV-related risks with their clients...
February 18, 2017: BMC Veterinary Research
https://www.readbyqxmd.com/read/28211119/cross-sectional-study-of-emergency-department-presentation-triage-categories-at-goondiwindi-hospital-and-their-effect-on-the-treatment-of-acute-emergencies
#20
Ashraf Saleh
OBJECTIVE: The objective of this study was to investigate the number and proportion of non-acute presentations to a district hospital emergency department in Goondiwindi, a rural Queensland town, both in the treatment of emergency cases and potential barriers patients have in seeing a medical practitioner in the general practice setting. DESIGN: Occasions of service to Goondiwindi Hospital were collated from administrative records according to Australasian Triage Scale categories and analysed by Student's t-test for monthly variations in triage category presentations...
February 17, 2017: Australian Journal of Rural Health
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