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Stephanie K Young, T Kue Young
BACKGROUND: Primary care in remote communities in northern Canada is delivered primarily by nurses who receive clinical support from physicians in regional centres and the patient transportation system. To improve continuity, quality and access to care in remote northern communities, it is important to understand the perspectives of front-line providers and the complex challenges they face. OBJECTIVE: To design and implement a survey of primary care providers to identify issues relating to inter-professional communication, clinical support and patient evacuation...
2016: International Journal of Circumpolar Health
Sina Waibel, Ingrid Vargas, Marta-Beatriz Aller, Jordi Coderch, Joan Farré, M Luisa Vázquez
BACKGROUND: The integration of health care has become a priority in most health systems, as patients increasingly receive care from several professionals in various different settings and institutions, particularly those with chronic conditions and multi-morbidities. Continuity of care is defined as one patient experiencing care over time as connected and coherent with his or her health needs and personal circumstances. The objective is to analyse perceptions of continuity of clinical management and information across care levels and the factors influencing it, from the viewpoint of users of the Catalan national health system...
2016: BMC Health Services Research
Clare Dyer
No abstract text is available yet for this article.
2016: BMJ: British Medical Journal
Shérazade Kinouani, Gary Boukhors, Baptiste Luaces, William Durieux, Jean-Sébastien Cadwallader, Isabelle Aubin-Auger, Bernard Gay
BACKGROUND: Young French postgraduates in general practice increasingly prefer salaried practice to private practice in spite of the financial incentives offered by the French government or local communities to encourage the latter. This study aimed to explore the determinants of choice between private or salaried practice among young general practitioners. METHODS: A qualitative study was conducted in the South West of France. Semi-structured interviews of young general practitioners were audio-recorded until data saturation...
2016: BMC Medical Education
Abi Rimmer
No abstract text is available yet for this article.
2016: BMJ: British Medical Journal
P Slocombe, S Pattullo
This paper describes the implementation of the 'Stop Before You Block' (SB4YB) initiative in an Australian teaching hospital. This process, which began in the UK in 2010, is a pre-procedure pause to confirm the correct side of a regional anaesthetic block. A change in practice was implemented with the formal roll out of a SB4YB educational program. Use of the initiative was then audited over a subsequent three-month period. It was hoped that after implementing the initiative, at least 80% of blocks would have a site check performed...
July 2016: Anaesthesia and Intensive Care
Ulrich Orda, Sabine Orda, Tarun Sen Gupta, Sabina Knight
BACKGROUND: Historically it has been challenging to recruit and retain an appropriately trained medical workforce to care for rural and remote Australians. This paper describes the Queensland North West Hospital and Health Service (NWHHS) workforce redesign, developing education strategies and pathways to practice, thereby improving service provision, recruitment and retention of staff. CONCEPT: The Mount Isa-based Medical Education Unit sought accreditation for a Rural Generalist (RG) training pathway from Internship to Fellowship with the Australian College of Rural and Remote Medicine (ACRRM) and the Regional Training Provider (RTP)...
July 6, 2016: Australian Journal of Rural Health
Jude Kornelsen, Kevin McCartney, Kim Williams
INTRODUCTION: This article was developed as part of a larger realist review investigating the viability and efficacy of decentralized models of perinatal surgical services for rural women in the context of recent and ongoing service centralization witnessed in many developed nations. The larger realist review was commissioned by the British Columbia Ministry of Health and Perinatal Services of British Columbia, Canada. Findings from that review are addressed in this article specific to the sustainability of rural perinatal surgical sites and the satisfaction of providers that underpins their recruitment to and retention at such sites...
April 2016: Rural and Remote Health
Abi Rimmer
No abstract text is available yet for this article.
2016: BMJ: British Medical Journal
Paula Bailey
Paula Bailey thought she might enter academia after gaining clinical experience. However, a period of travelling and locum work confirmed her enjoyment of practice life.
April 30, 2016: Veterinary Record
Ivan B Lin, Juli Coffin, Peter B O'Sullivan
BACKGROUND: Low back pain (LBP) care is frequently discordant with research evidence. This pilot study evaluated changes in LBP care following a systematic, theory informed intervention in a rural Australian Aboriginal Health Service. We aimed to improve three aspects of care; reduce inappropriate LBP radiological imaging referrals, increase psychosocial oriented patient assessment and, increase the provision of LBP self-management information to patients. METHODS: Three interventions to improve care were developed using a four-step systematic implementation approach...
2016: BMC Family Practice
Gareth Iacobucci
No abstract text is available yet for this article.
2016: BMJ: British Medical Journal
D Cohen, S J Winstanley, G Greene
BACKGROUND: Understanding of doctors' attitudes towards disclosing their own mental illness has improved but assumptions are still made. AIMS: To investigate doctors' attitudes to disclosing mental illness and the obstacles and enablers to seeking support. METHODS: An anonymous, UK-wide online survey of doctors with and without a history of mental illness. The main outcome measure was likelihood of workplace disclosure of mental illness. RESULTS: In total, 1954 doctors responded and 60% had experienced mental illness...
July 2016: Occupational Medicine
Sharon A Bentley, Amy Cartledge, Daryl J Guest, Skye Cappuccio, Craig A Woods
BACKGROUND: Some universities are looking to provide a more diverse range of clinical learning experiences through extended clinical placement programs. This approach will potentially have a significant impact on practitioners. The aim of this study was to conduct a national survey of optometrists to ascertain their perspectives on participating in extended clinical placement programs. METHODS: Members of Optometry Australia were invited to participate in a survey conducted during June and July 2014...
May 2016: Clinical & Experimental Optometry: Journal of the Australian Optometrical Association
Jason Burrows, Jillian Coolen
OBJECTIVE: The practice patterns of Obstetricians and Gynaecologists continue to evolve with each new generation of physicians. Diversifying subspecialties, changes in resident duty hours, job market saturation, and desire for work-life balance are playing stronger roles. Professional practice direction and needs assessment may be aided by awareness of future Obstetrics and Gynaecology physician career plans and expectations. The objective of this study was to determine the expected career plans and practice patterns of Canadian Obstetrics and Gynaecology residents following residency...
January 2016: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
Natali Jokanovic, Edwin C K Tan, Michael J Dooley, Carl M Kirkpatrick, Rohan A Elliott, J Simon Bell
RATIONALE, AIMS AND OBJECTIVES: The prevalence of polypharmacy in residential aged care facilities (RACFs) is high and increasing. Although not necessarily inappropriate, polypharmacy has been associated with drug interactions, adverse drug events, geriatric syndromes and hospital admissions. The aim of this study was to identify and prioritize factors contributing to the increasing prevalence of polypharmacy in RACFs. METHODS: Seventeen health care professionals from metropolitan and regional Victoria and South Australia identified and prioritized factors using a modified nominal group technique...
October 2016: Journal of Evaluation in Clinical Practice
Nina Mars, Jaakko Kalske, Mervi Halttunen-Nieminen, Anne Pitkäranta
At the University of Helsinki, the licentiate degree in medicine involves internships that can be conducted as a medical intern or locum doctor. The students and their supervisors fill out a feedback form, which helps in assessing the students' improvement in various areas. Based on the feedback form between 2008 and 2013, students having worked as locum doctor rated better improvement in their diagnostic skills, writing medical records, interacting with the patient, and operating in the work community. Supervisor evaluations did not show a similar clear difference between the job positions...
2015: Duodecim; Lääketieteellinen Aikakauskirja
Pierre Léger, Richard Fleet, Julie Maltais-Giguère, Jeff Plant, Éric Piette, France Légaré, Julien Poitras
BACKGROUND: Point-of-care ultrasound (POCUS) can be used to provide rapid answers to specific and potentially life-threatening clinical questions, and to improve the safety of procedures. The rate of POCUS access and use in Canada is unclear. The objective of this study was to examine access to POCUS and potential barriers/facilitators to its use among rural physicians in Quebec. METHODS: This descriptive cross-sectional study used an online survey. The 30-item questionnaire is an adapted and translated version of a questionnaire used in a prior survey conducted in rural Ontario, Canada...
2015: BMC Emergency Medicine
Shaun K Loewen, Ross Halperin, Shilo Lefresne, Theresa Trotter, Teri Stuckless, Michael Brundage
PURPOSE: To determine the employment status and location of recent Canadian radiation oncology (RO) graduates and to identify current workforce entry trends. METHODS AND MATERIALS: A fill-in-the-blank spreadsheet was distributed to all RO program directors in December 2013 and June 2014, requesting the employment status and location of their graduates over the last 3 years. Visa trainee graduates were excluded. RESULTS: Response rate from program directors was 100% for both survey administrations...
October 1, 2015: International Journal of Radiation Oncology, Biology, Physics
Sina Waibel, Ingrid Vargas, Marta-Beatriz Aller, Renata Gusmão, Diana Henao, M Luisa Vázquez
BACKGROUND: Integrated health care networks (IHN) are promoted in numerous countries as a response to fragmented care delivery by providing a coordinated continuum of services to a defined population. However, evidence on their effectiveness and outcome is scarce, particularly considering continuity across levels of care; that is the patient's experience of connected and coherent care received from professionals of the different care levels over time. The objective was to analyse the chronic obstructive pulmonary disease (COPD) patients' perceptions of continuity of clinical management and information across care levels and continuity of relation in IHN of the public health care system of Catalonia...
July 2015: International Journal of Integrated Care
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