Keeping them interested: a national study of factors that change medical student interest in working rurally.
This study assessed how rural intentions persist or change during medical school and sought factors associated with either persistence or change in rural intention. METHODS: Students who participate in the Medical Schools Outcomes Database and Longitudinal Tracking project complete surveys at entry to and exit from medical school. They are asked about demographics, career intentions and influencing factors. This study used data from students at both of New Zealand's medical schools from 2006 to 2016. Participants were placed into one of four groups: rural intention at entry and rural intention at exit (R-R), urban at e...
Source: Rural and Remote Health - October 10, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Telemedicine in remote Australia: The Royal Flying Doctor Service (RFDS) Medical Chest Program as a marker of remote health.
Authors: Cherry JJ, Rich WC, McLennan PL Abstract INTRODUCTION: Remote communities across Australia lack the ready access to medical care generally afforded to metropolitan populations. The Royal Flying Doctor Service (RFDS) medical chest program provides medical resources to these communities allowing medications to be dispensed in conjunction with a telehealth consulting service. More than 3000 medical chests are located throughout Australia and each year the Queensland RFDS conducts approximately 20 000 telehealth consultations. The aim of this study was to review the use of the medical chest model within the st...
Source: Rural and Remote Health - October 7, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Contextual factors and health service performance from the perspective of the provincial health administrators in Papua New Guinea.
CONCLUSION: Analysis of quantitative indicators needs to be performed at health facility level in order to understand district level performance. Interpretation of performance through key informant interviews provided useful insight into previously undocumented contextual factors affecting health delivery performance. The sequential explanatory mixed methods design could be applied to evaluations of other health service delivery programs in similar contexts. PMID: 30290699 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - October 7, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Rural medicine 'cooking up' longitudinal integrated clerkships.
Authors: Walters L, Walker L PMID: 30268087 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - October 2, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

He's here and he's gone; he's here and he's gone … The experiences of new mothers in rural Newfoundland and Labrador, Canada, whose partners work away from home.
CONCLUSIONS: While many women felt overwhelmed with the responsibilities of balancing family life, and often experienced loneliness, others described a smoother adaptation to an ERM lifestyle. The experiences of the mothers warrant consideration to inform health care providers, policymakers and community leaders to be more responsive to the emerging needs of families in these situations. PMID: 30208713 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - September 15, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Paramedic and physician perspectives on the potential use of remotely supported prehospital ultrasound.
CONCLUSION: There are substantial differences in emergency physician and paramedic perspectives on RSPU; however, both parties were willing to engage with the research process. Both groups have reservations, especially the emergency physicians who perceive significant barriers to the acquisition of skills, as well as the relational and contextual integration of RSPU. This study demonstrates the importance of conversations with physicians and paramedics throughout the research process, particularly as the role of prehospital care remains controversial. PMID: 30207737 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - September 13, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Experience of receiving care by interns reduces psychological barrier of community residents to further care in Japan.
Authors: Takamura A, Morimoto T Abstract INTRODUCTION: A uniform certified basic training program for interns started in Japan in 2004. Following this change, more interns chose to train in community settings, including in rural areas. Patients' experiences of and attitudes toward interns' practice might vary across communities. To examine the geographic and demographic variations linked to the new training system, a nationwide cross-sectional survey was conducted and analyzed. METHODS: Two years after the start of the new certified basic program, 2400 adults were randomly selected from all areas of Japan. Thos...
Source: Rural and Remote Health - September 12, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Medical service unity: an effective approach for medical care in rural areas in China.
In this report, the medical service unity (MSU) approach, which has been piloted in Funan county, is reported. The MSU organises the tiered hospitals as a unity in terms of medical capabilities and financial abilities. With the radical reform of financial decentralisation, three flows are thereby enabled: the funding flow binds together the hospitals into a unity, the patient flow shares the load across the providers and eases barriers to access, and the resource flow ensures accessibility and affordability for patients. LESSONS LEARNED: The MSU approach has been shown by the pilot project in Funan to be effective for ...
Source: Rural and Remote Health - September 6, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Lack of medical resources and public health vulnerability in Mongolia's winter disasters.
CONCLUSION: These results suggest that increased medical resources and infrastructure development have positive effects on child health - even in the setting where the dzud causes considerable damage to livestock. PMID: 30180754 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - September 6, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Managing qualitative research as insider-research in small rural communities.
Authors: Heslop C, Burns S, Lobo R Abstract Rural clinicians in small communities face the pressure of always being 'on duty', and the ethical challenges of overlapping relationships with members of the community and duality of roles. The lead author of this commentary has experience as an insider researcher living within a small rural community, and has navigated the ethical challenges and community pressures of conducting qualitative research within an interconnected network. With appropriate measures and planning, insider research can be conducted rigorously, while maintaining ongoing relationships, confidential...
Source: Rural and Remote Health - September 2, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Urban-rural disparities in office-based dermatological services in Taiwan - a nationwide survey.
Authors: Dai YX, Chen TJ, Chang YT Abstract INTRODUCTION: Shortages and maldistribution of dermatology services have negative impacts on the quality of care for patients with skin problems. Only a limited amount of literature is available regarding the current state of dermatologic services in Taiwan. The aim of this study was to examine the urban-rural distribution of dermatologists and office-based dermatology services in Taiwan. METHODS: Data regarding dermatology workforce and their geographic distribution were collected from the Taiwan Medical Association, Taiwan Dermatological Association, and Department ...
Source: Rural and Remote Health - September 2, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Enhancing health professional education capacity in the Western Pacific region.
This article presents the context of the need for and development of clinical education workshops for intern supervisors in the Western Pacific. PMID: 30157667 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - August 31, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Pre-graduating medical students' interest in rural internship.
Authors: Szabo A, Curtin S, Gray LA, Paul D, Playford D PMID: 30149724 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - August 30, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

'Surfing the coastal wave' - a new way to consider workforce distribution.
Authors: May J, McGrail MR, Walker J PMID: 30145907 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - August 28, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Prevalence of exposure to occupational carcinogens among farmers.
CONCLUSIONS: Farmers are a high risk group in relation to carcinogen exposure. The variation in tasks that they undertake results in exposure to a wide variety of different carcinogens that require similarly varied control measures. PMID: 30145908 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - August 28, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Culturally safe end-of-life care for First Nations persons living on reserve.
Authors: Russell B, Fred DE, Brown C Abstract End-of-life (EOL) care involves not just the final few days of a person's life but also living with a terminal illness over an extended period of time. Importantly, in addition to medical care and relief of physical suffering, it focuses on quality of life, honoring personal healthcare treatment decisions, supporting the family, and psychological, cultural and spiritual concerns for dying people and their families. The goal of this commentary is to raise rehabilitation therapists' awareness of the need for culturally safe EOL care services for First Nations persons who ...
Source: Rural and Remote Health - August 27, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

The importance of cultural awareness when planning and implementing telepsychiatric services.
Authors: Acharibasam JW, Wynn R PMID: 30139265 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - August 26, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Surviving, not thriving: a qualitative analysis of parents' perceptions of physical activity participation for rurally residing children with a disability.
CONCLUSIONS: This investigation of parents' perceptions suggests that the physical activity participation of rurally residing children with a disability is currently insufficient to adequately support the health of this population. It appears service providers need to address the factors that impede participation, including issues surrounding access, ability and isolation, but should also support the parents' behaviours, community opportunities and the child's own drive to participate. Existing support structures aimed at promoting physical activity should be enhanced and more inclusive, and accessible strategies should be...
Source: Rural and Remote Health - August 24, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Raising awareness of sensory impairment among community nurses: a brief intervention in a remote island setting.
CONCLUSIONS: Community nurses are often well placed to identity disabilities and patients at risk of injury because of sensory impairment. Participation in simulation training can help to develop greater awareness of the impact of that sensory impairment. Knowledge of specialist services will increase the opportunities for referral to services and impact positively on the lives of older people living in rural settings. Provision of accessible education on sensory impairment for health and social care professionals can enhance care delivery to older people. PMID: 30126288 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - August 23, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Advocating for end-of-life choice at home: a survey of rural Australian nurses.
CONCLUSION: The results provide both confirmatory and new knowledge that can be used with confidence to inform practice with a model for rural end-of-life nursing advocacy in the home setting. PMID: 30125509 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - August 21, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Access to medicines for hypertension: a survey in rural Yogyakarta province, Indonesia.
CONCLUSION: These Indonesian participants obtained their anti-hypertensive medications from various sources; however, the inadequate supplies found in this study could compromise both short- and long-term management of hypertension. Direct dispensing, non-doctor prescribing, and self-medication with anti-hypertensive medications indicate the current complex healthcare system in Indonesia. This study also shows some challenges involved in managing patients with chronic diseases such as hypertension in resource-poor settings. It provides important findings for quality improvement practices that should be considered to improv...
Source: Rural and Remote Health - August 17, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Frontier and remote paramedicine practitioner models.
CONCLUSIONS: Implementation of paramedic practitioner models in frontier and remote settings raises challenging policy and practice issues, including changes in scopes of practice, design of education programs, self-regulation of paramedics, and reimbursement. PMID: 30110555 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - August 17, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Barriers and facilitators to effective tuberculosis infection control practices in Madang Province, PNG - a qualitative study.
CONCLUSIONS: The study found evidence that health system factors do impact on the capacity to implement TBIC. Further, factors beyond TBIC such as sociocultural factors have an important influence on the way TBIC is implemented. The results of this study are useful for clinicians, health administrators and policymakers to improve the interventions and application of TBIC procedures at the rural health facilities in PNG. The study is limited to health services in Madang Province, and therefore the findings cannot automatically be generalised to other district hospitals and health centres in other parts of PNG. However, the ...
Source: Rural and Remote Health - August 17, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

A model for internal medicine physicians in a small rural hospital.
Authors: Bunge P Abstract CONTEXT: Finding providers to work in the hospitals and clinics in the small towns of the USA is a significant struggle. In the traditional model, the primary care doctor sees patients in the inpatient setting in addition to a clinic practice. In the usual hospitalist model, providers specialize to work only in the inpatient setting. ISSUES: Rural communities often lack the resources, facilities, and volume to safely adopt the usual hospitalist model, which has its own disadvantages. Small town hospitals have found several ways to find a middle ground between the two models. A provider...
Source: Rural and Remote Health - August 14, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Lived experiences and insights into the advantages important to rural recruitment and retention of general practitioners.
CONCLUSION: The originality of the study rests on the administration of the CAQ accompanied by the opportunity for participants to provide extended responses, which gives critical insights into the complexities of rural recruitment and retention. As such, the results confirm the need for a flexible multifaceted response to improving rural GP workforce and informs decision-making in terms of addressing workforce issues within the scope of available resources and capacity. PMID: 30089214 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - August 10, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

'When you're it': a qualitative study exploring the rural nurse experience of managing acute mental health presentations.
CONCLUSIONS: The findings from this study suggest generalist nurses are the frontline providers of care for mental health consumers in rural EDs and UCCs. Nurses feel ill-equipped for assessing and managing mental health presentations, relying heavily on local mental health teams and telephone triage who provide limited onsite support. The need to support nurses through training and mentoring relationships with community mental health teams is highlighted by this study in conjunction with improving the delivery of mental health services in rural areas. PMID: 30081643 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - August 8, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Predicting wellness among rural older Australians: a cross- sectional study.
CONCLUSIONS: The study identified the usefulness of using an integrated model of measurement in wellness. This model recognised the interrelated physical, social and economic influences that impact on rural older people throughout their life course. The study found that physical health made the greatest contribution to perceived wellness, followed by mental health. These findings support a body of research that has found that rural older people experience poorer health outcomes than those in urban areas. Lower levels of loneliness were also a strong predictor of perceived wellness, thus supporting research that has examine...
Source: Rural and Remote Health - August 4, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Health needs and challenges of rural adolescents.
CONCLUSIONS: Barriers to developmentally necessary health care and health information that all adolescents need are compounded by the unique rural socio-environment and the involvement of multiple systems - family, school, peers, and healthcare providers - rooted within communities that may hinder adolescents from becoming thriving, contributing citizens. It is crucial that adults in rural communities seek to hear, strengthen, and empower young people through education, sharing of personal experiences and struggles, focusing adolescents' time and energies on positive, pro-health activities, and providing positive role mode...
Source: Rural and Remote Health - August 4, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Same-sex-attracted adolescents in rural Australia: stressors, depression and suicidality, and barriers to seeking mental health support.
Authors: Roberts R, Black G, Hart T Abstract INTRODUCTION: To address the lack of Australian data examining mental health in same-sex attracted rural adolescents compared with their rural heterosexual peers, this study examined experiences of stressors, symptoms of depression and suicidality, and perceptions of barriers to seeking mental health support, comparing same-sex attracted adolescents with heterosexual adolescents living in rural Australia. METHODS: Respondents were recruited through high schools in rural South Australia and completed a questionnaire that included demographic questions, the Kutcher Ado...
Source: Rural and Remote Health - August 1, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Scope of practice of family medicine graduates who completed a rural versus urban program.
CONCLUSION: A combination of site of training (rural or urban program) and location of practice appear to work together to influence scope of practice of family physicians. A conceptual framework that summarizes the factors that have been reported to be associated with the scope of family practice is proposed. PMID: 30059629 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - August 1, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Geographic differences in the experiences of HIV-related stigma for women living with HIV in northern and rural communities of Ontario, Canada.
CONCLUSIONS: Living in both northern and rural regions of Ontario was associated with higher HIV Stigma Scale scores. These geographic discrepancies in experiences of HIV-related stigma highlight the need for region-specific programs to reduce HIV-related stigma and to support people living with HIV who are affected by HIV-related stigma, particularly those living in geographically isolated regions. Prior qualitative studies have documented the important impact of HIV-related stigma, and this study supports these observations with quantitative data from a population that is often under-represented in HIV research. PMID...
Source: Rural and Remote Health - July 25, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Prevalence and determinants of smoking and secondhand smoke exposure in a rural population of central Greece: a cross-sectional study.
CONCLUSIONS: There are very few studies studying the characteristics of smoking and tobacco exposure exclusively in rural populations in Greece, such as the present study. Both the high prevalence of smoking and the high levels of exposure to tobacco show a population at increased risk for tobacco-related disease. These call for immediate action to reduce smoking prevalence, help smokers quit and protect the health of non-smokers. The present study's conclusions provide the basis for designing local prevention programs and the baseline for monitoring of future trends in the area. PMID: 29928807 [PubMed - in process] (S...
Source: Rural and Remote Health - June 28, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

High acuity rural transport: findings from a qualitative investigation.
CONCLUSIONS: The salient issues for the HART model were grounded in a somewhat artificial distinction between pre-hospital and interfacility transport for rural patients, which leads to a lack of service coordination and potentially avoidable delays. A beneficial systems change would be to move towards dedicated integration of high-acuity transport services into hospital organizational structures and community health services in rural areas. PMID: 29890836 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - June 14, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

A collaboration with local Aboriginal communities in rural New South Wales, Australia to determine the oral health needs of their children and develop a community-owned oral health promotion program.
CONCLUSION: Aboriginal children living in rural and remote communities in NSW experience high rates of dental caries. Oral health promotion is urgently required to reduce the burden of dental caries and should address oral hygiene behaviours, fluoride use and access to healthy foods and drinks. Note: This article uses the term 'Aboriginal people' when referring to the first peoples of Australia. This term is inclusive of Australian Aboriginal and Torres Strait Islander people. PMID: 29890837 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - June 14, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Core components of the rural nurse specialist role in New Zealand.
CONCLUSION: The RNS role requires advanced knowledge to provide independent patient care. Advanced skills utilised include assessment, diagnosis and treatment of patients. RNSs must have postgraduate education to develop the advanced skills required in this role. RNSs perceive the NP role as having better role clarity; therefore, all participants were considering becoming an NP. There are barriers to becoming an NP, thus an expansion of the current RNS role is recommended. Further recommendations from this study include increased professional leadership to improve RNS visibility and further continued interprofessional educ...
Source: Rural and Remote Health - June 8, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Impact of a remotely delivered, writing for publication program on publication outcomes of novice researchers.
Authors: Duncanson K, Webster EL, Schmidt DD Abstract INTRODUCTION: Increased publication of clinician-led health research is important for improving patient care and health outcomes. The aim of this retrospective cohort study conducted in rural Australia was to determine the impact of a writing for publication (WFP) program delivered by teleconference on the publication rates and skill acquisition of novice researchers who have graduated from the New South Wales (NSW) Health Education and Training Institute Rural Research Capacity Building Program (RRCBP). METHODS: Between 2012 and 2015, eight WFP 'bootcamp' p...
Source: Rural and Remote Health - May 31, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Health, self-care and the offshore workforce - opportunities for behaviour change interventions, an epidemiological survey.
CONCLUSIONS: There are key areas relating to the health, quality of life, mental wellbeing and self-care of the offshore workforce that warrant addressing. PMID: 29799761 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - May 31, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Participatory capacity building for improving quality of childcare centers in Thailand.
This study was quasi-experimental, with a one group pretest-post-test design. In this study the authors describe the effects and impacts of the program in Chonburi Province in eastern Thailand. Six LAs and 48 CCC heads were trained regarding (1) knowledge of the Thai Department of Health quality standards, (2) implementation and assurance and (3) program evaluation. The program consisted of three sequential participatory workshops. Effects at the center level were increased overall knowledge of quality standards of CCCs (QCCC), and developed skills of improvement plans. The impact at the center level was CCCs achieving the...
Source: Rural and Remote Health - May 31, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Meeting the challenge for effective antimicrobial stewardship programs in regional, rural and remote hospitals - what can we learn from the published literature?
CONCLUSION: Despite known barriers, regional, rural and remote hospitals have implemented AMS programs. The examples highlighted show that difficulty recruiting ID specialists should not inhibit AMS programs in regional, rural and remote hospitals, as much of the day-to-day work of AMS can be done by non-experts. Capacity building and the strengthening of networks are core features of these programs. Descriptions of how Australian regional, rural and remote hospitals have structured and supported their AMS programs would add to the existing body of knowledge sourced from international examples. Research into AMS programs p...
Source: Rural and Remote Health - May 29, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

General practitioners' participation in cancer treatment in Norway.
CONCLUSION: In this group of GPs, participation rates were high for most of the therapeutic and communicative tasks suggested in the questionnaire. GP participation is feasible not only in palliative care, but also in some aspects of oncological treatment and in clinical follow-up. Communication with both patient and hospital seemed good in this local setting. GPs are important helpers for some cancer patients. PMID: 29788744 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - May 25, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Obesity and physical fitness indices of children aged 5-12 years living on remote and isolated islands.
CONCLUSION: The results of this study confirmed previous findings on obesity prevalence in Greece. A negative association was also found between BMI and physical fitness indices and, in particular, in weight-bearing activities. It is critical to establish physical education interventions and physical fitness programs at schools, aiming to increase motivation for physical activity participation. PMID: 29788745 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - May 25, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Implications for faculty development for emerging clinical teachers at distributed sites: a qualitative interpretivist study.
CONCLUSION: This study adds to an understanding around designing faculty development initiatives that meet the needs of clinicians at distant sites that take on the role of clinical teaching. There remains the need to impart particular strategies to support the learning of particular kinds of knowledge that is commonly dealt with in faculty development. However, there may be an additional need for faculty developers to embrace what is known about rural doctor social learning systems by overtly designing for incorporation of the foundational three Rs: relationships, responsibilities and resources. PMID: 29778089 [PubMed...
Source: Rural and Remote Health - May 22, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Massive pericardial effusion without cardiac tamponade due to subclinical hypothyroidism (Hashimoto's disease).
Authors: Papakonstantinou PE, Gourniezakis N, Skiadas C, Patrianakos A, Gikas A Abstract CONTEXT: Hypothyroidism is a significant cause of pericardial effusion. However, large pericardial effusions due to hypothyroidism are extremely rare. Hormone replacement therapy is the cornerstone of treatment for hypothyroidism and regular follow-up of patients after initiation of the therapy is indicated. Herein, the case of a 70-year-old woman with a massive pericardial effusion due to Hashimoto's disease is presented. ISSUES: A 70-year-old female from a rural village on the island of Crete, Greece, was admitted to our ...
Source: Rural and Remote Health - May 22, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

How primary health care staff working in rural and remote areas access skill development and expertise to support health promotion practice.
CONCLUSIONS: To improve health outcomes in rural and remote communities, the focus on health promotion and prevention approaches must be strengthened. Primary healthcare staff require ongoing access to health promotion skill development and expertise to increase their capacity to deliver comprehensive primary health care. Practice-based evidence from staff working in the field provides a greater understanding of how skill development and advice are accessed. Many of these strategies can be formalised through organisational plans and systems, which would ensure that a skilled health promotion workforce is sustained. PMI...
Source: Rural and Remote Health - May 21, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

The interaction between rural/urban status and dual use status among veterans with heart failure.
CONCLUSION: Rurality significantly modifies the likelihood of ED visits for HF, although this effect was not observed for hospitalizations or hospital readmissions. While other patient- or system-level factors may more heavily influence hospitalization and readmission in this population, dual use appears to be a marker for higher healthcare utilization and worse outcomes for both urban and rural veterans. PMID: 29742355 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - May 11, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Place of origin associated with depressive symptoms in health professionals performing social health service in Ancash, Peru, 2015.
CONCLUSIONS: Those who completed their undergraduate professional studies in Lima had a higher prevalence of depressive symptoms than those who did in Ancash. Possible explanations include the difficulty in visiting family and friends, acculturation, and lack of Quechua language proficiency. PMID: 29734813 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - May 9, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

The role of technology and telemetry medicine in the initial management of a ST-segment elevated myocardial infarction in a rural emergency department.
This article focuses on the telemetric technology utilised in the management of STEMIs in the rural emergency department, the diagnostic ability of the modern ECG and the role of the frontline rural emergency clinician in the utilisation of such technology. LESSONS LEARNED: Competent utilisation of key technologies applied to the ECG machine require the clinician to be well trained in the technical use of the equipment, have a thorough understanding of how the technology interacts within the established clinical pathway and be ready to apply its use in a timely manner in order to prevent delays in treatment. Furthermor...
Source: Rural and Remote Health - May 9, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Mapping the interprofessional education landscape for students on rural clinical placements: an integrative literature review.
CONCLUSION: This review addresses the lack of attention given to understanding IPE in the rural context, provides Australian and international evidence that initiatives are being offered to diverse student groups undertaking placements in rural settings and proposes a research agenda to develop a relevant framework to support rural IPE. Rural clinical learning environments afford a rich resource whereby health professionals can conceptualise IPE creatively and holistically to construct transformative learning experiences for students. This review develops a case for supporting the development, trialling, evaluation and tra...
Source: Rural and Remote Health - May 8, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Wiisokotaatiwin: development and evaluation of a community-based palliative care program in Naotkamegwanning First Nation.
CONCLUSIONS: The Wiisokotaatiwin Program allowed community members to receive their palliative care at home, improved client experience and enhanced service integration. This article provides a First Nations specific model for a palliative care program that overcomes jurisdictional issues at the local level, and a methodology for developing and evaluating community-based palliative care programs in rural First Nations communities. The article demonstrates how local, federal and provincial healthcare providers and organizations collaborated to build capacity, fund and deliver community-based palliative care. The described p...
Source: Rural and Remote Health - May 8, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Urban-suburban differences in GP requests for lumbosacral spine radiographs in a primary healthcare centre in Malta.
CONCLUSIONS: Such findings provide information for policymakers to improve equity in health care and resource allocations within the settings of urbanity and rurality. PMID: 29706083 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - May 2, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research