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

Selenium deficiency in mineral-rich mid-Western Australia.
Authors: Kodali V Abstract CONTEXT: Selenium is an essential micronutrient for human beings. Selenoproteins play a role in anti-oxidation and in maintaining immunity. Selenoproteins are distributed in all tissues, the most important of which are glutathione peroxidase, thioredoxin reductase and deiodinases. The deiodinases are selenium-dependent enzymes. ISSUES: An elderly man with lethargy and tiredness who had normal free thyroid hormone T4, thyroid-stimulating hormone and a low T3 with subnormal temperature and low selenium level. Selenium supplementation normalised thyroid function tests. LESSONS LEARNE...
Source: Rural and Remote Health - April 28, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Women in rural family medicine: a qualitative exploration of practice attributes that promote physician satisfaction.
CONCLUSIONS: Understanding practice attributes valued by successful rural women family physicians in the USA will help rural health systems, practices, and physicians-in-training to develop and evaluate opportunities that will best contribute to successful rural practice. Supporting women physicians during periods of practice transition may improve retention. PMID: 29665695 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - April 19, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Oral health disparities among adolescents from urban and rural communities of central Chile.
Authors: Giacaman RA, Bustos IP, Bazán P, Mariño RJ Abstract PURPOSE: Rural populations may be at increased risk for prevalent oral diseases. The aim of this study was to compare oral health status of adolescents of rural and urban areas from central Chile. METHODS: A representative sample of 552 and 486 adolescents aged 12 and 15 years, respectively, was examined using WHO methods. Adolescents were chosen from schools belonging to urban and rural districts of the region. Caries status was obtained by decayed, missing, filled teeth (DMFT) and significant caries (SiC) indexes. The gingival exam inc...
Source: Rural and Remote Health - April 18, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Incidence and characteristics of low-speed vehicle run over events in rural and remote children aged 0-14 years in Queensland: an 11 year (1999-2009) retrospective analysis.
CONCLUSION: The results confirmed that children of all ages and genders residing outside of major cities in Queensland are more at risk of being involved in an LSVRO incident, and experience more severe consequences compared to children in major cities. Future research should address the specific risk factors and focus on engaging rural communities to assist in the prevention of LSVRO incidents. PMID: 29655364 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - April 16, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Facilitators of community participation in an Aboriginal sexual health promotion initiative.
CONCLUSIONS: Adding trust to the YARN model as a basis upon which YARN model factors are grounded assists future Aboriginal health promotion projects in ensuring community participation approaches are more likely to be acceptable to the Aboriginal community. PMID: 29655365 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - April 16, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Implementation of an expanded-scope-of-practice physiotherapist role in a regional hospital emergency department.
CONCLUSIONS: It is feasible to implement an expanded scope of physiotherapy service in a regional hospital ED. For sustainability in regional areas, a larger advanced-level physiotherapy workforce and easier access to expanded-scope training are required. PMID: 29614863 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - April 5, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Service user preferences for diabetes education in remote and rural areas of the Highlands and Islands of Scotland.
CONCLUSIONS: People with type 2 diabetes living in remote and rural areas of the Scottish Highlands and Islands who already use the internet are receptive to the use of digital technology for delivery of diabetes education and are interested in learning more about management of their condition through this medium. They believe that a technology approach will provide them with more control over the pace of learning, and where and when this learning can take place. PMID: 29580062 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - March 29, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

From pipelines to pathways: the Memorial experience in educating doctors for rural generalist practice.
This report describes the community context, concept and mission of The Faculty of Medicine at Memorial University of Newfoundland (Memorial), Canada, and its 'pathways to rural practice' approach, which includes influences at the pre-medical school, medical school experience, postgraduate residency training, and physician practice levels. Memorial's pathways to practice helped Memorial to fulfill its social accountability mandate to populate the province with highly skilled rural generalist practitioners. Programs/interventions/initiatives: The 'pathways to rural practice' include initiatives in four stages: (1) before ad...
Source: Rural and Remote Health - March 20, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Does rural generalist focused medical school and family medicine training make a difference? Memorial University of Newfoundland outcomes.
This study aimed to assess whether Memorial medical degree (MD) and postgraduate (PG) programs were effective at producing physicians for their province and rural physicians for Canada compared with other Canadian medical schools. METHODS: This retrospective cohort study included medical school graduates who completed their PG training between 2004 and 2013 in Canada. Practice locations of study subjects were georeferenced and assigned to three geographic classes: Large Urban; Small City/Town; and Rural. Analyses were performed at two levels. (1) Provincial level analysis compared Memorial PG graduates practicing where...
Source: Rural and Remote Health - March 20, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Remote and rural student placement in the Shetland Islands: a reflective essay, with a focus on accident and emergency care.
Authors: Polson L PMID: 29522687 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - March 10, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Transformation of medical education through Decentralised Training Platforms: a scoping review.
CONCLUSIONS: This scoping review showed a considerable amount of literature on decentralized training platforms that highlight the necessary adaptations needed for transforming medical education. The rural context is critical for many of these. Further studies are required to address the impact of DTPs on health service outcomes and human resource outcomes. PMID: 29522688 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - March 10, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Rural & ndash;urban differences in exposure to adverse childhood experiences among South Carolina adults.
Rural–urban differences in exposure to adverse childhood experiences among South Carolina adults. Rural Remote Health. 2018 Feb;18(1):4434 Authors: Radcliff E, Crouch E, Strompolis M Abstract INTRODUCTION: Adverse childhood experiences (ACEs) are traumatic events that occur in a child's life between birth and 18 years. Exposure to one or more ACE has been linked to participation in risky health behaviors and the experience of chronic health conditions in adulthood. The risk for poor outcomes increases as the number of ACEs experienced increases. This research investigates rural-urban differen...
Source: Rural and Remote Health - February 24, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Knowledge, attitude and practices on diabetes, hypertension and diabetic retinopathy and the factors that motivate screening for diabetes and diabetic retinopathy in a pyramidal model of eye health care.
Authors: Lingam S, Rani P, Sheeladevi S, Kotapati V, Das T Abstract INTRODUCTION: To report the results of a knowledge, attitude and practice (KAP) study related to diabetes mellitus (DM), hypertension and diabetic retinopathy (DR) of patient populations in India at different levels (Tertiary (T), Secondary (S) and Primary (P)) of a pyramidal model of eye health care. METHODS: In total, 202 participants, composed of equal numbers of diabetic and non-diabetic patients at a Tertiary urban facility (T), a Secondary rural facility (S) and a Primary (P) community-screening program, were surveyed on their knowledge, ...
Source: Rural and Remote Health - February 21, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

A comparison of barriers to accessing services for mental and physical health conditions in a sample of rural Australian adults.
CONCLUSIONS: Both rural men and rural women report more barriers to help seeking for mental health issues than physical health issues across a range of domains. There is a need to educate the current and future rural health and mental health workforce about these barriers and to encourage them to test evidence-based strategies to address them, in particular to facilitate more widespread mental health help-seeking in rural Australia. PMID: 29451985 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - February 18, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Positive implications from socially accountable, community-engaged medical education across two Philippines regions.
This study describes differences between the practice locations of Philippines medical graduates from two 'socially accountable, community-engaged' health professional education (SAHPE) schools and the practice locations of graduates from two 'conventionally trained' medical schools located in the same respective geographic regions. Licensed medical graduates were currently practising in the Philippines and had been practising for at least 6 months. Graduates were from two Philippines SAHPE schools (Ateneo de Zamboanga University-School of Medicine (ADZU-SOM) on the Zamboanga Peninsula (n=212) and the University of the Phi...
Source: Rural and Remote Health - February 18, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Promoting delayed umbilical cord clamping: an educational intervention in a rural hospital.
Authors: Zuniga-Villanueva G, Sanchez-Espino L PMID: 29427563 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - February 11, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Self-efficacy level among patients with type 2 diabetes living in rural areas.
CONCLUSIONS: Metabolic control parameters suggest that type diabetes patients living in rural areas of Turkey had a poor disease management level and a moderate self-efficacy level. Measures to improve the self-efficacy levels call for a diabetes education program that includes lifestyle modifications and available resources in rural areas, as well as more frequent monitoring of patients living in rural areas. PMID: 29406767 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - February 8, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Dermatology ECHO - an innovative solution to address limited access to dermatology expertise.
CONCLUSIONS: As specialty medical evidence-based recommendations continue to increase, providers practicing in isolated rural and underserved areas may find it challenging to keep up with the new knowledge. Dermatology ECHO creates a community of practice that allows participating providers to discuss complex cases, receive specific guidance and mentoring, and participate in CME presentations. The case presented here supports the authors\' observations that Dermatology ECHO is an appropriate platform for learning evidence-based medical knowledge via videoconferencing technology. PMID: 29409325 [PubMed - in process] (So...
Source: Rural and Remote Health - February 8, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

The road to registration: Aboriginal and Torres Strait Islander health practitioner training in north Queensland.
Authors: Hill K, Harvey N, Felton-Busch C, Hoskins J, Rasalam R, Malouf P, Knight S Abstract CONTEXT: In 2012, the new profession of Aboriginal and Torres Strait Islander health practitioner (ATSIHP) was registered under the Health Practitioner Regulation National Law Act 2009. The project in this present study evolved out of the Australian Government\'s recognition of the need for the existing Indigenous health worker (IHW) workforce to meet the minimum qualification requirements for registration as ATSIHPs through recognition of prior learning and/or further education. A total of 53 IHWs participated in the upski...
Source: Rural and Remote Health - January 18, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

A double whammy! New baccalaureate registered nurses' transitions into rural acute care.
CONCLUSIONS: Whiledouble whammyoffers only one description of new RNs\' transition experiences into rural acute care, it may present readers with recognizable similarities about transition that resonate with their own learning and responsibilities. Transition supports and challenges learned from this study can assist rural healthcare providers, policymakers, and educators in developing strategies to support and retain new RNs in rural acute care environments. Additionally, researchers must consider a priori whether or not different types of rural acute care hospitals exist in their study locale and if rural population grow...
Source: Rural and Remote Health - January 2, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research