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

Challenges to uptake of cancer education resources by rural Aboriginal Health Workers: the Cancer Healing Messages flipchart experience.
CONCLUSION: The Cancer Healing Messages flipchart and patient flyer are perceived as appropriate, valuable, and useful tools for AHWs. A long-term strategy and clear implementation plan involving education, training and promotion of the materials, is required to achieve broad reach and sustainable utilisation of the Cancer Healing Messages flipchart and patient flyer. PMID: 29262688 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - December 23, 2017 Category: Rural Health Tags: Rural Remote Health Source Type: research

What are they thinking? Facilitating clinical reasoning through longitudinal patient exposure in rural practice.
CONCLUSIONS:   This research explored clinicians’ perspectives of how students develop their clinical reasoning: by learning from patients, from their supervisors and by understanding the context of their clinical interactions. &nbsp. PMID: 29248011 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - December 20, 2017 Category: Rural Health Tags: Rural Remote Health Source Type: research

Marginalization and health service coverage among indigenous, rural, and urban populations: a public health problem in Mexico.
CONCLUSIONS:   Although health coverage is highly concentrated in urban areas in Mexico, shortages are mostly concentrated in rural areas where Indigenous groups represent the extreme end of marginalization and access to medical coverage. Inadequate access to health services in the Indigenous and rural populations throws the gravity of the public health problem into relief. PMID: 29246080 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - December 19, 2017 Category: Rural Health Tags: Rural Remote Health Source Type: research

A novel model for a hub-and-spoke spinal service and improvements in the treatment of spinal pathology in a rural hospital setting.
CONCLUSIONS:   This novel approach improves support for existing trauma and orthopaedic surgery departments, increases commissioned facilities within the rural hospital setting and improves the care received on a more local level by patients developing spinal pathologies. This subspecialty service was previously only available within the more central, large city-based hub hospital. After the introduction of a subspecialty spine service, facilities within this spoke rural hospital have increased and access to these services is more available locally to the rural community. This has improved patient care dr...
Source: Rural and Remote Health - December 16, 2017 Category: Rural Health Tags: Rural Remote Health Source Type: research

Encouragers and discouragers affecting medical graduates' choice of regional and rural practice locations.
CONCLUSIONS: This study has confirmed the value of the Pūkawakawa Programme as an important contributor to the regional and rural workforce of the Northland District, New Zealand. The value of an academic‑clinical partnership has been shown to support a regional and rural clinical learning environment. Evidence is provided of one way of having overcome barriers to building regional and rural workforce capacity in this district. PMID: 29212340 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - December 9, 2017 Category: Rural Health Tags: Rural Remote Health Source Type: research

Rural health in Japan: past and future.
Authors: Takamura A, Matsumoto M, Ishikawa S PMID: 29207876 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - December 8, 2017 Category: Rural Health Tags: Rural Remote Health Source Type: research

Rural-urban differences in unpaid caregivers of adults.
CONCLUSIONS:   These findings may indicate differing cultural values in rural and urban respondents, rather than better health among rural caregivers. Understanding the characteristics of rural caregivers may help policymakers target interventions.&nbsp. PMID: 29166125 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - November 23, 2017 Category: Rural Health Tags: Rural Remote Health Source Type: research

Understanding how emergency medicine physicians survive and thrive in rural practice: a theoretical model.
CONCLUSIONS: The theoretical model provides a more complex view of the realities of rural EM care than has been previously described. It identifies factors that enable and hinder rural EM physicians in their practice, and provides an understanding of the strategies they employ to navigate challenges. Some elements of the theoretical model have been previously identified. For example, existing work has found that many rural physicians experience fear and anxiety in their practice. The challenges posed by the variation in rural practice environments have also been previously identified as an important influence. Other elemen...
Source: Rural and Remote Health - November 19, 2017 Category: Rural Health Tags: Rural Remote Health Source Type: research

The evolution of the Community Health Worker program in Papua New Guinea.
This article identifies and explains the five major developmental stages in the current CHW training program, as well as the changes that have occurred over the past century. The developmental stages are: (1) traditional; (2) early contact; (3) innovation; (4) the 1980s; and (5) new millennium. These developmental stages are discussed in the context of the early literature and investigation by the primary author and examination of the lived experiences of early missionary health workers and local people. This paper documents the development of a CHW program in PNG from the colonisation period, which began in 1883, to the p...
Source: Rural and Remote Health - November 3, 2017 Category: Rural Health Tags: Rural Remote Health Source Type: research

Feasibility and diagnostic accuracy of using armband mid-upper arm circumference as a simple screening tool for maternal wasting in rural India.
Authors: Sethi V, Parhi RN, Dar S, Agrawal S PMID: 29081221 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - October 31, 2017 Category: Rural Health Tags: Rural Remote Health Source Type: research

Mobile emergency simulation training for rural health providers.
CONCLUSIONS: A high level of satisfaction was reported in rural health providers with mobile emergency simulation. Access to and experience with high fidelity mannequins was limited, suggesting areas for potential educational growth. PMID: 29040811 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - October 20, 2017 Category: Rural Health Tags: Rural Remote Health Source Type: research

Factors influencing suicide in older rural males: a review of Australian studies.
CONCLUSIONS: This article highlights factors that may cause older rural Australians to be placed at a higher risk of suicide than their urban-dwelling counterparts. With the impact of the changing economy, unpredictable climatic conditions and dynamic changes in rural Australian families, there is a need to highlight research that has been conducted in this area. Future research should focus on identification of misclassification of suicide deaths, investigation of the possible effect that retirement pathways may have on older Australian males, suicide prevention strategies, mental wellbeing and the risk of suicidal behavi...
Source: Rural and Remote Health - October 17, 2017 Category: Rural Health Tags: Rural Remote Health Source Type: research

Household resources as determinants of child mortality in Ghana.
CONCLUSIONS: Possession of a refrigerator may play a role in child mortality. This finding may reflect unmeasured socioeconomic status or the importance of access to refrigeration in preventing diarrheal disease or other proximal causes of child mortality in sub-Saharan Africa. PMID: 28992713 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - October 11, 2017 Category: Rural Health Tags: Rural Remote Health Source Type: research

A review of the availability and cost effectiveness of chronic obstructive pulmonary disease (COPD) management interventions in rural Australia and New Zealand.
CONCLUSIONS: Limited literature exists to inform planning and development of services for people with COPD living in rural and remote areas of Australia and New Zealand. Approximately 50% of pulmonary rehabilitation programs are situated in rural and remote locations in Australia and New Zealand. Outcomes from existing programs need to be reported in a consistent and coordinated manner to allow evaluation of health resource utilisation. PMID: 28992714 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - October 11, 2017 Category: Rural Health Tags: Rural Remote Health Source Type: research