Multiple physician visits after restricting the prescription of compresses/patches in a Japanese rural community: preliminary results.
Authors: Ban T, Hirose H, Teraura H, Kotani K, Gotoh T Abstract PMID: 30744383 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - February 14, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

A mapping study to guide a palliative approach to care.
CONCLUSION: The implementation of a palliative approach, as with any service model, requires agreement and engagement across relevant healthcare organisations, services and providers. Mapping and understanding the network of providers (and organisations) that support healthcare delivery before implementing new models of care will identify strengths and gaps within the network. This knowledge will then support new and integrated connections that enhance the provision of care so that it is acceptable, fit for purpose and regionally responsive. PMID: 30744384 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - February 14, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Using mobile transport vouchers to improve access to skilled delivery.
CONCLUSION: Mobile technology can be successfully used in remote rural settings in Africa for targeting funds and guiding individuals towards better health care. The combination of such technology with communication agents (community health volunteers, ambulance drivers) proved particularly effective. PMID: 30736701 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - February 11, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Dual normative commitments mediating the relationship between perceived investment in employees' development and intention to leave among the healthcare workforce in underserviced areas of Taiwan.
CONCLUSION: The employee's dual commitments of professional and organizational normative commitment mediated the relationship between perceived investment of employee development and intention to leave. The government's investment in on-the-job training and career planning for the healthcare workers in both remote areas and isolated islands is important to enforce their professional and organizational normative commitment, and to retain the workforce in these underserviced areas. PMID: 30727739 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - February 8, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Emergency rural obstetric transfers in South Australia: a review of the clinical and precipitating factors.
CONCLUSION: This study suggests that the rural doctor workforce in the Riverland region appears to be well skilled at identifying obstetric emergencies despite the lack of guidance around what constitutes a high risk perinatal situation. Furthermore, this study quantifies the number of women who would potentially require support services associated with rural perinatal transfers from this area. There was a comparatively lower rate of delivery on transfer and, as such, these women eventually delivered their babies either at their hospital of origin or returned to a metropolitan hospital as part of a planned admission for de...
Source: Rural and Remote Health - February 7, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Perspectives from the frontline of two North American community paramedicine programs: an observational, ethnographic study.
CONCLUSIONS: Improved education and communication from paramedic service management with staff and external stakeholders might improve transitional processes and better support a culture of inclusivity for community paramedicine programs. Experienced and highly motivated paramedics with excellent communication and interpersonal skills should be considered for community paramedic roles. Practitioners who are proactive about community paramedicine and self-nominate for positions transition more easily into the role: they tend to see the 'bigger picture', have broader insight into public health issues and the benefits of inte...
Source: Rural and Remote Health - February 3, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Cell phone usefulness to improve the skin cancer screening: preliminary results and critical analysis of mobile app development.
CONCLUSION: These preliminary findings indicate that the cell phone application developed to aid the diagnosis of skin cancer showed great potential and reliability, and can therefore be considered as an ancillary option in countries like Brazil, with isolated communities that have limited access to dermatology clinics. PMID: 30673294 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - January 25, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

The impact of national health insurance coverage on pit and fissure sealing experience.
CONCLUSIONS: Although PFS supplying was increased after inclusion in NHI coverage, it is still insufficient to reduce the decayed, missing, filled teeth index effectively. To reduce inequality, supply of PFS in rural area by community oral health program should be strengthened. And also, waiving out-of-pocket money for PFS in NHI should be considered. PMID: 30578728 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - December 25, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Qualitative evaluation of a public-private partnership for reproductive health training in Papua New Guinea.
CONCLUSION: The findings of this service provision case study confirm what has been found in other infrastructure-led PPPs. Further research into how to overcome power imbalances between partners in a PPP as well as setting up a governance framework in a dynamic environment could inform this growing area of collaboration between the private and public sectors. PMID: 30543754 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - December 15, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

The prevalence of diabetes mellitus among Sami and non-Sami inhabitants of Northern Norway - the SAMINOR 1 Survey (2003-2004) and the SAMINOR 2 Clinical Survey (2012-2014).
CONCLUSION: Overall, no ethnic difference was observed in DM prevalence. Overall DM prevalence was high, but did not change significantly from SAMINOR 1 to SAMINOR 2. The percentage of known versus unknown cases of DM increased, as did the prescription of medication for DM between 2004 and 2015. PMID: 30543755 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - December 15, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Hoeing machine accident: a case report.
We present a case of subtotal leg amputation that occurred after a hoeing machine accident in 2015 in Malatya, eastern Turkey. We monitored the patient and started initial therapies according to advanced trauma life support in the emergency service. However, his right leg was severely injured and had to be amputated. LESSONS LEARNED: Hoeing machine accidents lead to physical disabilities due to extreme injury and amputation. PMID: 30525866 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - December 13, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

An evidence-based program for rural surgical and obstetrical networks.
Authors: Iglesias S, Kornelsen J Abstract CONTEXT: Over the past 25 years, the attrition of small volume rural surgery programs across Western Canada has been significant and sustained. The 'Joint position paper on rural surgery and operative delivery' (JPP) offers a consensus policy framework for the sustainability of rural surgical programs by nesting them within larger regional programs. The many recommendations in the JPP coalesce around the recognition that surgical care should be provided as close to home as possible. To achieve this, surgical care should be delivered within rural and regional surgical progra...
Source: Rural and Remote Health - December 8, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

What leads to the subjective perception of a 'rural area'? A qualitative study with undergraduate students and postgraduate trainees in Germany to tailor strategies against physician's shortage.
CONCLUSIONS: Strategies must be developed to raise awareness and create a personal connection to rural areas during under- and postgraduate medical training. Attention should be given to highlighting family friendliness (child care, schools), the attractiveness of working conditions and to improving deficiencies in local infrastructure (internet and or traffic connections). Additionally, there is a need to strengthen the national standardized and structured postgraduate training as well as collegial exchange and the possibility to work in a group practice or as an employee in rural areas. PMID: 30447658 [PubMed - in pr...
Source: Rural and Remote Health - November 19, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Current practices, barriers and enablers for advance care planning among healthcare workers of aged care facilities in western New South Wales, Australia.
CONCLUSIONS: Attitudes towards ACP in rural New South Wales are highly positive. The rural setting is a facilitator to ACP, and ACDs are approached in a multidisciplinary fashion. Further training is an identified need although on-the-ground experience may be more beneficial. PMID: 30447659 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - November 19, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Appropriateness of task of public health doctors in South Korea.
CONCLUSIONS: PHDs on remote islands highly value the validity and deployment needs of PHDs, while PHDs in close proximity to private clinics or hospitals give a low score. This suggests that there is a need to more efficiently deploy PHDs depending on local characteristics and the presence or absence of nearby private medical clinics and hospitals. PMID: 30424679 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - November 16, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Profile of gynaecology surgeries from Western Province, Solomon Islands.
CONCLUSION: The Solomon Islands presents a unique profile of challenges to surgical practice, including the impact of dengue infection on fitness for surgery, a mobile patient population dispersed across the islands, difficult access to pathology services, and increased length of stay. Despite this, most patients had surgical outcomes equivalent to those in a developed setting. PMID: 30433793 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - November 16, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Developing the health visitor concept of family resilience in Wales using Group Concept Mapping.
CONCLUSION: Family resilience as understood by health visitors is a multidimensional concept. Using online software such as Concept Systems' Global Max enabled health visitors working across Wales to achieve a consensus and generate the data in preparation for building FRAIT for use in their daily practice as required by Welsh Government policy. PMID: 30433794 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - November 16, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Comparing ST-segment elevation myocardial infarction care between patients residing in central and remote locations: a retrospective case series.
Authors: Kamona A, Cunningham S, Addison B, Rushworth GF, Call A, Bloe C, Innes A, Bond RR, Peace A, Leslie SJ Abstract INTRODUCTION: People who experience an ST-elevation myocardial infarction (STEMI) due to an occluded coronary artery require prompt treatment. Treatments to open a blocked artery are called reperfusion therapies (RTs) and can include intravenous pharmacological thrombolysis (TL) or primary percutaneous coronary intervention (pPCI) in a cardiac catheterisation laboratory (cath lab). Optimal RT (ORT) with pPCI or TL reduces morbidity and mortality. In remote areas, a number of geographical and organ...
Source: Rural and Remote Health - October 30, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Japanese regional-quota medical students in their final year are less motivated to work in medically underserved areas than they were in their first year: a prospective observational study.
CONCLUSIONS: Regional quota students' anticipated willingness to remain in MUAs decreased as they progressed through medical school. To increase the number of physicians in MUAs, it may be useful to recruit regional quota students who come from rural areas, who do not place a high priority on expected incomes, and who initially anticipate a willingness to remain in MUAs. PMID: 30365899 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - October 27, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Exploring roles and capacity development of village midwives in Sudanese communities.
CONCLUSION: Improved service provision may be associated with development of supervision systems for VMWs, active provision of community activities, strengthened linkages between health facilities and VMWs and enhanced community trust of VMWs. Given issues such as shortages and poor retention of human resources for maternal and newborn health service delivery in particular settings, international communities should focus on strengthening capacity of community midwives for home births as a realistic measure. PMID: 30343581 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - October 23, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

The patterns of self-reported maternal complications in Indonesia: are there rural-urban differences?
CONCLUSIONS: This study found similar patterns of pregnancy morbidity, but slight differences in labor morbidity patterns. Specific interventions for major maternal complications within rural or urban areas are important. There were also differences in the proportion of self-reported maternal complications by sociodemographic factors, which might be caused by differences in reporting. Intervention to improve knowledge and awareness of maternal complication is needed, specifically for socially disadvantaged women and women living in rural areas. PMID: 30301357 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - October 14, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Lessons for health program monitoring and evaluation in a low resource setting.
This article describes how M&E has been conducted for a health service delivery improvement program in remote Papua New Guinea and outlines lessons learned. The lessons learned were to integrate M&E into every aspect of the program, strengthen existing health information data, link primary data collection with existing program activities, conduct regular monitoring and feedback for early identification of implementation issues, involve the program team in evaluation, and communicate M&E data through multiple mediums to stakeholders. These lessons could be applied to other health programs implemented in low reso...
Source: Rural and Remote Health - October 14, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

Selective admission policy of medical undergraduates in western China: applicants' real attitudes to the choice of a rural medical career.
CONCLUSION: Further educational intervention should emphasise the students' humanistic inner qualities and recognition of professional value. Further policy adjustment should considered, for example improving social policy-based regional character and national development strategies. PMID: 30315746 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - October 14, 2018 Category: Rural Health Tags: Rural Remote Health Source Type: research

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