Setting priorities for rural allied health in Australia: a scoping review.
CONCLUSION: Evidence suggests that more accessible rural allied health services in Australia should address three key policy areas. First, improving rural jobs with access to senior workplace supervision and career options will help to improve networks of critical mass. Second, training skilled and qualified workers through more continuous, high quality rural pathways is needed to deliver a complementary workforce for the community. Third, distribution depends on networked service models at the regional level, with viable remuneration, outreach and telehealth for practice in smaller communities. More national-scale, longit...
Source: Rural and Remote Health - June 23, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Community acquired pneumonia: a cost-of-illness analysis in Greece.
CONCLUSION: The results indicate that, in Greece, CAP is accompanied by a significant economic burden, mainly attributable to hospitalisation. Interventions toward reducing the influence of contributors to the incidence and probability of hospitalisation are essential from a clinical and policy perspective. Also, the association of symptoms - in terms of number and duration - and age with hospitalisation probability and costs highlights that special attention should be given to the high risk groups of the population, such as the elderly and the rural residents, both in terms of preventive and therapeutic services. PMID...
Source: Rural and Remote Health - June 17, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Support nurses and midwives to strengthen healthcare systems.
Authors: Fields B, Sibanda B, Couper I PMID: 32531170 [PubMed - as supplied by publisher] (Source: Rural and Remote Health)
Source: Rural and Remote Health - June 14, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

'Being a midwife is being prepared to help women in very difficult conditions': midwives' experiences of working in the rural and fragile settings of Ituri Province, Democratic Republic of Congo.
CONCLUSION: Midwives play a critical role in supporting women to deliver babies safely in rural Ituri Province. They face immense challenges and demonstrate bravery and resilience as they navigate the interface between underresourced health systems and poor, marginalized rural communities. This situation requires a call to action: donors need to prioritize these contexts; and the government and other stakeholders in DRC need to invest more in improving security conditions as well as working conditions and professional support for midwives in rural Ituri Province. Only then will midwives be able to provide the critical serv...
Source: Rural and Remote Health - June 14, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Surgical care at rural district hospitals in low- and middle-income countries: an essential component of universal health coverage.
Authors: Chu KM, Naidu P, Hendriks HJ, Nash J, Coetzee FJ, Esteves M, Reid S, Couper I PMID: 32533914 [PubMed - as supplied by publisher] (Source: Rural and Remote Health)
Source: Rural and Remote Health - June 14, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Risk factors for renal disease and diabetes in remote Australia - findings from The Western Desert Kidney Health Project.
CONCLUSION: The WDKHP found higher than expected rates of risk factors for T2DM and renal disease compared with Australian Bureau of Statistics rates for Australian Aboriginal and non-Aboriginal adults and children, with Aboriginal women the highest risk group. The rates for non-Aboriginal participants were higher than expected, suggesting exposures in common might be more important than ethnicity.The high prevalence of aciduria and haematuria found in both Aboriginal and non-Aboriginal participants in this study suggests that factors contributing to a chronic metabolic acidosis and inflammation or irritation of the urinar...
Source: Rural and Remote Health - June 11, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Practical approaches to pedagogically rich online tutorials in health professions education.
Authors: Seymour-Walsh AE, Weber A, Bell A Abstract Health professions education in tertiary, industrial and other contexts often entails face-to-face small group learning through tutorials. The current novel coronavirus, COVID-19, has reduced face-to-face contact, and this has challenged how health professionals and clinical students can access training, accreditation and development. Online and other remote mechanisms are available to tutors and course designers; however, they might not feel comfortable with such affordances, in light of expectations to so rapidly change familiar teaching and delivery styles. Thi...
Source: Rural and Remote Health - June 1, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Pedagogical foundations to online lectures in health professions education.
This article proposes strategies to ensure the ongoing effectiveness, efficiency and engagement of lectures transitioning from face-to-face to online delivery. Cognitive learning theory, strategies to promote learner engagement and minimise distraction, and examples of software affordances to support active learning during the lecture are proposed. This enables lecturers to navigate the challenges of lecturing in an online environment and plan fruitful online lectures during this disruptive time. These suggestions will therefore enable HPE to better meet the existing and future needs of regional, rural and remote learners ...
Source: Rural and Remote Health - May 31, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Adapting to a new reality: COVID-19 coronavirus and online education in the health professions.
This article is the first in a series addressing the risks and opportunities in the current transition to online HPE, providing practical solutions for educators who are now unable to embrace more traditional face-to-face HPE delivery methods and activities. PMID: 32456441 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - May 30, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Development of a referral pathway framework for foetal alcohol spectrum disorder in the Pilbara.
CONCLUSION: The process of referral pathway development provided a service mapping and gapping exercise to facilitate service integration. Evaluation of the resource will be conducted using the RE-AIM framework. The referral pathways template has been adapted and trialled by health and other professionals in several sites across Australia. The model developed for FASD can be applied to other neurodevelopmental disorders. PMID: 32402204 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - May 15, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Leveraging the Bonded Medical Places Scheme to attract and retain doctors in rural areas: the role of Regional Training Hubs.
Authors: Cuesta-Briand B, Playford D, Kirke AB, Oldham D, Atkinson D PMID: 32354220 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - May 2, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

A direct connection promotes time efficiency for transfer of ST-elevation myocardial infarction patients.
This study compared the ED delay time between TUH non-referral patients in the TUH and LED referral patients in the LED, to determine whether a direct connection reduces current LED delay time. RESULTS: A total of 214 patients (group A, n=62; group B, n=152) who underwent PCI procedures at the TUH were enrolled in the study. ED delay times in the LED were significantly less than the TUH-ED (45.0 v 66.0 min, p
Source: Rural and Remote Health - April 29, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Look at Mummy: challenges in training parents to deliver a home treatment program for childhood apraxia of speech in a rural Canadian community.
CONCLUSION: While training parents to deliver DTTC may be effective for some parent-child dyads, clinicians are advised that parent training may not be suitable for all families, and parents in rural and remote communities may face particular social circumstances that make following through with an intensive treatment program difficult. PMID: 32343906 [PubMed - as supplied by publisher] (Source: Rural and Remote Health)
Source: Rural and Remote Health - April 29, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

The data deficit for asthma emergency presentations might surprise you: how RAHDaR addresses the data chasm.
CONCLUSION: The RAHDaR database, a complete register of data, captures all emergency presentations in south-western Victoria and highlights as much as a 33% deficit in the data currently available to inform asthma resource initiatives including policy development, funding allocation, prevention and management initiatives in Victoria. More accurate data from sources such as RAHDaR are essential to fill the now-evident data chasm. PMID: 32326717 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - April 25, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

The place of research in the rural health workplace structure: a content analysis of a rural health organisation's strategic and operational documents.
CONCLUSION: Health services can create conditions for local health research in a rural environment by addressing structural barriers such as a lack of operational planning for research. Identifying research-active individuals as champions to build internal research collaboration is an important strategy, as is partnering with external organisations for necessary expertise. PMID: 32299219 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - April 18, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Dynamics of depressive symptoms and within-country migration among Peruvian women.
CONCLUSION: Despite a reduction in the overall burden of depressive symptoms, the migrant subgroup population has a higher probability of presenting these symptoms. Mental health strategies for migrant women are a priority in Peru. PMID: 32237886 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - April 4, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Too tough to ask for help? Stoicism and attitudes to mental health professionals in rural Australia.
CONCLUSION: Findings from this study extend knowledge of what differentiates people who are willing from those who are not willing to seek help for a mental health concern or suicidal ideation, by their living location. The findings also suggest practical implications for clinical intervention and community prevention that could assist improving help-seeking for rural Australians in the future. PMID: 32237887 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - April 4, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

'It's mostly about the job' - putting the lens on specialist rural retention.
CONCLUSION: To improve specialist workforce retention, rural health services should ensure a professionally rewarding, harmonious work environment, without onerous out-of-hours demands and where specialists feel valued. Specialists should have autonomy over workloads, flexible contracts, appropriate financial remuneration and enhanced access to CPD. New specialists and their families should have additional support to assist with social integration. PMID: 32228005 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - April 2, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Health self-perception and morbidities, and their relation with rural work in southern Brazil.
CONCLUSION: The association between rural work and not good health self-perception, cardiovascular disease and obesity in women, and respiratory diseases in men seems to be highly dependent on sociodemographic context. PMID: 32204596 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - March 26, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Why we need better rural and remote health, now more than ever.
Authors: Worley P PMID: 32204597 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - March 26, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

The increasing incidence of immigration and information-seeking behaviour of medical doctors in north-western Greece.
Authors: Bazoukis X, Kalampokis N, Papoudou-Bai A, Bazoukis G, Grivas N Abstract INTRODUCTION: Brain drain, an increasing phenomenon, can be defined as the international transfer of resources, in the form of a highly educated workforce, from developing to more developed countries. The tendency for migration leads to the activation of informational behaviour. The aim of this study was to search for the main causes of emigration of Greek medical doctors while their country suffers from an economic crisis. METHODS: A cross-sectional study using a quantitative sampling method in the form of questionnaires was perfo...
Source: Rural and Remote Health - March 25, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

State of the eye health system in the Pacific: is medical technology available and used by mid-level eye care workers?
CONCLUSION: Overall, trained mid-level eye care workers in the Pacific seem well equipped for ocular health and refractive assessments. Comfort levels are encouraging, but also highlight areas for continuing professional development. Access to ophthalmic medications appears acceptable in the region for low morbidity anterior segment conditions. PMID: 32188261 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - March 21, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Prevocational Integrated Extended Rural Clinical Experience (PIERCE): cutting through the barriers to prevocational rural medical education.
CONCLUSION: Both PIERCE and regional hospital placements provided opportunities and threats to the attainment of the curriculum objectives of the Australian Curriculum Framework for Junior Doctors, the Australian College of Rural and Remote Medicine and the Royal Australian College of General Practitioners Fellowship in Advanced Rural General Practice curricula. PIERCE trainees enjoyed the opportunity to experience rural medicine in a community setting, a broad caseload, hands-on proficiency, continuity of care and an authentic role as a valued member of the clinical team. This was reinforced by closer and more consistent ...
Source: Rural and Remote Health - March 13, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Developing a mobile data collection tool to manage a dispersed mental health workforce.
Authors: Maddox S, Read DMY, Dalton HE, Perkins DA, Powell NN Abstract CONTEXT: The Rural Adversity Mental Health Program (RAMHP) connects people who need mental health assistance in rural and remote New South Wales (NSW), Australia with appropriate services and resources. In 2016, RAMHP underwent a comprehensive reorientation to meet new state and federal priorities. A full assessment of program data collection methods for management, monitoring and evaluation was undertaken. Reliable data were needed to ensure program fidelity and to assess program performance. ISSUES: The review indicated that existing data ...
Source: Rural and Remote Health - February 28, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Searching for published protocols of randomized controlled trials in primary health care: an empirical systematic approach.
CONCLUSION: A compilation of published RCT protocols on PHC was feasible. The majority of protocols on PHC were published over the past 10 years, funded by the government and designed in three main countries. PMID: 32093481 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - February 27, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Supporting holistic care for patients with tuberculosis in a remote Indigenous community: a case report.
Authors: Miller A, Cairns A, Richardson A, Lawrence J Abstract CONTEXT: Tuberculosis (TB) is a serious infectious disease with high rates of morbidity and mortality if left untreated. In Australia, TB has been virtually eradicated in non-Indigenous Australian-born populations but in remote Aboriginal and/or Torres Strait Islander communities TB presents a rare but significant public health issue. Remote health services are most likely to encounter patients with suspected and confirmed TB diagnosis but may be unprepared for supporting someone with this disease and the complexities of balancing public health risk wit...
Source: Rural and Remote Health - February 27, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

The Wequedong Lodge Cancer Screening Program: implementation of an opportunistic cancer screening pilot program for residents of rural and remote Indigenous communities in Northwestern Ontario, Canada.
CONCLUSION: The WLCSP aimed to provide education about, access to and uptake of cancer screening services for First Nations people from rural and remote communities in Northwestern Ontario by targeting inequalities in accessing cancer screening opportunities. Therefore, program uptake may provide helpful numerical comparisons for similar future programs globally. Other entities working to improve cancer screening rates in remote and/or rural populations and/or amongst Indigenous peoples may find consideration of the WLCSP processes, successes and challenges helpful to their efforts. PMID: 32088964 [PubMed - in process]...
Source: Rural and Remote Health - February 25, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Household financial contribution to the health system after Iran's Health Transformation Plan.
CONCLUSION: Despite the implementation of HTP, a high percentage of the households faced CHE. The authorities should pay more attention to low-income and remote regions of the country; in addition, the HTP should financially cover outpatient healthcare services in an adequate manner. PMID: 32069064 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - February 20, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Improving the care of students with diabetes in rural schools utilizing an online diabetes education program for school personnel.
CONCLUSION: As the prevalence of school-aged children with diabetes continues to increase, an important finding of this study is that online programs with up-to-date information on diabetes care may enhance the ability of school personnel to include both lay/non-medical individuals and school nurses to effectively manage the care of students with diabetes. With up-to-date diabetic information delivered in a user-friendly and accessible format, more school personnel in rural and remote areas can be trained. Ultimately, ensuring that staff receive adequate training on diabetes and possess the confidence to administer care sh...
Source: Rural and Remote Health - February 15, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Factors associated with rural work for nursing and allied health graduates 15-17 years after an undergraduate rural placement through the University Department of Rural Health program.
CONCLUSION: The most significant long term practice factor identified in this study was initial rural practice. This suggests that funding to facilitate a rural pathway to not just train but also support careers in rural nursing and allied health rural training, similar to that already established for pharmacy and medicine, is likely to have beneficial long term workforce outcomes. This result adds to the evidence base of strategies that could be implemented for the successful development of a long term rural health workforce. PMID: 32000498 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - February 1, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Improving access to phosphorus- and sodium-restricted foods for people living with chronic kidney disease in remote First Nations.
Authors: Schiff R, Freill H Abstract CONTEXT: Food insecurity in northern, remote Canadian communities has become increasingly recognised as a significant issue in rural health research and policy. Over the past decade, numerous government and academic reports have emerged, documenting the severity of this issue for the health people living in the Canadian north. People living in northern and remote Canadian communities experience significant challenges related to the cost, quality, and variety of market (store-bought) foods. These issues may be of particular concern for those living with chronic diseases that requ...
Source: Rural and Remote Health - February 1, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Acute gastrointestinal illness in an African Indigenous population: the lived experience of Uganda's Batwa.
CONCLUSION: Despite efforts to increase health literacy in disease transmission dynamics, risks and prevention measures, the perceived barriers and a lack of benefits still largely underscored adopting positive AGI prevention behaviors. This study moved beyond surveillance and provided information on the broader community-level burden of AGI and highlighted the current challenges and opportunities for improved uptake of AGI prevention measures for the Batwa. PMID: 31958233 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - January 22, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Support for rural practice: female physicians and the life-career interface.
CONCLUSION: The general consensus of respondents was that the career-life interface varies across individuals, changes over time and is always a work in progress. Rural female physicians think of their work in relational terms, and it involves a great deal of emotional labor. Support systems mitigate the psychological effects of this labor and help physicians develop resilience in managing both career and life. Educators can better prepare female physicians by discussing the costs and benefits of emotional labor and the necessity of support networks, as well as how to negotiate a contract that is consistent with one's valu...
Source: Rural and Remote Health - January 22, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Satisfaction of patients and primary care professionals with a teleophthalmology-based screening programme for diabetic retinopathy in a rural area in Castilla y Le ón, Spain.
CONCLUSION: According to the high percentage of patients diagnosed with vision-threatening DR in this study, an early diagnosis of this complication of diabetes seems to be important. Teleophthalmology enhances patient accessibility to the healthcare system, making early diagnosis of DR easier, with a high degree of satisfaction among patients and healthcare professionals. PMID: 31941342 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - January 18, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

A mandatory bonding service program and its effects on the perspectives of young doctors in Nepal.
CONCLUSION: Despite the program's noble intentions, the medical doctors who were involved with the bonding service program felt that the program had yet to address several basic needs of the doctors who were deployed for service provision. In order to motivate the doctors to work in rural areas in future after the compulsory binding has ended, the stakeholders need to address the existing gaps in policies and infrastructure. PMID: 31931588 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - January 16, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Distribution of child health indicators according to internal migration and various social variables in Turkey.
CONCLUSION: There is a need for policymakers to take steps to overcome the regional disparities that create disadvantages for children aged less than 5 years in disadvantaged areas. PMID: 31935335 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - January 16, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Food insecurity and malnutrition in vulnerable households with children under 5 years on the Ecuadorian coast: a post-earthquake analysis.
CONCLUSION: The predominance of severe food insecurity occurred in overweight and obese mothers with inadequate dietary diversity. This probably happened because of a lack of access to food to adequately meet the nutritional needs of each member of the family. The results suggest that health promotion with actions aimed at food security is a priority within an integral action plan for natural disasters. PMID: 31937106 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - January 16, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Virtually caring: a qualitative study of internet-based mental health services for LGBT young adults in rural Australia.
CONCLUSION: The needs of LGBT youth in rural areas are complex and are unlikely to be met by an en masse approach to internet-based mental health care. The authors recommend that internet based mental healthcare providers work closely with LGBT and youth communities in rural areas to develop client-centred services that are customised to meet the unique needs of this community. PMID: 31937107 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - January 16, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Chronic condition risk factor change over time in a remote Indigenous community.
CONCLUSION: Community-led health promotion initiatives may have had some benefits on chronic condition risk factors, including stabilisation of body composition, in this remote Indigenous community. Given that less favourable trends were observed for diabetes and total cholesterol over a short time period and smoking prevalence remained high, policy initiatives that address social and economic disadvantage are needed alongside community-led health promotion initiatives. PMID: 31926545 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - January 15, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Establishing a mentorship program in rural workplaces: connection, communication, and support required.
CONCLUSION: Participants in this study believed that mentorship was beneficial to support healthcare providers working in rural environments. However, greater strides need to be made in terms of creating and supporting such relationships. The responsibility for mentorship resides with not only the mentor and mentee but also health organizations and rural communities. Members from all groups need to be committed and contribute to mentorship for rural mentorship programs to be successful and sustainable. Rural residents are often underserved due to insufficient numbers of healthcare professionals working in rural areas along...
Source: Rural and Remote Health - January 15, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Perceptions and management of postpartum haemorrhage among remote communities in Lao PDR.
CONCLUSION: While women continue to home birth in remote communities without skilled birth attendants, an informed understanding of traditional management of postpartum haemorrhage can assist in designing culturally responsive interventions. To support a reduction in morbidity and mortality from postpartum haemorrhage, tailored interventions are needed to raise awareness among women and their families to reduce delays in seeking health care. Women felt it would be acceptable to take oral medication to prevent postpartum haemorrhage. As such, community-based distribution of misoprostol that can be administered by lay people...
Source: Rural and Remote Health - January 12, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Feasibility and acceptability of internet-delivered parent-child interaction therapy for rural Australian families: a qualitative investigation.
CONCLUSION: The study highlights that I-PCIT effectively expands the reach of mental health services to Australian communities that previously could not access clinic-based parenting services. PMID: 31917594 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - January 11, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Environmental factors associated with diarrhoea prevalence among under-five children in the Mataniko settlements in Honiara, Solomon Islands.
This study aims to assess environmental factors that are associated with under-five diarrhoea prevalence in the Mataniko informal settlements, in Honiara, Solomon Islands. METHODS: Three out of the six settlements along the Mataniko River corridor were randomly selected. Caregivers who were taking care of at least one child under 5 years, and had signed a voluntary informed consent form, were included in the study. Instruments employed to collect the study variables were global positioning system technology and a questionnaire. Each child's medical record was used to verify the date of his or her diarrhoeal status. The...
Source: Rural and Remote Health - January 11, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Depression and binge drinking in farm and non-farm rural adults in Saskatchewan, Canada.
CONCLUSION: The present study is one of very few recently published quantitative studies of the correlates of mental health among farm and non-farm adults in rural Canada. The findings suggest that non-farm dwellers in rural Saskatchewan may be more vulnerable to compromised mental health than their farming counterparts. Additional research employing a longitudinal design and enhanced measurement is required to confirm or refute these findings. PMID: 31917596 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - January 11, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Critical discourse analysis of policies impacting the intersection of health and experiences of intimate partner violence for rural women in Ontario, Canada.
CONCLUSIONS: Integrative systems are important for women who have experienced IPV given the wide range of health, social, and economic consequences of violence. Policy alignment is important for women who have experienced or are experiencing IPV, particularly in rural contexts where services are fraught with additional barriers. PMID: 31902213 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - January 8, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Organophosphate exposure and the chronic effects on farmers: a narrative review.
CONCLUSION: Chronic organophosphate exposure was found to affect four of the five areas of described neurological effects in the literature. A large proportion of the research in this area was not methodologically strong, therefore few recommendations can be conclusively made. Future research is warranted to investigate the non-neurological effects of chronic exposure to ensure the occupational risks of low-level chronic exposure are clearly communicated to farmers and farm workers. PMID: 31902214 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - January 8, 2020 Category: Rural Health Tags: Rural Remote Health Source Type: research

Precarious patients: health professionals' perspectives on providing care to Mexican and Jamaican migrants in Canada's Seasonal Agricultural Worker Program.
CONCLUSION: Funding to strengthen responses to structural and intercultural challenges, including research assessing improved supports to rural health professionals serving MAWs, are needed in rural Canada and rural Mexico and Jamaica, in order to better address the structural and intersecting vulnerabilities and the care needs of this specific population. PMID: 31785605 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - December 3, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Passing on wisdom: exploring the end-of-life wishes of Aboriginal people from the Midwest of Western Australia.
CONCLUSION: Within a safe space, Aboriginal people were happy to talk about end-of-life wishes, although certain aspects of death remain contentious. Sorting cards, ceremonies, education and care roles involving Aboriginal people offer potential means for effectively engaging Aboriginal people in preparing for death and dealing with grief. PMID: 31782929 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - November 30, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

A scope of practice that works 'out here': exploring the effects of a changing medical regulatory environment on a rural New Zealand health service.
CONCLUSION: In better equipping medical practitioners for rural hospital work and strengthening hospital systems and standards, the rural hospital medicine scope has met its intentions at Hokianga Health. The rural hospital medicine pathway is a necessary partial solution to rural medical practitioners maintaining a broad skill set. Continued flexibility is required in training programs in order to meet a range of different practitioner and rural health service needs. PMID: 31782988 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - November 30, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research

Doctors in secondary schools program: the first year of program implementation in a rural Victorian school.
CONCLUSION: The role of the practice nurse has been instrumental in providing a needs-based service for students, connecting to local and regional health and community services. Adolescents in rural areas require holistic primary care including provision of resources, basic wellbeing needs and advocacy. Programs to support rural adolescents should be integrated across the strengths and opportunities that exist in each unique context. PMID: 31766852 [PubMed - in process] (Source: Rural and Remote Health)
Source: Rural and Remote Health - November 27, 2019 Category: Rural Health Tags: Rural Remote Health Source Type: research