The landscape of non-psychotic psychiatric illness in rural Canada: a narrative review
CONCLUSION: Further focus on representative community-based research is critical to expand our knowledge. It is also critical to consider strategies to increase psychiatric care access, including postgraduate medical training and telehealth training.PMID:38331714 | DOI:10.22605/RRH8341 (Source: Rural and Remote Health)
Source: Rural and Remote Health - February 8, 2024 Category: Rural Health Authors: Jacquelyn Paquet Katharine Hibbard Pamela Brett-MacLean Source Type: research

A rural doctor's telehealth training program during the COVID-19 pandemic
CONCLUSION: The outcomes of the program showed significant improvement in the levels of confidence and competencies required for providing remote consultations using telehealth services. A need remains to improve virtual interactions with patients, and to acquire better technology and financial support for remote consultations. In an environment where government is asking whether remote consultations are appropriate and clinically effective, these findings provide guidance from a professional group of experienced rural practitioners.PMID:38296265 | DOI:10.22605/RRH8032 (Source: Rural and Remote Health)
Source: Rural and Remote Health - January 31, 2024 Category: Rural Health Authors: Alan D Taylor Jane Connolly Christopher Pearce Source Type: research

A visiting otolaryngology team in northern Ontario - demographics, clinical presentation and barriers to access
Rural Remote Health. 2024 Jan;24(1):8574. doi: 10.22605/RRH8574. Epub 2024 Jan 31.ABSTRACTCONTEXT: Approximately 20% of Canadians reside in rural or remote communities where access to medical specialties such as otolaryngology remains challenging due to long wait times and distance to services. The purpose of this study was to characterize patient demographics, common clinical diagnoses, and barriers to accessing otolaryngology services, in a remote Northern Ontario setting. A secondary objective was to describe a care model that provides multi-subspecialty otolaryngology services to a remote community.ISSUE: A team of aca...
Source: Rural and Remote Health - January 30, 2024 Category: Rural Health Authors: Emma S Campisi Christopher Joonho Hong Eric Monteiro Vincent Lin Barbara Russell Paolo Campisi Source Type: research

Nasal high flow therapy in remote hospitals: guideline development using a modified Delphi technique
CONCLUSION: The aim was to develop a clinical guideline that was contextualised to the remote hospital. This outcome was achieved by using a modified Delphi technique, with a panel of experts providing the decision-making for the guideline. Consistency and safety were addressed by reducing delays in workplace practices; examples were time to arrange treatment locally and mitigate delays in an unknown time to retrievals, access to trained staff, staffing levels, and communication between remote and tertiary teams.PMID:38282353 | DOI:10.22605/RRH8516 (Source: Rural and Remote Health)
Source: Rural and Remote Health - January 29, 2024 Category: Rural Health Authors: Sally West Donna Franklin Nichole Harvey Alice Cairns Source Type: research

Health and social care needs of people living with dementia: a qualitative study of dementia support in the Victorian region of Gippsland, Australia
CONCLUSION: Key areas for improvement include increasing community awareness of dementia and available local services, more support to obtain an early dementia diagnosis, increased help to navigate the system, especially immediately after diagnosis, and easier access to appropriate home support services when they are needed. Other recommendations include person-centred care across settings - supported by funding models, more education and communication skills training for health professionals and care staff - and greater support for and increased recognition of carers.PMID:38233335 | DOI:10.22605/RRH8244 (Source: Rural and Remote Health)
Source: Rural and Remote Health - January 17, 2024 Category: Rural Health Authors: Maria H Garrett Denise Azar Dianne Goeman Mishael Thomas Elizabeth A Craig Darryl Maybery Source Type: research

Utilization of dental services by rural riverside populations covered by a Fluvial Family Health Team in Brazil
CONCLUSION: The study results revealed that approximately a quarter of the individuals did not use dental services over the previous 3 years or have never used them. Despite the increase in access provided by the FFHT, edentulous individuals, individuals dissatisfied with their oral health, and those with lower levels of education were less likely to use dental services, while individuals who experienced dental pain sought dental services more frequently. These findings suggest that the healthcare model offered to this population must be rearranged.PMID:38225779 | DOI:10.22605/RRH8258 (Source: Rural and Remote Health)
Source: Rural and Remote Health - January 16, 2024 Category: Rural Health Authors: Diego Cordeiro Fernando J Herkrath Adrielly C Guedes Luiza Garnelo Ana Paula Cq Herkrath Source Type: research

The Murray-Darling Medical Schools Network Research Collaboration: protocol for a longitudinal, multi-university program of work to explore the effect of rurally based medical school programs in the Murray-Darling region
CONCLUSION: The MDMSN research collaboration is a proactive initiative that brings together data and experience from five new rurally based medical programs, and answers calls for multi-institution and longitudinal studies. It is uniquely placed to capture the impact of the MDMSN program, including the effect of complete rural immersion on the future practice location of these graduates. Ultimately, the combined research efforts of the MDMSN research collaboration will add knowledge to address the known rural workforce maldistribution, particularly how to attract and retain medical workforce.PMID:38212295 | DOI:10.22605/RR...
Source: Rural and Remote Health - January 11, 2024 Category: Rural Health Authors: Brie Turner Shane Bullock Sally Butler Linda Ferrington Michael Macartney Laura Major Lynn Monrouxe Uchechukwu Levi Osuagwu Phillipa Southwell Lachlan Van Schaik Georgina M Luscombe Source Type: research

The effects of various retention factors on the choice of where rural origin Umthombo Youth Development Foundation health science graduates work
CONCLUSION: While nearly half of the rural-origin UYDF graduates surveyed continue to work in rural areas, this is considerably less than previously reported, indicating that rural-origin health workers are affected by retention factors. The lack of funded posts at rural PHCFs is a major barrier to the employment and retention of health workers, and to addressing the unequal distribution of health workers between urban and rural PHCFs. This requires commitment from government and other role players to increase the attraction and retention of health workers in rural areas. Focusing on the recruitment of rural students to be...
Source: Rural and Remote Health - January 10, 2024 Category: Rural Health Authors: Richard Gavin MacGregor Andrew Ross Source Type: research

Mortality in residents of the urban and rural areas of Mexico, 2002-2019
CONCLUSION: In Mexico, there is a gap in mortality rates based on individuals' place of residence. Those who live in urban areas present the highest mortality rates.PMID:38091627 | DOI:10.22605/RRH7833 (Source: Rural and Remote Health)
Source: Rural and Remote Health - December 13, 2023 Category: Rural Health Authors: Debanhi B Mart ínez-Téllez Evelyn E Mart ínez-Calderón Patricia C Esquivel-Ferri ño Lucia G Cant ú-Cardenas Omar Gonz ález-Santiago Source Type: research