Point-of-care ultrasound (POCUS) in a remote area of Sierra Leone: impact on patient management and training program for community health officers.
CONCLUSION: POCUS represents a powerful diagnostic tool in a low-income country that may improve the patient management. Training of non-physician health providers is doable and may improve healthcare management in resource-limited settings. PMID: 31919811 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - January 9, 2020 Category: Rural Health Authors: Sabatino V, Caramia MR, Curatola A, Vassallo F, Deidda A, Cinicola B, Iodice F, Caffarelli C, Sverzellati N, Buonsenso D Tags: J Ultrasound Source Type: research

Impact of legislative change on waiting time for women accessing surgical abortion services in a rural hospital in the Northern Territory.
CONCLUSIONS: Results demonstrate potential for changes in service provision of abortion in the NT with increased choice, patient-centred care and reduced waiting times. This audit demonstrated the possibility to move the majority of abortion services into primary health care leading to cost savings. PMID: 31916255 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - January 8, 2020 Category: Rural Health Authors: Belton S, McQueen G, Ali E Tags: Aust N Z J Obstet Gynaecol Source Type: research

The System for Telementoring with Augmented Reality (STAR): A head-mounted display to improve surgical coaching and confidence in remote areas.
hs JP Abstract BACKGROUND: The surgical workforce particularly in rural regions needs novel approaches to reinforce the skills and confidence of health practitioners. Although conventional telementoring systems have proven beneficial to address this gap, the benefits of platforms of augmented reality-based telementoring in the coaching and confidence of medical personnel are yet to be evaluated. METHODS: A total of 20 participants were guided by remote expert surgeons to perform leg fasciotomies on cadavers under one of two conditions: (1) telementoring (with our System for Telementoring with Augmented Realit...
Source: Rural Remote Health - January 6, 2020 Category: Rural Health Authors: Rojas-Muñoz E, Cabrera ME, Lin C, Andersen D, Popescu V, Anderson K, Zarzaur BL, Mullis B, Wachs JP Tags: Surgery Source Type: research

Rural health issues in rheumatology: a review.
Abstract PURPOSE OF REVIEW: Early access to rheumatology is imperative to achieve appropriate outcomes in rheumatologic diseases. But there seems to be a significant gap and disparity in the access to rheumatology care between urban and rural areas. This review was undertaken to analyze this issue. RECENT FINDINGS: A significant delay in diagnosis of rheumatic disorder has been correlated to the travel distance to rheumatologist. It is also clear that currently, a significant rheumatology workforce shortage exists and is projected to worsen significantly, thereby making this gap and disparity much bigger. ...
Source: Rural Remote Health - January 3, 2020 Category: Rural Health Authors: Lennep DS, Crout T, Majithia V Tags: Curr Opin Rheumatol Source Type: research

Reaching out to reduce health inequities for M āori youth.
CONCLUSION: Youth specialist nurses could improve access to care for youth from ethnic minorities, rural and isolated regions, and areas of high deprivation without overwhelming the medical profession. IMPLICATIONS FOR NURSING POLICY: Specialist nurses are trained and empowered to practice at the top of their scope. With general practitioner oversight and standing order sign off specialist nurses can work autonomously to improve access to health services, without increasing the workload of doctors. IMPLICATIONS FOR NURSING PRACTICE: Encouraging continuous self-reflection of the nurse's effectiveness in meeting pa...
Source: Rural Remote Health - January 2, 2020 Category: Rural Health Authors: Martel R, Reihana-Tait H, Lawrence A, Shepherd M, Wihongi T, Goodyear-Smith F Tags: Int Nurs Rev Source Type: research

A Qualitative Study of Community-Based HIV/AIDS Prevention Interventions, Programs, and Projects for Rural and Remote Regions in Canada: Implementation Challenges and Lessons Learned.
CONCLUSIONS: Rural/remote HIV/AIDS programs across Canada expressed similar challenges and lessons learned, suggesting that there is potential for knowledge exchange, and development of a community of practice. Top-down planning and evaluation models may fail to capture program achievements in rural/remote contexts. The long-term engagement practices that render rural/remote programs promising do not always conform to planning and implementation requirements of limited funding. PMID: 31765353 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - November 27, 2019 Category: Rural Health Authors: Worthington C, Mollison A, Herman T, Johnston C, Masching R, Pooyak S, Lee R, Loutfy M Tags: J Public Health Manag Pract Source Type: research

Management of patients with metastatic prostate cancer (mPC) in a rural part of North Norway with a scattered population: does living near the department of oncology translate into a different pattern of care and survival?
In conclusion, these results suggest that the health-care system in Nordland County successfully delivers state-of-the-art oncology care to patients with mPC. PMID: 31120400 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - May 24, 2019 Category: Rural Health Authors: Nieder C, Dalhaug A, Haukland E, Norum J Tags: Int J Circumpolar Health Source Type: research

Managing uncertainty in imputing missing symptom value for healthcare of rural India.
Conclusions: It is worth to mention that the system is for primary healthcare and in emergency cases, patients are referred to the experts. PMID: 30863541 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - March 14, 2019 Category: Rural Health Authors: Das S, Sil J Tags: Health Inf Sci Syst Source Type: research

Health advice and education given to overweight patients by primary care doctors and nurses: A scoping literature review.
Abstract Health advice for overweight patients in primary care has been a focus of obesity guidelines. Primary care doctors and nurses are well placed to provide evidence based preventive health advice. This literature review addressed two research questions: 'When do primary care doctors and nurses provide health advice for weight management?' and 'What health advice is provided to overweight patients in primary care settings?' The study was conducted in the first half of 2018 and followed Arksey and O'Malley (2005) five stage framework to conduct a comprehensive scoping review. The following databases were searc...
Source: Rural Remote Health - February 27, 2019 Category: Rural Health Authors: Walsh K, Grech C, Hill K Tags: Prev Med Rep Source Type: research

Screening-level microbial risk assessment of acute gastrointestinal illness attributable to wastewater treatment systems in Nunavut, Canada.
Abstract Most arctic communities use primary wastewater treatment systems that are capable of only low levels of pathogen removal. Effluent potentially containing fecally derived microorganisms is released into wetlands and marine waters that may simultaneously serve as recreation or food harvesting locations for local populations. The purpose of this study is to provide the first estimates of acute gastrointestinal illness (AGI) attributable to wastewater treatment systems in Arctic Canada. A screening-level, point estimate quantitative microbial risk assessment model was developed to evaluate worst-case scenario...
Source: Rural Remote Health - January 28, 2019 Category: Rural Health Authors: Daley K, Jamieson R, Rainham D, Truelstrup Hansen L, Harper SL Tags: Sci Total Environ Source Type: research

Job preferences for healthcare administration students in China: A discrete choice experiment.
CONCLUSIONS: This is the first study focusing on the career decision-making of Chinese healthcare administration students at a critical career decision-making point. Both monetary and non-monetary interventions could be considered by policy-makers to attract students to work in health institutions, especially in rural and remote health institutions in China. There exists preference heterogeneity on healthcare administration students' job preferences, which should also be taken into account in developing more effective policy incentive packages. PMID: 30682170 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 28, 2019 Category: Rural Health Authors: Liu S, Li S, Li Y, Wang H, Zhao J, Chen G Tags: PLoS One Source Type: research

Social Determinants of Rural Health Workforce Retention: A Scoping Review.
Abstract Residents of rural and remote Australia have poorer health outcomes than their metropolitan counterparts. A major contributor to these health disparities is chronic and severe health workforce shortages outside of metropolitan areas-a global phenomenon. Despite emerging recognition of the important influence of place-based social processes on retention, much of the political attention and research is directed elsewhere. A structured scoping review was undertaken to describe the range of research addressing the influence of place-based social processes on turnover or retention of rural health professionals...
Source: Rural Remote Health - January 24, 2019 Category: Rural Health Authors: Cosgrave C, Malatzky C, Gillespie J Tags: Int J Environ Res Public Health Source Type: research

The Connected Intensive Care Unit Patient: Exploratory Analyses and Cohort Discovery From a Critical Care Telemedicine Database.
CONCLUSIONS: Large-scale remote monitoring data sources, such as the eICU database, have a strong potential to advance the role of critical care telemedicine by serving as a testbed for secondary research as well as for developing and testing tools, including predictive and prescriptive analytical solutions and decision support systems. The resulting tools will also inform coordination of care for critically ill patients, intensivist coverage, and the overall process of critical care telemedicine. PMID: 30679148 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - January 24, 2019 Category: Rural Health Authors: Essay P, Shahin TB, Balkan B, Mosier J, Subbian V Tags: JMIR Med Inform Source Type: research

Integrated Management of Energy, Wellbeing and Health in the Next Generation of Smart Homes.
Abstract This contribution proposes an implementation for next generation smart homes, where heterogeneous data, coming from multiple sensors (medical, wellbeing, energy, contextual, etc.) and house equipment (smart fridge, smart TV, etc.), need to be managed, secured and visualized. As a first step, it focuses only on energy and health data. However, it aims to lay the foundations to manage any type of information towards the development of smart interactions with the house, which might include artificial intelligence and machine learning. These data are securely collected using a central Web of Things gateway, l...
Source: Rural Remote Health - January 24, 2019 Category: Rural Health Authors: Jaouhari SE, Palacios-Garcia EJ, Anvari-Moghaddam A, Bouabdallah A Tags: Sensors (Basel) Source Type: research

Remote fitting procedures for upper limb 3d printed prostheses.
CONCLUSIONS: The presented methodology for remote fitting of 3D printed upper-limb prostheses exhibits significant potential for rapid fabrication of functional prostheses to developing countries due to increased availability of digital devices in rural areas. PMID: 30661413 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - January 21, 2019 Category: Rural Health Authors: Zuniga JM, Young KJ, Peck JL, Srivastava R, Pierce JE, Dudley DR, Salazar DA, Bergmann J Tags: Expert Rev Med Devices Source Type: research

Personalized Prehospital Triage in Acute Ischemic Stroke.
Conclusions- The preferred prehospital transportation strategy for suspected stroke patients depends mainly on the likelihood of large vessel occlusion, driving times, and in-hospital workflow times. We constructed a robust model that combines these characteristics and can be used to personalize prehospital triage, especially in more remote areas. PMID: 30661502 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - January 21, 2019 Category: Rural Health Authors: Venema E, Lingsma HF, Chalos V, Mulder MJHL, Lahr MMH, van der Lugt A, van Es ACGM, Steyerberg EW, Hunink MGM, Dippel DWJ, Roozenbeek B Tags: Stroke Source Type: research

Sedentary lifestyle associated with mortality in rural patients with heart failure.
CONCLUSIONS:: Sedentary lifestyle is strongly associated with all-cause mortality, independent of having moderate to severe depressive symptoms. Clinicians and researchers have an important role in promoting sustained and safe physical activity to improve survival. Other important modifiable targets to improve survival include depressive symptoms, low literacy, and low body mass index. Clinical Trial Registration- URL: https://www.clinicaltrials.gov . Unique Identifier: NCT00415545. PMID: 30663898 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - January 21, 2019 Category: Rural Health Authors: Park LG, Dracup K, Whooley MA, McCulloch C, Lai S, Howie-Esquivel J Tags: Eur J Cardiovasc Nurs Source Type: research

The time is now: a call for action to translate recent momentum on tackling tropical snakebite into sustained benefit for victims.
Abstract Like the other WHO-listed Neglected Tropical Diseases (NTDs), snakebite primarily affects rural, impoverished tropical communities that lack adequate health resources. The annual 138 000 deaths and 400 000 disabilities suffered by these subsistence farming communities means that snakebite is an additional cause and consequence of tropical poverty. Unlike most of the NTDs, however, snakebite is a medical emergency, and requires rapid treatment in a hospital equipped with effective antivenom, beds and appropriately trained staff. The lack of such facilities in the remote areas most affected by snakebite, an...
Source: Rural Remote Health - January 21, 2019 Category: Rural Health Authors: Harrison RA, Casewell NR, Ainsworth SA, Lalloo DG Tags: Trans R Soc Trop Med Hyg Source Type: research

Underutilized and undertheorized: the use of hospitalization for ambulatory care sensitive conditions for assessing the extent to which primary healthcare services are meeting needs in British Columbia First Nation communities.
CONCLUSIONS: Improving access to PHC services in First Nations communities can be associated with a significant reduction in avoidable hospitalization and premature mortality rates. The method we tested is an important tool that could serve health care planning decisions in small communities. PMID: 30658626 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 18, 2019 Category: Rural Health Authors: Lavoie JG, Wong ST, Ibrahim N, O'Neil JD, Green M, Ward A Tags: BMC Health Serv Res Source Type: research

Pregnancy stress, healthy pregnancy and birth outcomes - the need for early preventative approaches in pregnant Australian Indigenous women: a prospective longitudinal cohort study.
This study sought to examine the potential association between stress during pregnancy and the rate of adverse pregnancy outcomes in Australian Indigenous women residing in rural and remote communities in New South Wales. This study found a higher rate of post-traumatic stress disorder, depression and anxiety symptoms during pregnancy than the general population. There was also a higher incidence of prematurity and LBW deliveries. Unfortunately, missing post-traumatic stress disorder and depressive symptomatology data impeded the examination of associations of interest. This was largely due to the highly sensitive nature o...
Source: Rural Remote Health - January 17, 2019 Category: Rural Health Authors: Mah BL, Pringle KG, Weatherall L, Keogh L, Schumacher T, Eades S, Brown A, Lumbers ER, Roberts CT, Diehm C, Smith R, Rae KM Tags: J Dev Orig Health Dis Source Type: research

Migrant physicians' conceptions of working in rural and remote areas in Sweden: A qualitative study.
CONCLUSION: Professional and personal life and are intertwined. Conceptions about an area influence willingness to work there. Willingness is also affected by, and intertwined with, other aspects such as previous experiences, age, marital status and family circumstances. PMID: 30640965 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 16, 2019 Category: Rural Health Authors: Sturesson L, Öhlander M, Nilsson G, Stenfors T Tags: PLoS One Source Type: research

[Basic structural features of a  cardiac telemedicine center for patients with heart failure and implanted devices, cardiac arrhythmias, and increased risk of sudden cardiac death : Recommendations of the working group 33 Telemonitoring of the German Cardiac Society].
[Basic structural features of a cardiac telemedicine center for patients with heart failure and implanted devices, cardiac arrhythmias, and increased risk of sudden cardiac death : Recommendations of the working group 33 Telemonitoring of the German Cardiac Society]. Herzschrittmacherther Elektrophysiol. 2019 Jan 14;: Authors: Helms TM, Stockburger M, Köhler F, Leonhardt V, Müller A, Rybak K, Sack S, Schwab JO, Störk S, Zippel-Schultz B, Perings CA Abstract Heart failure is one of the most common diseases. It is associated with high morbidity and mortality. Since heart failure...
Source: Rural Remote Health - January 14, 2019 Category: Rural Health Authors: Helms TM, Stockburger M, Köhler F, Leonhardt V, Müller A, Rybak K, Sack S, Schwab JO, Störk S, Zippel-Schultz B, Perings CA Tags: Herzschrittmacherther Elektrophysiol Source Type: research

Job satisfaction, work stress, and turnover intentions among rural health workers: a cross-sectional study in 11 western provinces of China.
CONCLUSIONS: The turnover intentions of RHWs in western China are significantly associated with job satisfaction, work stress, age, income, and medical institution. Appropriate strategies should be implemented to improve RHWs' job satisfaction and reduce their work stress. Meanwhile, providing more attractive wages and non-monetary support, improving working conditions, etc. could be effective to reduction in RHWs' turnover intentions. PMID: 30642261 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 14, 2019 Category: Rural Health Authors: Liu J, Zhu B, Wu J, Mao Y Tags: BMC Fam Pract Source Type: research

The determinants of vaccination in a semi-rural area of Vientiane City, Lao People's Democratic Republic: a qualitative study.
CONCLUSIONS: The study suggests that increasing immunisation coverage in Lao People's Democratic Republic requires clearer immunisation pathways, an integrated or unified information recording system across the different levels of the health system, and strategies to increase demand, including increasing individual and household understanding of the role of immunisation in child health. PMID: 30626379 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 9, 2019 Category: Rural Health Authors: Sychareun V, Rowlands L, Vilay P, Durham J, Morgan A Tags: Health Res Policy Syst Source Type: research

Competence and Confidence in Rural and Remote Nursing Practice: A Structural Equation Modeling Analysis of National Data.
CONCLUSIONS: The factors influencing nurses' competence and confidence in rural/remote nursing practice are more complex than previously understood. Our model, created and tested using structural equation modeling merits further research, to extend our understanding of how nurses can be prepared and supported for practice in rural and remote settings. This article is protected by copyright. All rights reserved. PMID: 30620124 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - January 8, 2019 Category: Rural Health Authors: Penz KL, Stewart NJ, Karunanayake CP, Kosteniuk JG, Macleod MLP Tags: J Clin Nurs Source Type: research

Analysis of strategies to attract and retain rural health workers in Cambodia, China, and Vietnam and context influencing their outcomes.
CONCLUSIONS: Socio-economic and health system reforms including health financing, public hospital autonomy, abolition of referral system and prosperous private sector have both positive and negative impacts on the design, implementation, and effectiveness of interventions to attract and retain rural health workers. Interventions to attract and retain health workers in rural and remote areas need to be considered within overall health system reform. PMID: 30612573 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 7, 2019 Category: Rural Health Authors: Zhu A, Tang S, Thu NTH, Supheap L, Liu X Tags: Hum Resour Health Source Type: research

Implementation and evaluation of a rural community-based pediatric hearing screening program integrating in-person and tele-diagnostic auditory brainstem response (ABR).
CONCLUSIONS: Non-availability of audiologists and limited infrastructure in rural areas has prevented the establishment of large scale hearing screening programs. In existing programs, considerable challenges with respect to follow-up for diagnostic testing was reported, due to patients being submitted to traveling long distance to access services and potential wage losses during that time. In this program model, integration of a tele-ABR diagnostic follow-up improved follow-up in comparison to in-person follow-up. VHWs were successfully trained to conduct accurate screenings in rural communities. The very low refer rate, ...
Source: Rural Remote Health - January 3, 2019 Category: Rural Health Authors: Ramkumar V, Nagarajan R, Shankarnarayan VC, Kumaravelu S, Hall JW Tags: BMC Health Serv Res Source Type: research

The use of Fionet technology for external quality control of malaria rapid diagnostic tests and monitoring health workers' performance in rural military health facilities in Tanzania.
CONCLUSION: Fionet technology enabled remote monitoring of RDT quality issues, identifying reasons contributing to laboratory personnel making errors and provided a rapid method to implement corrective actions at remote sites to improve malaria diagnosis and consequently improved health care management of febrile patients infected with malaria. PMID: 30589853 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - December 29, 2018 Category: Rural Health Authors: Kalinga AK, Ishengoma DS, Kavishe R, Temu L, Mswanya C, Mwanziva C, Mgina EJ, Chiduo S, Mahikwano L, Mgata S, Anova L, Amoo G, Wurapa E, Vesely B, Kamau E, Hickman M, Waters N, Kreishman-Deitrick M, Paris R, Ohrt C Tags: PLoS One Source Type: research

Evaluating Accessible Sleep Health Information in Rural and Urban Contexts: Delivery Face-to-Face or Online?
Abstract Objective: New parents need education about infant sleep but is not universally available especially not in regional and rural areas. We delivered sleep education both face-to-face and online to test sleep knowledge acquisition for parents wherever they reside. Best practice delivery of accessible sleep health information for new families needs to be investigated more carefully in order for specialist services to be universally available. Methods: Pre- and post-information session questionnaires (n = 32) assessed levels of knowledge acquisition and comparisons tested differences between...
Source: Rural Remote Health - December 24, 2018 Category: Rural Health Authors: Osborne JM, Blunden S Tags: Clin Med Insights Pediatr Source Type: research

Demonstrating a new approach to planning and monitoring rural medical training distribution to meet population need in North West Queensland.
CONCLUSIONS: Current regional distribution was good, but individual town-level data further enabled the training provider to discuss the nuance of where and why more registrars (or supervisors) may be needed. The approach described enables distributed workforce planning and monitoring applicable in a range of contexts, with increased sensitivity for registrar distribution planning where most needed, supporting useful discussions about the potential causes and solutions. This evidence-based approach also enables training organisations to engage with local communities, health services and government to address the sustainabl...
Source: Rural Remote Health - December 22, 2018 Category: Rural Health Authors: McGrail MR, Russell DJ, O'Sullivan BG, Reeve C, Gasser L, Campbell D Tags: BMC Health Serv Res Source Type: research

Delay in commencement of palliative care service episodes provided to Indigenous and non-Indigenous patients: cross-sectional analysis of an Australian multi-jurisdictional dataset.
Abstract BACKGROUND: Rapid effective responsiveness to patient needs is pivotal to high quality palliative care. Aboriginal and Torres Strait Islander (Indigenous) people are susceptible to life-limiting illnesses at younger ages than other Australians and experience inequity of health service provision. The Palliative Care Outcomes Collaboration collects Australia-wide health service data on patient care, and has established performance benchmarks for specialist palliative care services. We investigated whether the benchmark for timely commencement of palliative care episodes (occurrence of delay>1 day ...
Source: Rural Remote Health - December 22, 2018 Category: Rural Health Authors: Woods JA, Johnson CE, Ngo HT, Katzenellenbogen JM, Murray K, Thompson SC Tags: BMC Palliat Care Source Type: research

Hepatitis C virus infection in Australian psychiatric in-patients: a multicenter study of seroprevalence, risk factors and treatment experience.
Abstract Screening and treatment for hepatitis C virus (HCV) infection were not prioritised in psychiatric patients due to adverse neuropsychiatric effects of interferon therapy despite reports of high prevalence. However, with the safe new antiviral drugs HCV eradication has become a reality in these patients. The aim of this study was to report HCV seroprevalence, risk factors and treatment model in an Australian cohort. This prospective study involved patients admitted to four inpatient psychiatric units, from December 2016 to December 2017. After pre-test counselling and consent, HCV testing was done; informat...
Source: Rural Remote Health - December 21, 2018 Category: Rural Health Authors: Ramachandran J, Budd S, Slattery H, Muller K, Mohan T, Cowain T, Tilley E, Baas A, Wigg L, Alexander J, Woodman R, Kaambwa B, Wigg A Tags: J Viral Hepat Source Type: research

Using an Internet-Based Hospital to Address Maldistribution of Health Care Resources in Rural Areas of Guangdong Province, China: Retrospective and Descriptive Study.
CONCLUSIONS: Telemedicine has a wide disease spectrum, similar to ordinary medicine in China. It saves costs, has high patient satisfaction and price acceptability, and can relieve disease and syndromes. However, certain problems need to be resolved. Telemedicine could be a feasible approach to address the health care maldistribution in rural China. This study may provide useful information for policy making and guidance for further telemedicine practice in China and other developing countries. PMID: 30578195 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - December 21, 2018 Category: Rural Health Authors: He C, Zhou Q, Chen W, Tian J, Zhou L, Peng H, Luan S, Wang S Tags: JMIR Med Inform Source Type: research

The ecology of medical care on the westernmost remote island, Yonaguni Island, Japan: A cross-sectional study.
This study evaluated the current status of medical supply-and-demand on the island and compared these results with previous surveys carried out in rural parts of Japan. This was a retrospective cohort study conducted at the Yonaguni Municipal Clinic, the only medical facility in Yonaguni Island. The participants were patients who visited the clinic over one year, between July 2015 and June 2016. We calculated the rate per 1,000 persons per month of clinic visits, referrals to off-island medical facilities (e.g., hospitals and specialist clinics), referrals to off-island emergency departments, off-island hospitalizations af...
Source: Rural Remote Health - December 20, 2018 Category: Rural Health Authors: Namiki H, Kobayashi T Tags: PLoS One Source Type: research

Reprint of characterizing gestational weight gain in a cohort of indigenous Australian women.
Abstract OBJECTIVE: to determine the adequacy of gestational weight gain for a cohort of Indigenous Australian women and investigate whether it is associated with pre-pregnancy body mass index. DESIGN: analysis of observational data collected from a longitudinal cohort study that follows Indigenous Australian women through pregnancy. SETTING: women recruited through antenatal clinics in regional and remote towns in NSW, Australia to the Gomeroi gaaynggal program. PARTICIPANTS: 110 pregnant women who either identified as being an Indigenous Australian or as carrying an Indigenous child. MEASUREM...
Source: Rural Remote Health - December 14, 2018 Category: Rural Health Authors: Schumacher TL, Weatherall L, Keogh L, Sutherland K, Collins CE, Pringle KG, Rae KM Tags: Midwifery Source Type: research

Progress and challenges in improving maternal health in the Tibet Autonomous Region, China.
Conclusion: The shortage of health professionals and EOC centers and health information in predominantly remote rural areas with a scattered population still needs to be rectified. PMID: 30532605 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - December 13, 2018 Category: Rural Health Authors: Labasangzhu, Bjertness E, McNeil EB, Deji, Guo Y, Songwathana P, Chongsuvivatwong V Tags: Risk Manag Healthc Policy Source Type: research

Positive placement experience and future rural practice intentions: findings from a repeated cross-sectional study.
Conclusion: There is a strong association between positive placement experience and future rural/remote practice intentions. Therefore, facilitation of positive placement experiences in remote and rural locations could be a key strategy in addressing rural health workforce maldistribution. PMID: 30519033 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - December 7, 2018 Category: Rural Health Authors: Fatima Y, Kazmi S, King S, Solomon S, Knight S Tags: J Multidiscip Healthc Source Type: research

Rural and urban disparities in the care of Canadian patients with inflammatory bowel disease: a population-based study.
obson K, Leddin D, Lix LM, Mack DR, Murthy SK, Peña-Sánchez JN, Singh H, Kaplan GG, Canadian Gastro-Intestinal Epidemiology Consortium Abstract Background and aims: Canada's large geographic area and low population density pose challenges in access to specialized health care for remote and rural residents. We compared health services use, surgical rate, and specialist gastroenterologist care in rural and urban inflammatory bowel disease (IBD) patients in Canada. Methods: We used validated algorithms that were applied to population-based health administrative data to identify all people living wi...
Source: Rural Remote Health - December 7, 2018 Category: Rural Health Authors: Benchimol EI, Kuenzig ME, Bernstein CN, Nguyen GC, Guttmann A, Jones JL, Potter BK, Targownik LE, Catley CA, Nugent ZJ, Tanyingoh D, Mojaverian N, Underwood FE, Siddiq S, Otley AR, Bitton A, Carroll MW, deBruyn JC, Dummer TJ, El-Matary W, Griffiths AM, Ja Tags: Clin Epidemiol Source Type: research

Is the reported increase in young female hospital-treated intentional self-harm real or artefactual?
CONCLUSION:: There was no indication from the sentinel unit data of any increase in rates of intentional self-poisoning for young females. The sentinel and state rates were higher than the national rates, demonstrating the possible magnitude of underestimation of the national data. The reported increases in national rates of hospital-treated self-harm among young females might be due to artefactual factors, such as changes in clinical practice (greater proportion admitted), improved administrative coding of suicidal behaviours or possibly increased hospital presentations of community self-injury cases, but not intentional ...
Source: Rural Remote Health - December 5, 2018 Category: Rural Health Authors: McGill K, Hiles SA, Handley TE, Page A, Lewin TJ, Whyte I, Carter GL Tags: Aust N Z J Psychiatry Source Type: research

The impact of oral health on quality of life of urban and riverine populations of the Amazon: A multilevel analysis.
This study aimed to evaluate the impact of dental caries and periodontal disease on the quality of life of adolescents and young adults from an urban area and from two riverine communities of the Amazon region located at different distances from the urban area. The occurrence of dental caries and periodontal disease was examined through the Decayed, Missing, Filled (DMFT) Index and the Community Periodontal Index (CPI). The impact of oral health conditions on quality of life was examined through the Oral Health Impact Profile (OHIP-14) questionnaire. The data were collected from 564 individuals (15-25 years old): 212 resid...
Source: Rural Remote Health - December 4, 2018 Category: Rural Health Authors: Maia CVR, Mendes FM, Normando D Tags: PLoS One Source Type: research

A needs assessment for simulation-based training of emergency medical providers in Nebraska, USA.
Conclusion: EMS and ED staff identified several skill gaps and training needs in the provision of emergency services in rural communities. These results allow for the development of customized training curricula and, with the help of an on-site simulation-based program, can identify gaps in health professionals' skills, knowledge, and abilities and thus help them respond to acute healthcare needs of rural communities. PMID: 30479842 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - November 29, 2018 Category: Rural Health Authors: Wehbi NK, Wani R, Yang Y, Wilson F, Medcalf S, Monaghan B, Adams J, Paulman P Tags: Adv Simul (Lond) Source Type: research

Availability of health workforce in urban and rural areas in relation to Canadian seniors.
This study aims to determine to what extent the distribution of regulated health professionals and seniors in urban and rural areas of the Canadian jurisdictions is different from one another and from the national average. Data used in this study are for the 2016 calendar year. Information about physicians was obtained from the Canadian Institute for Health Information (CIHI) Scott's Medical Database. The data for nurses (nurse practitioners, registered nurses, and licensed practical nurses) were also sourced from CIHI, Health Workforce Database. Geographic information is based on the postal code of physicians' preferred m...
Source: Rural Remote Health - November 27, 2018 Category: Rural Health Authors: Ariste R Tags: Int J Health Plann Manage Source Type: research

Diagnosing hypertension in Indigenous Canadians (DREAM-GLOBAL): A randomized controlled trial to compare the effectiveness of short message service messaging for management of hypertension: Main results.
Abstract Hypertension, the leading cause of cardiovascular morbidity and mortality, affects more than 1 billion people globally. The rise in mobile health in particular the use of mobile phones and short message service (SMS) to support disease management provides an opportunity to improve hypertension awareness, treatment, and control, in remote and vulnerable patient populations. The primary objective of this randomized controlled study was to assess the effect of active (with hypertension specific management SMS) or passive (health behaviors SMS alone) on the difference in blood pressure (BP) reduction bet...
Source: Rural Remote Health - November 26, 2018 Category: Rural Health Authors: Tobe SW, Yeates K, Campbell NRC, Maar MA, Perkins N, Liu PP, Sleeth J, McAllister C, Hua-Stewart D, Wells G, Bernick J Tags: J Clin Hypertens (Greenwich) Source Type: research

The mediating role of sleep in the relationship between Indigenous status and body mass index in Australian school-aged children.
CONCLUSIONS: Sleep duration plays an important mediating role in the relationship between Indigenous status and BMI in this Australian sample. Modification of sleep duration for Indigenous children may lead to longer-term positive health outcomes. PMID: 30471159 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - November 24, 2018 Category: Rural Health Authors: Deacon-Crouch M, Begg S, Tucci J, Skinner I, Skinner T Tags: J Paediatr Child Health Source Type: research

Father's roles and perspectives on healthcare seeking for children with pneumonia: findings of a qualitative study in a rural community of the Philippines.
CONCLUSION: It is crucial to consider the cultural background and also imperative to address issues related to medical cost and the credibility of health facilities to improve fathers' healthcare-seeking behaviour. PMID: 30467133 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - November 21, 2018 Category: Rural Health Authors: Sato M, Oshitani H, Tamaki R, Oyamada N, Sato K, Nadra AR, Landicho J, Alday PP, Lupisan S, Tallo VL Tags: BMJ Open Source Type: research

Developing a Research Agenda for Adult Palliative Care: A Modified Delphi Study.
CONCLUSIONS: The expert panelists identified the top 10 research priorities for adult palliative care. These identified research priorities are the most urgent topics requiring attention to increase the quality of life of patients requiring palliative care and their family members. PMID: 30461347 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - November 21, 2018 Category: Rural Health Authors: Sullivan R, Ugalde A, Sinclair C, Breen LJ Tags: J Palliat Med Source Type: research

International approaches to rural generalist medicine: a scoping review.
CONCLUSIONS: Supported, coordinated rural generalist medicine programmes are being established or developed in a number of countries as part of an integrated response to rural health and workforce concerns. Findings of this review highlight an opportunity to better share the development and evaluation of best practice models in rural generalist medicine. PMID: 30463580 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - November 21, 2018 Category: Rural Health Authors: Schubert N, Evans R, Battye K, Gupta TS, Larkins S, McIver L Tags: Hum Resour Health Source Type: research

Factors associated with the utilization of antenatal care and prevention of mother-to-child HIV transmission services in Ethiopia: applying a count regression model.
Abstract BACKGROUND: Prevention of Mother-to-Child HIV Transmission (PMTCT) coverage has been low in Ethiopia and the service has been implemented in a fragmented manner. Solutions to this problem have mainly been sought on the supply-side in the form of improved management and allocation of limited resources. However, this approach largely ignores the demand-side factors associated with low PMTCT coverage in the country. The study assesses the factors associated with the utilization of PMTCT services taking into consideration counts of visits to antenatal care (ANC) services in urban high-HIV prevalence and rural...
Source: Rural Remote Health - November 19, 2018 Category: Rural Health Authors: Zegeye EA, Mbonigaba J, Dimbuene ZT Tags: BMC Womens Health Source Type: research

Central serous retinopathy and hand-foot-mouth disease: coincidence or causation?
Conclusion: Severe and potentially life-threatening complications of a seemingly harmless childhood illness are represented sporadically in the literature. The requirement for research and evaluation into this emerging occupational hazard area is necessary for improved prevention, management, and treatment strategies to be developed. PMID: 30425589 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - November 16, 2018 Category: Rural Health Authors: Taylor S, Khan M, Zaidi S, Alvi U, Fatima Y Tags: Int Med Case Rep J Source Type: research

Improving prompt access to malaria diagnostics and treatment in rural remote areas using financial benefit for community health workers in Kilosa district, Tanzania.
This study tested the effectiveness of a financial benefit approach to motivate CHWs to improve prompt access to malaria treatment. Patients and methods: We applied a quasi-experimental study design in rural-remote areas in Kilosa district, Tanzania. Febrile children in selected intervention areas were provided access to malaria diagnostic and treatment at a minimal fee to CHWs and compared with non-intervention areas. We measured impact using difference in differences (DID) analysis. Results: At baseline, 870 children
Source: Rural Remote Health - November 16, 2018 Category: Rural Health Authors: Simba DO, Kakoko D, Nyamhanga T, Mrango Z, Mujinja P Tags: Res Rep Trop Med Source Type: research