Medication error reporting in rural critical access hospitals in the North Dakota Telepharmacy Project.
CONCLUSION: The study results indicate that the NDTP telepharmacy model is effective in identifying and resolving QREs in CAHs. The use of the telepharmacy services increased over the study period, suggesting that CAH practitioners became more comfortable using the technology on a regular basis to enhance patient safety. PMID: 24352183 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - December 21, 2013 Category: Rural Health Authors: Scott DM, Friesner DL, Rathke AM, Doherty-Johnsen S Tags: Am J Health Syst Pharm Source Type: research

Characterising emergency department high-frequency users in a rural hospital.
This study describes frequent users of ED services in a rural community setting and the association between counts of patient's visits and discrete diagnoses. DESIGN: Retrospective study of 1652 frequent ED adult patients from a rural US hospital over a one-year period. Descriptive statistics and Poisson regression were used to explore the characteristics of frequent users and their patterns of diagnoses. RESULTS: Frequent user visits ranged from 4 to 66 per patient. Frequent users were 9.41% of patient volume accounting for 33.94% of the total visits and were younger compared with patients with
Source: Rural Remote Health - December 18, 2013 Category: Rural Health Authors: Hardie TL, Polek C, Wheeler E, McCamant K, Dixson M, Gailey R, Lafrak K Tags: Emerg Med J Source Type: research

Supervising allied health assistants: a concerning skill gap in allied health professionals.
Abstract The purpose of this paper is to identify and discuss the problem of a skill gap in the training of allied health professionals. Allied health assistants are required to work under the supervision of allied health professionals. There is little evidence to suggest supervisory skills are routinely taught as part of the development of professional behavior. With increasing concern about a lack of supervisory skill, there is an opportunity for supervisory skills to be incorporated into the undergraduate curriculum. A combination of classroom and clinical experience is required to ensure this professional skil...
Source: Rural Remote Health - December 16, 2013 Category: Rural Health Authors: Schmidt D Tags: J Allied Health Source Type: research

Shared Care Combined with Telecare Improves Glycemic Control of Diabetic Patients in a Rural Underserved Community.
Conclusions: Shared care combined with telecare could significantly reduce HbA1c levels in type 2 diabetic patients with poor glycemic control in underserved rural communities. Further studies should be conducted to clarify the target users and to develop cost-effective interventions. PMID: 24320193 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - December 9, 2013 Category: Rural Health Authors: Liou JK, Soon MS, Chen CH, Huang TF, Chen YP, Yeh YP, Chang CJ, Kuo SJ, Hsieh MC Tags: Telemed J E Health Source Type: research

Guidelines for Establishing a Telemental Health Program to Provide Evidence-Based Therapy for Trauma-Exposed Children and Families.
Arellano MA Abstract Although similar rates of traumatic experiences exist in both rural and urban settings, mental health resources available to those living in rural areas are often scarce. Limited resources pose a problem for children and families living in rural areas, and several barriers to service access and utilization exist including reduced anonymity, few "after hours" services, decreased availability of evidence-based treatments, few specialty clinics, and expenses associated with travel, taking time off work, and provision of childcare. As a solution, the authors discuss the utility, use, and...
Source: Rural Remote Health - December 9, 2013 Category: Rural Health Authors: Jones AM, Shealy KM, Reid-Quiñones K, Moreland AD, Davidson TM, López CM, Barr SC, de Arellano MA Tags: Psychol Serv Source Type: research

Assessing health literacy in rural settings: a pilot study in rural areas of Cluj County, Romania.
s RM Abstract Health literacy improves knowledge and builds skills to help individuals make appropriate decisions regarding their health. Over the past 20 years, several studies have described associations between health literacy and health outcomes. With respect to Romania, evidence is scarce on the level of health literacy, as well as on its determinants. Thus, the objectives of this study were to briefly screen functional health literacy levels in a sample of rural inhabitants, to assess the relationship between health literacy and reported health status, as well as to explore health literacy determinants withi...
Source: Rural Remote Health - December 4, 2013 Category: Rural Health Authors: Pop OM, Brînzaniuc A, Sirlincan EO, Baba CO, Chereches RM Tags: Glob Health Promot Source Type: research

Decentralized nursing education in Northern Norway: towards a sustainable recruitment and retention model in rural Arctic healthcare services.
CONCLUSION: The DNE programme demonstrates itself as a successful study model regarding recruitment and retention of RNs to rural and remote areas. PMID: 24286063 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - December 2, 2013 Category: Rural Health Authors: Norbye B, Skaalvik MW Tags: Int J Circumpolar Health Source Type: research

Examining rainfall and cholera dynamics in Haiti using statistical and dynamic modeling approaches.
Abstract Haiti has been in the midst of a cholera epidemic since October 2010. Rainfall is thought to be associated with cholera here, but this relationship has only begun to be quantitatively examined. In this paper, we quantitatively examine the link between rainfall and cholera in Haiti for several different settings (including urban, rural, and displaced person camps) and spatial scales, using a combination of statistical and dynamic models. Statistical analysis of the lagged relationship between rainfall and cholera incidence was conducted using case crossover analysis and distributed lag nonlinear models. Dy...
Source: Rural Remote Health - November 28, 2013 Category: Rural Health Authors: Eisenberg MC, Kujbida G, Tuite AR, Fisman DN, Tien JH Tags: Epidemics Source Type: research

Mental health care training for practitioners in remote and rural areas.
This article shares how the needs within a national pre-hospital mental health care programme were identified, and demonstrates how consensus over the content of a national course was achieved through the use of a modified Delphi approach. The Clinical Skills Managed Educational Network (CSMEN), Self-Harm Mitigation Training (STORM®) and BASICS, alongside RRHEAL, contributed to this development. Using blended learning techniques the resulting course encourages a contextual approach to user needs, specifically teaching generic mental health care skills to staff who are often working single-handed, and are required to re...
Source: Rural Remote Health - November 18, 2013 Category: Rural Health Authors: de Mello G, Fraser F, Nicoll P, Ker J, Green G, Laird C Tags: Clin Teach Source Type: research

Treatment engagement of psychotic patients with a mobile mental health unit in rural areas in Greece: a five-year study.
Conclusion. Engagement rates in our study were comparable to previous research, involving urban settings and shorter follow-up duration. Community mental health teams may ensure treatment continuation for psychotic patients in deprived, remote areas. This is important for low-income countries, affected by economic crisis, such as Greece. PMID: 24222849 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - November 18, 2013 Category: Rural Health Authors: Peritogiannis V, Tatsioni A, Menti N, Grammeniati A, Fotopoulou V, Mavreas V Tags: Schizophr Res Treatment Source Type: research

Chronic disease patients' experiences with accessing health care in rural and remote areas: a systematic review and qualitative meta-synthesis.
CONCLUSIONS: This study corroborates previous knowledge and concerns about access issues in rural and remote areas, such as geographical distance and shortage of health care professionals and services. Unhealthy behaviours and reduced willingness to seek care increase patients' vulnerability. Patients' perspectives also highlight rural culture's potential to either exacerbate or mitigate access issues. PLAIN LANGUAGE SUMMARY: People who live in a rural area may feel more vulnerable-that is, more easily harmed by their health problems or experiences with the health care system. Qualitative research looks at these exper...
Source: Rural Remote Health - November 18, 2013 Category: Rural Health Authors: Brundisini F, Giacomini M, Dejean D, Vanstone M, Winsor S, Smith A Tags: Ont Health Technol Assess Ser Source Type: research

Nonmydriatic Fundus Photography for Teleophthalmology Diabetic Retinopathy Screening in Rural and Urban Clinics.
Abstract Abstract Purpose: To evaluate the relative diagnostic value of nonmydriatic fundus photography (nFP) among patients screened for diabetic retinopathy in remote rural medical clinics and an urban academic medical center for nonadherence to recommended annual dilated eye examination. Subjects and Methods: A retrospective cross-sectional study was performed among diabetic patients seen in primary outpatient clinics between 2006 and 2011 who were screened for diabetic retinopathy with nFP for history of nonadherence to recommended annual dilated eye examination. A single nonstereoscopic, 45°, 10-megapixel...
Source: Rural Remote Health - November 12, 2013 Category: Rural Health Authors: Chin EK, Ventura BV, See KY, Seibles J, Park SS Tags: Telemed J E Health Source Type: research

A lifestyle intervention supported by mobile health technologies to improve the cardiometabolic risk profile of individuals at risk for cardiovascular disease and type 2 diabetes: study rationale and protocol.
This study was undertaken to investigate the effects of a tailored exercise prescription alone or supported by mobile health technologies to improve metabolic syndrome and related cardiometabolic risk factors in rural community-dwelling adults at risk for cardiovascular disease and type 2 diabetes. METHODS: Adults (n = 149) with at least two metabolic syndrome risk factors were recruited from rural communities and randomized to either: 1) an intervention group receiving an exercise prescription and devices for monitoring of risk factors with a smartphone data portal equipped with a mobile health application; or 2) an ...
Source: Rural Remote Health - November 7, 2013 Category: Rural Health Authors: Stuckey MI, Shapiro S, Gill DP, Petrella RJ Tags: BMC Public Health Source Type: research

Extreme heat and health: perspectives from health service providers in rural and remote communities in South australia.
This study draws on lived experiences to explore these issues in eleven rural and remote communities across South Australia, framing these within a socio-ecological model. Semi-structured interviews with health service providers (n = 13), and a thematic analysis of these data, has identified particular challenges for rural communities and their health services during extreme heat. The findings draw attention to the social impacts of extreme heat in rural communities, the protective factors (independence, social support, education, community safety), and challenges for adaptation (vulnerabilities, infrastructure, community ...
Source: Rural Remote Health - November 4, 2013 Category: Rural Health Authors: Williams S, Bi P, Newbury J, Robinson G, Pisaniello D, Saniotis A, Hansen A Tags: Int J Environ Res Public Health Source Type: research

Retrospective chart review for obesity and associated interventions among rural Mexican-American adolescents accessing healthcare services.
CONCLUSIONS: Obesity is a healthcare problem among rural Mexican-American adolescents accessing care at the rural health clinic. Obesity intervention and follow-up was suboptimal within this setting. Rural and ethnic minority adolescents experience health disparities concerning obesity prevalence and remote healthcare access. IMPLICATIONS: Obesity prevention and treatment during adolescence is a national health priority given physiologic and psychological tolls on health and potential for obesity into adulthood. Obesity assessment and translation of evidence-based interventions for rural Mexican-American adolescents a...
Source: Rural Remote Health - November 1, 2013 Category: Rural Health Authors: Champion JD, Collins JL Tags: J Am Assoc Nurse Pract Source Type: research

Aboriginal Australians' experience of social capital and its relevance to health and wellbeing in urban settings.
Abstract Social capital has been linked to physical and mental health. While definitions of social capital vary, all include networks of social relationships and refer to the subsequent benefits and disadvantages accrued to members. Research on social capital for Aboriginal Australians has mainly focused on discrete rural and remote Aboriginal contexts with less known about the features and health and other benefits of social capital in urban settings. This paper presents findings from in-depth interviews with 153 Aboriginal people living in urban areas on their experiences of social capital. Of particular interes...
Source: Rural Remote Health - October 31, 2013 Category: Rural Health Authors: Browne-Yung K, Ziersch A, Baum F, Gallaher G Tags: Soc Sci Med Source Type: research

Psychosis 101: evaluating a training programme for northern and remote youth mental health service providers.
CONCLUSIONS: The results about developing service partnerships and relationship with specialist services are encouraging for policy and service decision-makers to address mental health service needs in northern and remote areas. PMID: 24164723 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - October 31, 2013 Category: Rural Health Authors: Cheng C, Deruiter WK, Howlett A, Hanson MD, Dewa CS Tags: Early Interv Psychiatry Source Type: research

The influence of a clinical rural placement programme on the work location of new dental graduates from the University of Sydney, NSW, Australia.
CONCLUSIONS: The study followed up recent dental graduates' working locations to provide longitudinal evidence of the influence of an undergraduate rural placement programme on their work choices. It was found that a higher proportion of graduates who participated in the rural placement programme were working in a rural location when compared with those who had not been offered a placement. PMID: 24127764 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - October 21, 2013 Category: Rural Health Authors: Johnson G, Blinkhorn A Tags: Eur J Dent Educ Source Type: research

Self-management of chronic conditions in a rural and remote context.
PMID: 24135049 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - October 18, 2013 Category: Rural Health Authors: Sav A, King MA, Kelly F, McMillan SS, Kendall E, Whitty JA, Wheeler AJ Tags: Aust J Prim Health Source Type: research

Spanning Boundaries into Remote Communities: An Exploration of Experiences with Telehealth Chronic Disease Self-Management Programs in Rural Northern Ontario, Canada.
Conclusions: Our findings suggest overall the tele-CDSMP was a positive experience for participants and that tele-CDSMPs are an effective option to increasing access to more geographically isolated communities. PMID: 24134184 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - October 17, 2013 Category: Rural Health Authors: Guilcher SJ, Bereket T, Voth J, Haroun VA, Jaglal SB Tags: Telemed J E Health Source Type: research

Social Dynamics in Rural Sri Lankan Hospitals: Revelations From Self-Poisoning Cases.
Abstract Different hospitals produce different cultures-products of relationships between people of different staff categories and people from external community groups. These relationships demonstrate unique social dynamics in rural peripheral hospitals that form a major part of the health care system in Sri Lanka and other developing countries. Understanding the existing social dynamics might be useful when trying to implement new treatment guidelines that can involve behavior change. We aimed to explore the existing social dynamics in peripheral hospitals in rural Sri Lanka by examining the treatment related to...
Source: Rural Remote Health - October 17, 2013 Category: Rural Health Authors: Senarathna L, Hunter C, Dawson AH, Dibley MJ Tags: Qual Health Res Source Type: research

Role of community based savings groups (CBSGs) enhancing the utilization of community midwives in chitral district of Pakistan.
This study will assess the relationship between women membership of CBSGs and their utilization of MNCH services, specifically those offered by CMWs, in the community. METHODS: The research question will be answered through guided interviews of women in the target population who have delivered within one month. The outcome variable will be the utilization of full continuum of skilled MNCH care (disaggregated by 1+ ANC, 1+ PNC and skilled delivery). The primary independent variable of interest will be participation in a CBSG.Focus Group Discussions (FGDs) will be conducted to generate further understanding and informat...
Source: Rural Remote Health - October 11, 2013 Category: Rural Health Authors: Noorani QA, Azam I, Shaikh BT, Ranasinghe T, Abbas S, Wali S, Rippey P, Javed W Tags: BMC Pregnancy Childbirth Source Type: research

High Performance of Histidine-Rich Protein 2 Based Rapid Diagnostic Tests in French Guiana are Explained by the Absence of pfhrp2 Gene Deletion in P. falciparum.
CONCLUSIONS: Field isolates lacking either exon of the pfhrp2 gene are absent in this western part of South America. Despite its sensibility to detect P. vivax, the SD Malaria Ag test P.f/Pan® kit is a satisfying alternative to microscopy in remote health centers, where it is difficult to provide highly skilled microscopists and to maintain the necessary equipment. PMID: 24086328 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - October 8, 2013 Category: Rural Health Authors: Trouvay M, Palazon G, Berger F, Volney B, Blanchet D, Faway E, Donato D, Legrand E, Carme B, Musset L Tags: PLoS One Source Type: research

Giving voice to food insecurity in a remote indigenous community in subarctic Ontario, Canada: traditional ways, ways to cope, ways forward.
CONCLUSIONS: Findings point to the continued importance of traditional food acquisition and food sharing, as well as community solutions for food systems change. These data highlight that traditional and store-bought food are both part of the strategies and solutions participants suggested for coping with food insecurity. Public health policies to improve food security for FN populations are urgently needed. PMID: 23639143 [PubMed - indexed for MEDLINE] (Source: Rural Remote Health)
Source: Rural Remote Health - October 3, 2013 Category: Rural Health Authors: Skinner K, Hanning RM, Desjardins E, Tsuji LJ Tags: BMC Public Health Source Type: research

Indigenous perspectives on active living in remote Australia: a qualitative exploration of the socio-cultural link between health, the environment and economics.
CONCLUSION: This different construction of physical activity in remote Indigenous communities highlights the importance of involving Indigenous people in the development and implementation of physical activity promotion. Physical activities associated with traditional Indigenous cultural practices and being active 'on country' need to be viewed as legitimate health promotion activities. Exploring further ways to enable Indigenous people in remote NT to be involved in creating viable active livelihoods on 'traditional country' needs to be considered as imperative to health improvement. PMID: 23672247 [PubMed - indexed ...
Source: Rural Remote Health - September 28, 2013 Category: Rural Health Authors: Thompson SL, Chenhall RD, Brimblecombe JK Tags: BMC Public Health Source Type: research

Comparison of access to services in rural emergency departments in Quebec and British Columbia.
Conclusions:The results suggest that major differences exist in access to support services in rural EDs in British Columbia and Quebec. A nationwide study is justified to address this issue of variability in rural and remote health service delivery and its impact on interfacility transfers and patient outcomes. PMID: 24064348 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - September 28, 2013 Category: Rural Health Authors: Fleet R, Audette LD, Marcoux J, Villa J, Archambault P, Poitras J Tags: CJEM Source Type: research

Health Related Lifestyle and Preventive Medical Care of Rural Spanish Women Compared to Their Urban Counterparts.
The objective of this work is to study the differences in health related behavior, habits and preventive health care attendance between women living in rural areas and their metropolitan counterparts in Spain. We analyzed health related behavior (such as leisure time physical activity, smoking, alcohol use and other health related dietary patterns) and preventive medical attendance (gynecological attendance, mammography frequency, flu vaccinations, cholesterol and blood pressure checks) in a total of 17,833 women older than 16 from the Spanish National Health Survey 2006. A multinomial logistic regression model was employe...
Source: Rural Remote Health - September 22, 2013 Category: Rural Health Authors: De la Cruz-Sánchez E, Aguirre-Gómez L Tags: J Immigr Minor Health Source Type: research

Acupuncture referrals in rural primary healthcare: a survey of general practitioners in rural and regional New South Wales, Australia.
CONCLUSIONS: There is a significant interface between acupuncture and Australian rural and regional general practice, with generally high levels of support for acupuncture. PMID: 24045036 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - September 17, 2013 Category: Rural Health Authors: Wardle JL, Sibbritt D, Adams J Tags: Acupunct Med Source Type: research

Transforming rural health systems through clinical academic leadership: lessons from South Africa.
Abstract CONTEXT: Under-resourced and poorly managed rural health systems challenge the achievement of universal health coverage, and require innovative strategies worldwide to attract healthcare staff to rural areas. One such strategy is rural health training programs for health professionals. In addition, clinical leadership (for all categories of health professional) is a recognised prerequisite for substantial improvements in the quality of care in rural settings. ISSUE: Rural health training programs have been slow to develop in low- and middle-income countries (LMICs); and the impact of clinical leaders...
Source: Rural Remote Health - September 14, 2013 Category: Rural Health Authors: Doherty JE, Couper ID, Campbell D, Walker J Tags: Rural Remote Health Source Type: research

Fifteen years of change in the food environment in a rural Mexican community: the Maycoba project.
CONCLUSION: Although there have been a number of changes in the food environment during the 15 year period, a traditional subsistence-based lifestyle prevails. PMID: 24010521 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - September 14, 2013 Category: Rural Health Authors: Chaudhari LS, Begay RC, Schulz LO Tags: Rural Remote Health Source Type: research

The experience of relocation for specialist treatment for indigenous women diagnosed with vulvar cancer in East arnhem land.
Abstract Vulvar cancer is a serious condition that requires a range of specialist treatments including surgery, chemotherapy, and radiation. In Australia, such treatments are only available in major metropolitan hospitals. Thus, women diagnosed with this condition in rural and remote areas must relocate to the metropolitan specialist centers for treatment. The focus of this article is on the experience of relocation for specialist care for Indigenous women diagnosed with vulvar cancer from East Arnhem Land, Northern Territory, Australia. The findings presented in this article explore a range of issues that affect ...
Source: Rural Remote Health - September 14, 2013 Category: Rural Health Authors: McGrath P, Rawson N Tags: J Psychosoc Oncol Source Type: research

Mobile primary healthcare services and health outcomes of children in rural Namibia.
This study assessed the health changes of orphans and other vulnerable and non-vulnerable children visiting a mobile clinic in rural Namibia. METHODS: Over a 6 month period, information on immunization status, diagnosis of anemia, skin and intestinal disorders, nutrition, dental disorders and referrals was collected from the records of a mobile clinic serving farms and surrounding areas in parts of rural Namibia. Data were compared for all children with visits in months 1 or 2 (baseline) and a visit in months 5 or 6 (follow up). Data for a cohort of children seen at both time points (the longitudinal group) were also ...
Source: Rural Remote Health - September 14, 2013 Category: Rural Health Authors: Aneni E, De Beer IH, Hanson L, Rijnen B, Brenan AT, Feeley FG Tags: Rural Remote Health Source Type: research

Determinants of acute diarrhoea among children under five years of age in Derashe District, Southern Ethiopia.
CONCLUSIONS: The determinants of acute diarrhoea were of high preventive value (latrine ownership, availability of home-based water treatment, source of water and consumption of left-over food stored at room temperature), therefore health education on different mechanisms in diarrhoeal disease causation, and prevention methods, is recommended. PMID: 24016301 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - September 14, 2013 Category: Rural Health Authors: Godana W, Mengistie B Tags: Rural Remote Health Source Type: research

Appalachian women's perspectives on breast and cervical cancer screening.
CONCLUSIONS: Interpreting findings in terms of consumer information processing theory, healthcare providers and supports play a key role in educating and influencing the screening uptake among Appalachian Kentucky women. These findings have the potential to inform innovative and culturally consonant intervention approaches capable of increasing screening and decreasing mortality rates. PMID: 24016336 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - September 14, 2013 Category: Rural Health Authors: Schoenberg NE, Kruger TM, Bardach S, Howell BM Tags: Rural Remote Health Source Type: research

Interventions for supporting nurse retention in rural and remote areas: an umbrella review.
CONCLUSIONS: This overview provides a guide to orient future rural and remote nurse retention interventions. We distinguish four broad types of interventions: education and continuous professional development interventions, regulatory interventions, financial incentives, and personal and professional support. More knowledge is needed regarding the effectiveness of specific strategies to address the factors known to contribute to nurse retention in rural and remote areas. In order to ensure knowledge translation, retention strategies should be rigorously evaluated using appropriate designs. PMID: 24025429 [PubMed - as ...
Source: Rural Remote Health - September 11, 2013 Category: Rural Health Authors: Mbemba G, Gagnon MP, Paré G, Côté J Tags: Hum Resour Health Source Type: research

Quality of pathology services: new strategic directions required.
Abstract PURPOSE: The purpose of this paper is to discuss the challenges faced in Australia to maintain and sustain quality in pathology services, and present new strategic directions to address such challenges. DESIGN/METHODOLOGY/APPROACH: The paper is a review of the literature on pathology services and its quality of delivery and emerging issues. FINDINGS: Major issues are emerging in pathology services which threaten to impact on the quality of future service delivery. These issues include workforce shortages, growth in inappropriate testing, advancing technology, rural and remote region servicing, a...
Source: Rural Remote Health - September 10, 2013 Category: Rural Health Authors: Isouard G Tags: Int J Health Care Qual Assur Source Type: research

Online Mental Health Resources in Rural Australia: Clinician Perceptions of Acceptability.
CONCLUSIONS: Successful implementation of online mental health resources in the rural context requires attention to clinician perceptions of acceptability. Promotion of online mental health resources to rural clinicians should include information about resource effectiveness, enable integration with existing services, and provide opportunities for renegotiating the socially defined role of the clinician in the eHealth era. PMID: 24007949 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - September 10, 2013 Category: Rural Health Authors: Sinclair C, Holloway K, Riley G, Auret K Tags: J Med Internet Res Source Type: research

Dental students' reflections on clinical placement in a rural and indigenous community in australia.
This article presents feedback from students on their experience in a remote rural clinical placement in Australia by year cohorts 2009, 2010, and 2011. An online feedback survey instrument and compulsory reflective journals were analyzed both by calendar year cohort and amongst individual student groups. The information obtained suggests that overall this was a very positive experience for most students and the clinical experience gained was valued highly. Many students wrote positively about their cultural experiences and the knowledge they gained of life in a remote rural area. Many were pleased with the contribution th...
Source: Rural Remote Health - September 1, 2013 Category: Rural Health Authors: Lalloo R, Evans JL, Johnson NW Tags: J Dent Educ Source Type: research

Clinic attendances during the first 12 months of life for Aboriginal children in five remote communities of northern Australia.
CONCLUSIONS: Infectious diseases of childhood are strongly linked with poverty, poor living conditions and overcrowding. The data reported in our study were collected through manual review, however many remote communities now have established electronic health record systems, use the Key Performance Indicator System and are engaged in CQI (continuous quality improvement) processes. Building on these recent initiatives, there is an opportunity to incorporate routine monitoring of a range of infectious conditions (we suggest diarrhoea, LRTI, scabies and skin sores) using both the age at first presentation and the median numb...
Source: Rural Remote Health - September 1, 2013 Category: Rural Health Authors: Kearns T, Clucas D, Connors C, Currie BJ, Carapetis JR, Andrews RM Tags: PLoS One Source Type: research

The nature of nursing practice in rural and remote areas of Greenland.
CONCLUSION: The nature of nursing practice in rural and remote Greenland is characterised by a high degree of variability and complexity, with a requirement for a wide range of knowledge and skills. Nurses need to be better prepared with regard to acute medical care, preventive care, social work, humanistic approaches and information technology to implement the ideology of health strategies. PMID: 23984291 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - September 1, 2013 Category: Rural Health Authors: Hounsgaard L, Jensen AB, Wilche JP, Dolmer I Tags: Int J Circumpolar Health Source Type: research

Circumpolar Inuit health systems.
CONCLUSIONS: Despite the variations in the health systems as well as national, political and economic approaches, none is adequately addressing Inuit health needs. All Inuit populations still have significant gaps between their health status and those of broader national populations. Meaningful measurement and evaluation of the effectiveness of the respective health systems is severely hindered by the lack of relevant, Inuit-specific health data. The inadequacy, and in a number of cases absence of relevant data, hinders the design and development of a better and potentially more effective approach to delivering health serv...
Source: Rural Remote Health - September 1, 2013 Category: Rural Health Authors: Ellsworth L, O'Keeffe A Tags: Int J Circumpolar Health Source Type: research

Child diet and healthy growth in the context of rural poverty in the Peruvian Andes: What influences primary caregivers' opportunities and choices?
This study explored opportunities and choices related to child feeding among women living in a remote and low-income district in the Andean highlands. Data were collected through in-depth interviews with mothers (N = 7) with reputations for providing good child care, and who participated in an NGO-run social and health programme. The aim of this study was to learn about women's positive experience with child feeding, in the context of living in low-income communities. Such knowledge could be of substantial practical value to health promotion practitioners, in illuminating existing local circumstances and practices that pro...
Source: Rural Remote Health - September 1, 2013 Category: Rural Health Authors: Urke HB, Bull T, Mittelmark MB Tags: Glob Health Promot Source Type: research

Arctic passages: liminality, Iñupiat Eskimo mothers and NW Alaska communities in transition.
CONCLUSIONS: The more openly manifested the Iñupiat values of the community, the more likely alternative birthing practices sought, lessening the reliance on the existing transport policy. Conversely, the more openly western values are manifested in the village of origin, the less likely alternative measures are sought. For this study group, mothers from study villages with openly manifested western values are more likely to easily acquiesce to policy, and "make the best" of their prenatal travel. PMID: 23986891 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - September 1, 2013 Category: Rural Health Authors: Schwarzburg LL Tags: Int J Circumpolar Health Source Type: research

Characteristics of the Frontier Extended Stay Clinic: a new facility model.
CONCLUSION: While many of communities can support a facility for primary care, there is an on-going need for facilities in remote frontier areas to also provide emergent and extended-stay care. The FESC can provide access to primary, emergent and extended-stay services in these locations. PMID: 23967412 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - August 26, 2013 Category: Rural Health Authors: Frazier R, Doucette S Tags: Int J Circumpolar Health Source Type: research

Rebuilding northern foodsheds, sustainable food systems, community well-being, and food security.
CONCLUSION: We propose a new direction for food-system design that prioritizes the management of place-based food portfolios above the more conventional management of individual resources, one with a commitment to as much local and regional food production and/or harvest for local and regional consumption as is possible, and to community self-reliance and health for rural Alaska Natives. PMID: 23967414 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - August 26, 2013 Category: Rural Health Authors: Gerlach SC, Loring PA Tags: Int J Circumpolar Health Source Type: research

Renewable energy and sustainable communities: Alaska's wind generator experience(†).
CONCLUSION: The energy policy choices ahead for Alaska will have important implications for Arctic population health, especially for those villages whose relatively small size and remote locations make energy a key component of subsistence lifestyles and community sustainability. Wind generation can contribute to meeting renewable energy goals and is a particularly important resource for rural and remote Alaskan communities currently dependent on diesel fuel for generating electricity and heat. PMID: 23971014 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - August 26, 2013 Category: Rural Health Authors: Konkel RS Tags: Int J Circumpolar Health Source Type: research

Urban-rural differences in adolescent eating behaviour: a multilevel cross-sectional study of 15-year-olds in Scotland.
CONCLUSIONS: Young people from rural areas have a healthier diet than those living in urban areas. The eating behaviours examined did not explain these differences. Future research should investigate why urban-rural differences exist for consumption frequencies of 'healthy' and 'unhealthy' foods. PMID: 23962450 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - August 21, 2013 Category: Rural Health Authors: Levin KA Tags: Public Health Nutr Source Type: research

Anaemia and malnutrition in children aged 0-59 months on the Bijagós Archipelago, Guinea-Bissau, West Africa: a cross-sectional, population-based study.
Anaemia and malnutrition in children aged 0-59 months on the Bijagós Archipelago, Guinea-Bissau, West Africa: a cross-sectional, population-based study. Paediatr Int Child Health. 2013;33(3):151-60 Authors: Thorne CJ, Roberts LM, Edwards DR, Haque MS, Cumbassa A, Last AR Abstract BACKGROUND: Childhood malnutrition is the leading risk factor for the global burden of disease. Guinea-Bissau is a politically unstable country with high levels of childhood malnutrition and mortality. AIM: To determine the nutritional status of children on three remote islands of the Bijagós Archipelago, Bubaqu...
Source: Rural Remote Health - August 16, 2013 Category: Rural Health Authors: Thorne CJ, Roberts LM, Edwards DR, Haque MS, Cumbassa A, Last AR Tags: Paediatr Int Child Health Source Type: research

Spatial Clustering of All-Cause and HIV-Related Mortality in a Rural South African Population (2000-2006).
Abstract BACKGROUND: Sub-Saharan Africa bears a disproportionate burden of HIV infection. Knowledge of the spatial distribution of HIV outcomes is vital so that appropriate public health interventions can be directed at locations most in need. In this regard, spatial clustering analysis of HIV-related mortality events has not been performed in a rural sub-Saharan African setting. METHODOLOGY AND RESULTS: Kulldorff's spatial scan statistic was used to identify HIV-related and all-cause mortality clusters (p
Source: Rural Remote Health - August 16, 2013 Category: Rural Health Authors: Namosha E, Sartorius B, Tanser F Tags: PLoS One Source Type: research

Quality of life impact of cardiovascular and affective conditions among older residents from urban and rural communities.
CONCLUSIONS: Cardiovascular and affective conditions are key determinants of physical and psychological impairment. Persons affected by physical-psychological comorbidity experience greater psychological impairment. Social capital is associated with community remoteness and may ameliorate the psychological impairment associated with affective disorders and financial difficulties. The use of classifications of remoteness that are sensitive to social and health service accessibility determinants of health may better inform future investigations into the impact of context on quality of life outcomes. PMID: 23945355 [PubM...
Source: Rural Remote Health - August 14, 2013 Category: Rural Health Authors: Allen J, Inder KJ, Harris ML, Lewin TJ, Attia JR, Kelly BJ Tags: Health Qual Life Outcomes Source Type: research