Impact of Telehealth Interventions on Processes and Quality of Care for Patients With ESRD.
Abstract Caring for patients with end-stage renal disease (ESRD) requiring dialysis is intensive and expensive. Telehealth may improve the access and efficiency of ESRD care. For this perspective, we systematically reviewed studies that examined the effectiveness of telehealth versus or in addition to usual care for ESRD management. 10 studies were identified, including 7 randomized trials and 3 cohort studies. Study populations, modes of delivery (including telephone, telemetry, or videoconferencing), and the outcomes evaluated varied substantially between studies. Two studies examined telehealth interventions ve...
Source: Rural Remote Health - April 23, 2018 Category: Rural Health Authors: Lunney M, Lee R, Tang K, Wiebe N, Bello AK, Thomas C, Rabi D, Tonelli M, James MT Tags: Am J Kidney Dis Source Type: research

Orthopedic Knowledge and Need in the Provincial Philippines: Pilot Study of a Population-Based Survey.
CONCLUSION: The survey describes perceived barriers to care and gaps in knowledge for acute orthopedic injuries. With some modification, this survey tool could be expanded and utilized on a regional or national level to assess gaps in knowledge and barriers to acute orthopedic care. CourtneyCS, KirschTD. Orthopedic knowledge and need in the Provincial Philippines: pilot study of a population-based survey. PMID: 29681244 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - April 23, 2018 Category: Rural Health Authors: Courtney CS, Kirsch TD Tags: Prehosp Disaster Med Source Type: research

Community-based diagnosis of non-communicable diseases and their risk factors in rural and urban Haiti: a cross-sectional prevalence study.
CONCLUSIONS: Women in Haiti had significantly higher prevalence rates of most NCDs and risk factors than men, and urban populations frequently, but not always, had higher rates of NCDs risk factors than the rural population. Further, it was shown that using point of care blood tests combined with community health workers, it is feasible to screen for NCDs and risk factors in remote areas which otherwise have limited access to healthcare. PMID: 29678978 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - April 20, 2018 Category: Rural Health Authors: DeGennaro V, Malcolm S, Crompton L, Vaddiparti K, Mramba LK, Striley C, Cottler L, Taylor K, Leverence R Tags: BMJ Open Source Type: research

Urbanization prolongs hantavirus epidemics in cities.
Abstract Urbanization and rural-urban migration are two factors driving global patterns of disease and mortality. There is significant concern about their potential impact on disease burden and the effectiveness of current control approaches. Few attempts have been made to increase our understanding of the relationship between urbanization and disease dynamics, although it is generally believed that urban living has contributed to reductions in communicable disease burden in industrialized countries. To investigate this relationship, we carried out spatiotemporal analyses using a 48-year-long dataset of hemorrhagi...
Source: Rural Remote Health - April 17, 2018 Category: Rural Health Authors: Tian H, Hu S, Cazelles B, Chowell G, Gao L, Laine M, Li Y, Yang H, Li Y, Yang Q, Tong X, Huang R, Bjornstad ON, Xiao H, Stenseth NC Tags: Proc Natl Acad Sci U S A Source Type: research

Oral health knowledge, attitudes, and practices (KAP) in rural Haiti: a 40-year follow-up study.
Abstract This paper reports the changed findings over a 40-year period on oral health knowledge, attitudes, and practices (KAP) of a very remote and rural population living the Jeremie region of Haiti. The far-sighted investigators of that original 1970 survey stated in their published 1972 paper that our "…findings are descriptive, but have to be accepted tentatively rather than definitively because time was short, transportation was difficult, and the small sample that had to be used could not random." They further insightfully stated their hopes that their "…results may be regarded ...
Source: Rural Remote Health - April 14, 2018 Category: Rural Health Authors: Katz RV, Prophete SE, Lafontant C, Gebrian B, Bourdeau LC, Joseph JE, Lafontant GJ, St Jean HL, Rundberg PE Tags: J Public Health Dent Source Type: research

Regional South Australia Health (RESONATE) survey: study protocol.
Abstract INTRODUCTION: Access to quality healthcare services is considered a moral right. However, for people living in regional locations, timely access to the services that they need may not always be possible because of structural and attitudinal barriers. This suggests that people living in regional areas may have unmet healthcare needs. The aim of this research will be to examine the healthcare needs, expectations and experiences of regional South Australians. METHODS AND ANALYSIS: The Regional South Australia Health (RESONATE) survey is a cross-sectional study of adult health consumers living in any pri...
Source: Rural Remote Health - April 13, 2018 Category: Rural Health Authors: Leach MJ, Jones M, Gillam M, May E Tags: BMJ Open Source Type: research

The feasibility and concurrent validity of performing the Movement Assessment Battery for Children - 2nd Edition via telerehabilitation technology.
CONCLUSIONS AND IMPLICATIONS: This study establishes the feasibility and concurrent validity of the administration of the Movement Assessment Battery for Children - 2nd Edition via telerehabilitation technology. Overall, participants perceived their experience with telerehabilitation positively. PMID: 29656273 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - April 12, 2018 Category: Rural Health Authors: Nicola K, Waugh J, Charles E, Russell T Tags: Res Dev Disabil Source Type: research

Mortality in a cohort of remote-living Aboriginal Australians and associated factors.
CONCLUSIONS: To reduce premature mortality, public health practitioners should prioritise the prevention and treatment of diabetes and renal disease in Aboriginal people in remote WA. This will require a sustained and holistic approach. PMID: 29621272 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - April 8, 2018 Category: Rural Health Authors: Hyde Z, Smith K, Flicker L, Atkinson D, Almeida OP, Lautenschlager NT, Dwyer A, LoGiudice D Tags: PLoS One Source Type: research

Piloting the addition of contingency management to best practice counselling as an adjunct treatment for rural and remote disordered gamblers: study protocol.
This study was approved by the University of Lethbridge's Human Subject Research Committee (#2016-080). The investigators plan to publish the results from this study in academic peer-reviewed journals. Summary information will be provided to the funder. TRIAL REGISTRATION NUMBER: NCT02953899; Pre-results. PMID: 29615445 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - April 3, 2018 Category: Rural Health Authors: Christensen DR, Witcher CSG, Leighton T, Hudson-Breen R, Ofori-Dei S Tags: BMJ Open Source Type: research

Localizing Global Medicine: Challenges and Opportunities in Cervical Screening in an Indigenous Community in Ecuador.
ay AC Abstract This participatory research study examines the tensions and opportunities in accessing allopathic medicine, or biomedicine, in the context of a cervical cancer screening program in a rural indigenous community of Northern Ecuador. Focusing on the influence of social networks, the article extends research on "re-appropriation" of biomedicine. It does so by recognizing two competing tensions expressed through social interactions: suspicion of allopathic medicine and the desire to maximize one's health. Semistructured individual interviews and focus groups were conducted with 28 women who had...
Source: Rural Remote Health - March 26, 2018 Category: Rural Health Authors: Nugus P, Désalliers J, Morales J, Graves L, Evans A, Macaulay AC Tags: Qual Health Res Source Type: research

Telemedicine in the perioperative experience.
Abstract Telemedicine, the remote diagnosis and treatment of patients by means of technology, provides an alternative means for patients to gain access to health care services. Telemedicine is a general term that includes the use of various communication technologies, including telephone, email, or videoconferencing. Telemedicine has the potential to reduce inefficiencies in the delivery of healthcare, diminish patient travel and wait times, and increase access to specialists for patients in rural settings. We review the use of telemedicine in the perioperative phase of care for pediatric surgical patients, their ...
Source: Rural Remote Health - March 21, 2018 Category: Rural Health Authors: Lesher AP, Shah SR Tags: Semin Pediatr Surg Source Type: research

Sleep problems in adolescence and overweight/obesity in young adults: is there a causal link?
CONCLUSION: Although there is evidence for a causal association between sleep problems and general Ow/Ob, the link between sleep problems and abdominal Ow/Ob needs more research to produce conclusive results. Nonetheless, behavioral interventions encouraging healthy sleep practice in young subjects are likely to influence future Ow/Ob outcome. PMID: 29555128 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - March 21, 2018 Category: Rural Health Authors: Fatima Y, Doi SAR, Al Mamun A Tags: Sleep Health Source Type: research

The retail availability of tobacco in Tasmania: evidence for a socio-economic and geographical gradient.
Abstract OBJECTIVES: To describe the retail availability of tobacco and to examine the association between tobacco outlet density and area-level remoteness and socio-economic status classification in Tasmania. DESIGN: Ecological cross-sectional study; analysis of tobacco retail outlet data collected by the Department of Health and Human Services (Tasmania) according to area-level (Statistical Areas Level 2) remoteness (defined by the Remoteness Structure of the Australian Statistical Geographical Standard) and socio-economic status (defined by the 2011 Australian Bureau of Statistics Index of Relative Socioec...
Source: Rural Remote Health - March 17, 2018 Category: Rural Health Authors: Melody SM, Martin-Gall V, Harding B, Veitch MG Tags: Med J Aust Source Type: research

Strengthening the Anesthesia Workforce in Low- and Middle-Income Countries.
This article explores some of the key issues that must be tackled to strengthen the anesthesia workforce in low- and lower-middle-income countries. First, we need to increase the overall number of safe anesthesia providers to match a huge burden of disease, particularly in the poorest countries in the world and in remote and rural areas. Through using a task-sharing model, an increase is required in both nonphysician anesthesia providers and anesthesia specialists. Second, there is a need to improve and support the competency of anesthesia providers overall. It is important to include a broad base of knowledge, skills, and...
Source: Rural Remote Health - March 17, 2018 Category: Rural Health Authors: Kudsk-Iversen S, Shamambo N, Bould MD Tags: Anesth Analg Source Type: research

eHealth as a facilitator of equitable access to primary healthcare: the case of caring for non-communicable diseases in rural and refugee settings in Lebanon.
CONCLUSIONS: Low-cost eHealth netbook application was deemed effective in identifying new cases of NCDs and establishing appropriate referrals in underserved communities. PMID: 29546440 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - March 15, 2018 Category: Rural Health Authors: Saleh S, Alameddine M, Farah A, El Arnaout N, Dimassi H, Muntaner C, El Morr C Tags: Int J Public Health Source Type: research

Medical Services at an International Summer Camp Event Under Hot and Humid Conditions: Experiences From the 23rd World Scout Jamboree, Japan.
CONCLUSIONS: Our findings suggest the importance of taking effective countermeasures against heat strain, fatigue, and unsanitary conditions at the WSJ. Medical services staff should take attendees' age, sex, and period into consideration to prevent heat strain-related diseases during such camps under hot and humid conditions. PMID: 29530472 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - March 9, 2018 Category: Rural Health Authors: Watanabe T, Mizutani K, Iwai T, Nakashima H Tags: Wilderness Environ Med Source Type: research

Pragmatism in practice: lessons learned during screening and enrollment for a randomised controlled trial in rural northern Ethiopia.
CONCLUSIONS: Examples given in the previous section are contextualised and general principles extracted where possible. We conclude that it is possible to conduct a trial that balances approaches that support internal validity (e.g. careful design of proformas, accurate case identification, control over data quality and high retention rates) with those that favour generalisability (e.g. 'real world' setting and low rates of exclusion). Strategies, such as Rapid Ethical Assessment, that increase researchers' understanding of the study setting and inclusion of hard-to-reach participants are likely to have resource and time i...
Source: Rural Remote Health - March 7, 2018 Category: Rural Health Authors: Molla M, Negussie H, Ngari M, Kivaya E, Njuguna P, Enqueselassie F, Berkley JA, Davey G Tags: BMC Med Res Methodol Source Type: research

A randomized trial using telehealth technology to link caregivers with dementia care experts for in-home caregiving support: FamTechCare protocol.
Abstract The number of persons with dementia (PWD) in the United States is expected to reach 16 million by 2050. Due to the behavioral and psychological symptoms of dementia, caregivers face challenging in-home care situations that lead to a range of negative health outcomes such as anxiety and depression for the caregivers and nursing home placement for PWD. Supporting Family Caregivers with Technology for Dementia Home Care (FamTechCare) is a multisite randomized controlled trial evaluating the effects of a telehealth intervention on caregiver well-being and PWD behavioral symptoms. The FamTechCare intervention ...
Source: Rural Remote Health - March 5, 2018 Category: Rural Health Authors: Williams K, Blyler D, Vidoni ED, Shaw C, Wurth J, Seabold D, Perkhounkova Y, Van Sciver A Tags: Res Nurs Health Source Type: research

A social & ndash;contextual investigation of smoking among rural women: multi-level factors associated with smoking status and considerations for cessation.
CONCLUSIONS: These findings indicate that a social-contextual approach to tobacco control may be useful for narrowing a widening trajectory of smoking disparity for rural women. Interpersonal context, in particular, must be considered in the development of culturally targeted cessation interventions for Ohio Appalachian women. PMID: 29500916 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - March 1, 2018 Category: Rural Health Authors: Nemeth JM, Thomson TL, Lu B, Peng J, Krebs V, Doogan NJ, Ferketich AK, Post DM, Browning CR, Paskett ED, Wewers ME Tags: Rural Remote Health Source Type: research

Find Cancer Early: Evaluation of a Community Education Campaign to Increase Awareness of Cancer Signs and Symptoms in People in Regional Western Australians.
Conclusion: Despite limited use of mass media, Find Cancer Early successfully improved knowledge of cancer symptoms and possibly led to changes in behavior. Social marketing campaigns using community development can raise awareness and knowledge of a health issue in the absence of television advertising. PMID: 29473031 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - February 27, 2018 Category: Rural Health Authors: Croager EJ, Gray V, Pratt IS, Slevin T, Pettigrew S, Holman CD, Bulsara M, Emery J Tags: Front Public Health Source Type: research

Direct whole-genome sequencing of Plasmodium falciparum specimens from dried erythrocyte spots.
CONCLUSION: This study describes a simple filter paper based protocol for sampling P. falciparum from malaria patients for subsequent direct WGS, enabling acquisition of samples in remote settings with no access to electricity. PMID: 29471822 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - February 23, 2018 Category: Rural Health Authors: Nag S, Kofoed PE, Ursing J, Lemvigh CK, Allesøe RL, Rodrigues A, Svendsen CA, Jensen JD, Alifrangis M, Lund O, Aarestrup FM Tags: Malar J Source Type: research

Telegerontology as a Novel Approach to Address Health and Safety by Supporting Community-Based Rural Dementia Care Triads: Randomized Controlled Trial Protocol.
CONCLUSIONS: Results from this study will demonstrate a novel approach to dementia care that has the potential to impact both rural PCPs, family caregivers, and people with dementia, as well as provide evidence for the utility of Telegerontology in models of eHealth-based care. PMID: 29472178 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - February 22, 2018 Category: Rural Health Authors: Wallack EM, Harris C, Ploughman M, Butler R Tags: JMIR Res Protoc Source Type: research

Review article: Managing medical emergencies in rural Australia: A systematic review of the training needs.
Abstract The aim of the study was to determine the training needs of doctors managing emergencies in rural and remote Australia. A systematic review of Australian articles was performed using MEDLINE (OVID) and INFORMIT online databases from 1990 to 2016. The search terms included 'Rural Health', 'Emergency Medicine', 'Emergency Medical Services', 'Education, Medical, Continuing' and 'Family Practice'. Only peer-reviewed articles, available in full-text that focussed on the training needs of rural doctors were reviewed. Data was extracted using pre-defined fields such as date of data collection, number of particip...
Source: Rural Remote Health - February 22, 2018 Category: Rural Health Authors: Pandit T, Ray R, Sabesan S Tags: Emerg Med Australas Source Type: research

Growth of the James Cook University Medical Program: Maintaining quality, continuing the vision, developing postgraduate pathways.
CONCLUSIONS: Postgraduate pathways are an important priority. Regional training hubs are being developed to support local pipelines into specialty practice. Queensland's Rural Generalist Pathway provides an incentivised pathway to rural practice while Generalist Medical Training provides a local training pipeline into general practice and rural medicine. As these initiatives mature, communities should benefit as JCU and other Australian programs continue to address local workforce needs. PMID: 29457929 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - February 19, 2018 Category: Rural Health Authors: Sen Gupta T, Johnson P, Rasalam R, Hays R Tags: Med Teach Source Type: research

Timing of abortion among adolescent and young women presenting for post-abortion care in Kenya: a cross-sectional analysis of nationally-representative data.
CONCLUSIONS: Late-term abortions were substantial, and may have contributed substantially to the high proportion of women with post-abortion complications. Efforts to reduce the severity of abortion-related morbidities and mortality must target young women, particularly those living in rural and other remote areas. Interventions to reduce unintended pregnancies in this population are also urgently needed to improve early pregnancy detection and timely care seeking. PMID: 29452587 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - February 17, 2018 Category: Rural Health Authors: Ushie BA, Izugbara CO, Mutua MM, Kabiru CW Tags: BMC Womens Health Source Type: research

Ruralization of students' horizons: insights into Australian health professional students' rural and remote placements.
Conclusions: The study findings have policy and practice implications for continuing to support students undertaking regional, rural, and remote placements and preparing them for future practice in nonmetropolitan locations. This study may, therefore, further inform ongoing strategies for improving rural placement experiences and enhancing rural health workforce recruitment, retention, and capacity building. PMID: 29430183 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - February 14, 2018 Category: Rural Health Authors: Smith T, Cross M, Waller S, Chambers H, Farthing A, Barraclough F, Pit SW, Sutton K, Muyambi K, King S, Anderson J Tags: J Multidiscip Healthc Source Type: research

Health care for all: effective, community supported, healthcare with innovative use of telemedicine technology.
Abstract Almost half of the world's total population reside in rural and remote areas and a large number of these people remain deprived of most basic facilities like healthcare and education. It is deemed impossible for government with scarce resources in developing countries to open and run a health facility in every remote community using conventional means. One increasingly popular unconventional mean is the use of existing technology to improve exchange of medical information for the purpose of improving health of underprivileged communities. Telemedicine implies the use of information and communication techn...
Source: Rural Remote Health - February 14, 2018 Category: Rural Health Authors: Shah TK, Tariq T, Phillips R, Davison S, Hoare A, Hasan SS, Babar ZU Tags: J Pharm Policy Pract Source Type: research

Rationale and developmental methodology for the SIMPLE approach: A Systematised, Interdisciplinary Malnutrition Pathway for impLementation and Evaluation in hospitals.
CONCLUSIONS: Systematised, delegated, and interdisciplinary nutrition care activities are realistic in at least some settings. A model is now available to provide interdisciplinary care. Next steps including testing implementation will determine if this interdisciplinary model improves malnutrition care delivered in hospitals. PMID: 29436107 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - February 13, 2018 Category: Rural Health Authors: Bell JJ, Young A, Hill J, Banks M, Comans T, Barnes R, Keller HH Tags: Nutr Diet Source Type: research

Listening to their voices: understanding rural women's perceptions of good delivery care at the Mibilizi District Hospital in Rwanda.
CONCLUSIONS: In gathering rural women's perceptions of good delivery care, this study reveals what mothers in remote areas in Rwanda consider important during child birth. The women's expectations, suggestions, and needs can enhance providers' awareness of the women's priorities during childbirth and serve as a guidepost for health services to increase the quality, acceptability and uptake of maternal health services. PMID: 29433492 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - February 12, 2018 Category: Rural Health Authors: Ndirima Z, Neuhann F, Beiersmann C Tags: BMC Womens Health Source Type: research

Quality of social and emotional wellbeing services for families of young Indigenous children attending primary care centers; a cross sectional analysis.
CONCLUSIONS: The families of young Indigenous children appear to receive priority for social and emotional wellbeing care in Australian primary care centers, however many Indigenous families are not receiving services. Improvement in resourcing and support of social and emotional wellbeing services in primary care centers is needed. PMID: 29426308 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - February 9, 2018 Category: Rural Health Authors: Edmond KM, McAuley K, McAullay D, Matthews V, Strobel N, Marriott R, Bailie R Tags: BMC Health Serv Res Source Type: research

Smartphones in the secondary prevention of cardiovascular disease: a systematic review.
CONCLUSION: Mobile health delivery has the potential to improve access to CR and heart failure management for patients unable to attend TCR programs. Feasibility testing of culturally appropriate mHealth delivery for CR and heart failure management is required in rural and remote settings with subsequent implementation and evaluation into local health care services. PMID: 29415680 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - February 7, 2018 Category: Rural Health Authors: Hamilton SJ, Mills B, Birch EM, Thompson SC Tags: BMC Cardiovasc Disord Source Type: research

Trends of child undernutrition in rural Ecuadorian communities with differential access to roads, 2004-2013.
Abstract Road access can influence protective and risk factors associated with nutrition by affecting various social and biological processes. In northern coastal Ecuador, the construction of new roads created a remoteness gradient among villages, providing a unique opportunity to examine the impact of roads on child nutritional outcomes 10 years after the road was built. Anthropometric and haemoglobin measurements were collected from 2,350 children
Source: Rural Remote Health - February 7, 2018 Category: Rural Health Authors: Lopez VK, Dombecki C, Trostle J, Mogrovejo P, Castro Morillo N, Cevallos W, Goldstick J, Jones AD, Eisenberg JNS Tags: Matern Child Nutr Source Type: research

Cross-sectional survey of knowledge of obstetric danger signs among women in rural Madagascar.
CONCLUSIONS: Knowledge of obstetric danger signs is low. Information provision during pregnancy and with mHealth is promising. TRIAL REGISTRATION: This trial was retrospectively registered at the International Standard Randomized Controlled Trial Register (identifier ISRCTN15798183 ; August 22, 2015). PMID: 29402226 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - February 5, 2018 Category: Rural Health Authors: Salem A, Lacour O, Scaringella S, Herinianasolo J, Benski AC, Stancanelli G, Vassilakos P, Petignat P, Schmidt NC Tags: BMC Pregnancy Childbirth Source Type: research

The gravitational force of mental health services: distance decay effects in a rural Swiss service area.
CONCLUSIONS: Based on these findings, outpatient clinics should be most effectively located decentralized and in the largest communities to meet the needs of the population as close as possible to where people live and to avoid remote areas being insufficiently supplied with mental health care. For mental hospitals and inpatient services decentralized location seems to be less important. PMID: 29402266 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - February 5, 2018 Category: Rural Health Authors: Stulz N, Pichler EM, Kawohl W, Hepp U Tags: BMC Health Serv Res Source Type: research

Early repeat computed tomographic imaging in transferred trauma and neurosurgical patients: Incidence, indications and impact.
CONCLUSION: Repeat CT scans for patients already imaged prior to transfer were relatively common, occurring mostly for apparently valid clinical reasons. However, the additional radiation risk and financial cost of these repeat scans appeared on retrospective audit to be potentially avoidable in approximately one in five cases. PMID: 29399974 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - February 5, 2018 Category: Rural Health Authors: Blazak P, Hacking C, Presneill J, Reade M Tags: J Med Imaging Radiat Oncol Source Type: research

Twelve tips for expanding undergraduate clinical teaching capacity.
Abstract Undergraduate medical education has expanded substantially in recent years, through both establishing new programs and increasing student numbers in existing programs. This expansion has placed pressure on the capacity for training students in clinical placements, raising concerns about the risk of dilution of experience, and reducing work readiness. The concerns have been greatest in more traditional environments, where clinical placements in large academic medical centers are often the "gold standard". However, there are ways of exposing medical students to patient interactions and clinical su...
Source: Rural Remote Health - February 5, 2018 Category: Rural Health Authors: Hays RB, McKinley RK, Sen Gupta TK Tags: Med Teach Source Type: research

Rural versus urban differences in end-of-life care for lung cancer patients in Germany.
Abstract PURPOSE: To assess rural-urban differences in healthcare utilization and supportive care at the end-of-life in German lung cancer patients. METHODS: We identified 12,929 patients with incident lung cancer in 2009 from claims data and categorized them to four district types (major city, urban, rural, remote rural). We compared site of death, unplanned hospitalizations, hospital days, outpatient doctor, general practitioner (GP) and home visits, structured palliative care, therapy with antidepressants, pain relief medication and chemotherapy, and therapeutic puncturing in the last 30 and 14 days o...
Source: Rural Remote Health - February 4, 2018 Category: Rural Health Authors: Walter J, Tufman A, Leidl R, Holle R, Schwarzkopf L Tags: Support Care Cancer Source Type: research

An experiment in using open-text comments from the Australian Rural Mental Health Study on health service priorities.
CONCLUSIONS: This research aimed to determine whether meaningful and informative data could be obtained from short responses from open-ended survey questions using an automated data analysis technique to supplement a more in-depth analysis. The findings showed that, while not as detailed as interview responses, the open-ended survey questions provided sufficient information to develop a broad overview of the health service priorities identified by this large rural sample. Such automated data analysis techniques are rarely employed; however, the current research provides valuable support for their utility in rural and remot...
Source: Rural Remote Health - February 1, 2018 Category: Rural Health Authors: Rich J, Handley T, Inder K, Perkins D Tags: Rural Remote Health Source Type: research

Applying Strengths Model principles to build a rural community-based mental health support service and achieve recovery outcomes.
CONCLUSIONS: Strengths-based recovery services offered by a rural PHaMs service can assist Australians with severe mental illness to achieve meaningful gains towards recovery. Furthermore, a Strengths Model approach to service development and operations – one that recognises individual abilities and prizes interpersonal relationships and teamwork – can maximise the potential of local human and other resources, and serve as a solution to resolving apparent service gaps and perceived deficits in rural and regional areas. PMID: 29385811 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - February 1, 2018 Category: Rural Health Authors: Dunstan D, Anderson D Tags: Rural Remote Health Source Type: research

Global Proofing a Collaborative Care Telemental Health Intervention in Brazil.
Abstract Rural proofing ensures that policies, practice guidelines, strategies, and techniques can be applied to rural populations with approximately equal benefit as what would be obtained in urban areas. Extending this concept internationally, the authors argue the importance of global proofing mental health strategies developed in well-resourced, high-income areas in order to determine their appropriateness in areas that have resource poverty such as middle- and low-income countries. An example is used to illustrate both rural and global proofing. Through this example, the authors demonstrate how they proofed u...
Source: Rural Remote Health - February 1, 2018 Category: Rural Health Authors: Springer PR, Scheeren P, Bischoff RJ, Taylor NC, Cargnin D, Barros E, Falceto OG Tags: Fam Syst Health Source Type: research

Evidence to service gap: cardiac rehabilitation and secondary prevention in rural and remote Western Australia.
CONCLUSION: Geography, population density and service availability limits patient access to CR services in rural/remote WA. Current inadequacies in delivering comprehensive centre-based CR in rural/remote settings impedes management of cardiovascular risk and opportunities for event reduction. Health pathways that ensure referral and continuity of care are needed, with emerging technology-based CR support to supplement centre-based CR services requiring assessment. Implementing systematic data collection across services to establish benchmarks and enable service monitoring and evaluation is needed. PMID: 29382343 [Pub...
Source: Rural Remote Health - January 30, 2018 Category: Rural Health Authors: Hamilton S, Mills B, McRae S, Thompson S Tags: BMC Health Serv Res Source Type: research

Retinopathy of prematurity: the high cost of screening regional and remote infants.
CONCLUSIONS AND RELEVANCE: Health system costs for ROP screening of remote infants at a centralised hospital are high. Alternative strategies using telemedicine can now be compared with centralized screening. PMID: 29369477 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - January 25, 2018 Category: Rural Health Authors: Yu TY, Donovan T, Armfield N, Gole GA Tags: Clin Exp Ophthalmol Source Type: research

A Novel Approach to Transforming Smoking Cessation Practice for Pregnant Aboriginal Women and Girls Living in the Pilbara.
Abstract Tobacco smoking during pregnancy contributes to a range of adverse perinatal outcomes; but is a potentially modifiable behavior. In Australia Aboriginal and Torres Strait Islander women face a range of barriers that hinder; rather than support smoking cessation. Few smoking cessation programs consider the broader social determinants of women's lives; the gendered nature of these or the complexities which impinge on behavior change in the presence of social and economic disadvantage and substantial individual and intergenerational trauma. Drawing on the salient gender and trauma-informed literature this pa...
Source: Rural Remote Health - January 23, 2018 Category: Rural Health Authors: Wyndow P, Walker R, Reibel T Tags: Healthcare (Basel) Source Type: research

"You either need help …you feel you don't need help…or you don't feel worthy of asking for it:" Receptivity to bereavement support.
This study explored factors that influence receptivity to bereavement support from palliative care services in rural, regional, and remote Western Australia. METHOD: The study comprised a qualitative descriptive research design using semistructured interviews with 24 bereaved individuals, nine palliative care health professionals, and four Aboriginal Health Professionals. Participants were recruited via palliative care services in country Western Australia. Interviews were transcribed verbatim and thematically analyzed. Result Findings revealed that a range of individual, social, and geographical factors influence rec...
Source: Rural Remote Health - January 21, 2018 Category: Rural Health Authors: Blackburn P, Bulsara C Tags: Palliat Support Care Source Type: research

Evaluation of a community-based intervention to improve maternal and neonatal health service coverage in the most rural and remote districts of Zambia.
CONCLUSIONS: Strengthening community-based action groups in poor and remote districts through the support of mothers by SMAGs was associated with increased coverage of maternal and newborn health interventions, measured through ANC, SBA and PNC. In remote and marginalised settings, where the need is greatest, context-specific and innovative task-sharing strategies using community health volunteers can be effective in improving coverage of maternal and neonatal services and hold promise for better maternal and child survival in poorly-resourced parts of sub-Saharan Africa. PMID: 29337995 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 18, 2018 Category: Rural Health Authors: Jacobs C, Michelo C, Chola M, Oliphant N, Halwiindi H, Maswenyeho S, Baboo KS, Moshabela M Tags: PLoS One Source Type: research

Working in global health: A planning and implementation framework for international electives.
CONCLUSIONS: Students' home institutions have a duty of care for preparing them for their international electives by providing pre-departure training, support during the elective and comprehensive de-briefing on their return. These electives should be evaluated (including by host communities) to ensure that exchanges are socially accountable, with no harm to the often-vulnerable communities in which students gain considerable experience. Also important is that future students build on the positive experiences of their predecessors to ensure sustainability of any interventions in host communities. PMID: 29336206 [PubMe...
Source: Rural Remote Health - January 16, 2018 Category: Rural Health Authors: Thomas ST, Thomas ET, McLean M Tags: Med Teach Source Type: research

Validation of DPOAE screening conducted by village health workers in a rural community with real-time click evoked tele-auditory brainstem response.
CONCLUSIONS: The validity of DPOAE screening conducted by trained VHW was acceptable. This study supports the engagement of grass-root workers in community-based hearing health care provision. PMID: 29334277 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - January 15, 2018 Category: Rural Health Authors: Ramkumar V, Vanaja CS, Hall JW, Selvakumar K, Nagarajan R Tags: Int J Audiol Source Type: research

Cost-effectiveness of Access to Critical Cerebral Emergency Support Services (ACCESS): a neuro-emergent telemedicine consultation program.
CONCLUSION: The analysis demonstrates potential savings and improved quality of life associated with the use of ACCESS for patients presenting to rural hospitals with acute ischemic stroke (AIS). PMID: 29316820 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - January 9, 2018 Category: Rural Health Authors: Whetten J, van der Goes DN, Tran H, Moffett M, Semper C, Yonas H Tags: J Med Econ Source Type: research

Traditional uses of medicinal plants practiced by the indigenous communities at Mohmand Agency, FATA, Pakistan.
CONCLUSIONS: Current study is an important addition to the field of ethnomedicines. The study reports important medicinal plants from an area, which has not been investigated previously. Traditional knowledge is restricted to health practitioners and elder community members. This knowledge is at the verge of extinction because younger generation is not taking interest in its learning and preservation process. Hence, there is a dire need to phytochemically and pharmacologically test the investigated taxa for the validation of traditional knowledge. PMID: 29316948 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 9, 2018 Category: Rural Health Authors: Aziz MA, Adnan M, Khan AH, Shahat AA, Al-Said MS, Ullah R Tags: J Ethnobiol Ethnomed Source Type: research

Evaluation of fluorescent in-situ hybridization technique for diagnosis of malaria in Ahero Sub-County hospital, Kenya.
CONCLUSION: The present study demonstrates that the specificity and reproducibility of FISH assays are high, thus adding to the growing evidence on the potential of the technique as an effective tool for the detection of malaria parasites in remote settings. PMID: 29310580 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - January 8, 2018 Category: Rural Health Authors: Kandie R, Ochola R, Njaanake K Tags: BMC Infect Dis Source Type: research