Teleconsultation: finding its place in primary care
This article explores the applicability, barriers, facilitators and future challenges of teleconsultation. While it has the potential to improve access to healthcare, as well as save time and costs for both patients and healthcare professionals, it faces a number of challenges such as the digital divide and resistance to change. To address new challenges and overcome obstacles, it is crucial to gain the trust of patients and professionals. Improving training in the skills required to optimize their use is also essential. Future research should aim to provide robust evidence regarding safety and cost-effectiveness to ensure...
Source: Rural Remote Health - April 12, 2024 Category: Rural Health Authors: Jordi Acezat Oliva Iris Alarc ón Belmonte Eugeni Joan Paredes Costa Marc Albiol Perarnau Alyson Goussens Josep Vidal-Alaball Source Type: research
Storylines of family medicine IV: perspectives on practice-lenses of appreciation
Fam Med Community Health. 2024 Apr 12;12(Suppl 3):e002791. doi: 10.1136/fmch-2024-002791.ABSTRACTStorylines of Family Medicine is a 12-part series of thematically linked mini-essays with accompanying illustrations that explore the many dimensions of family medicine, as interpreted by individual family physicians and medical educators in the USA and elsewhere around the world. In 'IV: perspectives on practice-lenses of appreciation', authors address the following themes: 'Relational connections in the doctor-patient partnership', 'Feminism and family medicine', 'Positive family medicine', 'Mindful practice', 'The new, old e...
Source: Rural Remote Health - April 12, 2024 Category: Rural Health Authors: William B Ventres Leslie A Stone Radeeb Akhtar Jeffrey M Ring Lucy M Candib Erick Messias Ronald M Epstein Marc Tunzi Amy L Lee Christopher P Morley Carina M Brown David Slawson Jill Konkin David G Campbell Ian Couper Susan Williams Robert Brooks Lucie Wa Source Type: research
Prevalence of metabolic disorders among women in reproductive age group in hilly rural area of North India
CONCLUSION: The level of non-communicable diseases is related with the MD which has the adverse effect on the various systems and organs of the subjects. The MD can be controlled with the certain changes in the life style pattern. The GOI is also concerned with such scenarios in the country. It is recommended that women of reproductive age group undergo regular blood pressure and blood sugar screenings to detect hypertension and diabetes early and take appropriate measures to manage them.PMID:38605747 | PMC:PMC11006081 | DOI:10.4103/jfmpc.jfmpc_656_23 (Source: Rural Remote Health)
Source: Rural Remote Health - April 12, 2024 Category: Rural Health Authors: Jai G Vohra Abhishek Pathania Piyush Vohra Gurmeet Singh Kiranjeet Kaur Source Type: research
Approaches to Engaging Men During Primary Healthcare Encounters: A scoping review
Am J Mens Health. 2024 Mar-Apr;18(2):15579883241241090. doi: 10.1177/15579883241241090.ABSTRACTGender-responsive healthcare is critical to advancing men's health given that masculinities intersect with other social determinants to impact help-seeking, engagement with primary healthcare, and patient outcomes. A scoping review was undertaken with the aim to synthesize gender-responsive approaches used by healthcare providers (HCPs) to engage men with primary healthcare. MEDLINE, PubMed, CINAHL, and PsycINFO databases were searched for articles published between 2000 and February 2024. Titles and abstracts for 15,659 citation...
Source: Rural Remote Health - April 12, 2024 Category: Rural Health Authors: Zac E Seidler Ruben Benakovic Michael J Wilson Margaret A McGee Krista Fisher James A Smith John L Oliffe Michelle Sheldrake Source Type: research
Preference-Based Implementation of Video Consultations in Urban and Rural Regions in Outpatient Care in Germany: Protocol for a Mixed Methods Study
CONCLUSIONS: This study is intended to develop a targeted strategy for health policy makers based on actual preferences and perceived obstacles to the use of video consultations. The results of this study will contribute to further user-oriented development of the implementation of video consultations in German statutory health insurance. Furthermore, the iterative and mixed methods approach used in this study protocol is also suitable for a variety of other research projects.INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/50932.PMID:38602749 | DOI:10.2196/50932 (Source: Rural Remote Health)
Source: Rural Remote Health - April 11, 2024 Category: Rural Health Authors: Lara Kleinschmidt Anke Walendzik J ürgen Wasem Klemens H öfer Beatrice Nauendorf Matthias Brittner Paul Brandenburg Andr é Aeustergerling Udo Schneider Anja Wadeck Stephanie Sehlen Sebastian Liersch Katharina Schwarze Carsten Schwenke Theresa H üer Source Type: research
Preference-Based Implementation of Video Consultations in Urban and Rural Regions in Outpatient Care in Germany: Protocol for a Mixed Methods Study
CONCLUSIONS: This study is intended to develop a targeted strategy for health policy makers based on actual preferences and perceived obstacles to the use of video consultations. The results of this study will contribute to further user-oriented development of the implementation of video consultations in German statutory health insurance. Furthermore, the iterative and mixed methods approach used in this study protocol is also suitable for a variety of other research projects.INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/50932.PMID:38602749 | DOI:10.2196/50932 (Source: Rural Remote Health)
Source: Rural Remote Health - April 11, 2024 Category: Rural Health Authors: Lara Kleinschmidt Anke Walendzik J ürgen Wasem Klemens H öfer Beatrice Nauendorf Matthias Brittner Paul Brandenburg Andr é Aeustergerling Udo Schneider Anja Wadeck Stephanie Sehlen Sebastian Liersch Katharina Schwarze Carsten Schwenke Theresa H üer Source Type: research
The Australian health workforce: Disproportionate shortfalls in small rural towns
CONCLUSION: In Australia, small rural towns have the lowest number of health care workers per capita which is likely to lead to poor health outcomes for those regions.PMID:38597124 | DOI:10.1111/ajr.13121 (Source: Rural Remote Health)
Source: Rural Remote Health - April 10, 2024 Category: Rural Health Authors: Colin H Cortie David Garne Lyndal Parker-Newlyn Rowena G Ivers Judy Mullan Kylie J Mansfield Andrew Bonney Source Type: research
Indigenous people's experiences of primary health care in Canada: a qualitative systematic review
CONCLUSION: Indigenous people value safe, accessible and respectful care. The discrimination and racism they face negatively affect their overall health and well-being. Hence, it is crucial that changes in health care practice, structures and policy development as well as systemic transformation be implemented immediately.PMID:38597804 | DOI:10.24095/hpcdp.44.4.01 (Source: Rural Remote Health)
Source: Rural Remote Health - April 10, 2024 Category: Rural Health Authors: Geneveave Barbo Sharmin Alam Source Type: research
Palliative and End-of-Life Family Caregiving in Rural Areas: A Scoping Review of Social Determinants of Health and Emotional Well-Being
Conclusions: FCGs are vulnerable to adverse emotional health when providing home-based PEOL care. Research is needed to develop supportive interventions (e.g., digital health) for rural-dwelling FCGs.PMID:38598274 | DOI:10.1089/jpm.2023.0566 (Source: Rural Remote Health)
Source: Rural Remote Health - April 10, 2024 Category: Rural Health Authors: Arienne Patano Gwen Wyatt Rebecca Lehto Source Type: research
Predictors of germline genetic testing referral and completion in ovarian cancer patients at a Comprehensive Cancer Center
CONCLUSIONS: We report relatively high germline testing and a promising trend in time from diagnosis to results, with variation by oncologist and patient factors. Automated referral, remote genetic counseling and sample collection, reduced out-of-pocket costs, and educational interventions should be explored.PMID:38599112 | DOI:10.1016/j.ygyno.2024.03.028 (Source: Rural Remote Health)
Source: Rural Remote Health - April 10, 2024 Category: Rural Health Authors: Katherine W Saylor Elizabeth Q Fernandes Michael Adams Sarah Paraghamian David I Shalowitz Source Type: research
The Australian health workforce: Disproportionate shortfalls in small rural towns
CONCLUSION: In Australia, small rural towns have the lowest number of health care workers per capita which is likely to lead to poor health outcomes for those regions.PMID:38597124 | DOI:10.1111/ajr.13121 (Source: Rural Remote Health)
Source: Rural Remote Health - April 10, 2024 Category: Rural Health Authors: Colin H Cortie David Garne Lyndal Parker-Newlyn Rowena G Ivers Judy Mullan Kylie J Mansfield Andrew Bonney Source Type: research
Telephone-Based Guideline-Directed Medical Therapy Optimization in Navajo Nation: The H ózhó Randomized Clinical Trial
CONCLUSIONS AND RELEVANCE: In this heart failure trial in Navajo Nation, a telephone-based strategy of remote initiation and titration for outpatients with heart failure with reduced ejection fraction led to improved rates of guideline-directed medical therapy at 30 days compared with usual care. This low-cost strategy could be expanded to other rural settings where access to care is limited.TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT05792085.PMID:38583185 | PMC:PMC11000136 | DOI:10.1001/jamainternmed.2024.1523 (Source: Rural Remote Health)
Source: Rural Remote Health - April 7, 2024 Category: Rural Health Authors: Lauren A Eberly Ada Tennison Daniel Mays Chih-Yuan Hsu Chih-Ting Yang Ernest Benally Harriett Beyuka Benjamin Feliciano C Jane Norman Maria Ynes Brueckner Clybert Bowannie Daniel R Schwartz Erica Lindsey Stephen Friedman Elizabeth Ketner Pamela Detsoi-Smi Source Type: research
Telephone-Based Guideline-Directed Medical Therapy Optimization in Navajo Nation: The H ózhó Randomized Clinical Trial
CONCLUSIONS AND RELEVANCE: In this heart failure trial in Navajo Nation, a telephone-based strategy of remote initiation and titration for outpatients with heart failure with reduced ejection fraction led to improved rates of guideline-directed medical therapy at 30 days compared with usual care. This low-cost strategy could be expanded to other rural settings where access to care is limited.TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT05792085.PMID:38583185 | DOI:10.1001/jamainternmed.2024.1523 (Source: Rural Remote Health)
Source: Rural Remote Health - April 7, 2024 Category: Rural Health Authors: Lauren A Eberly Ada Tennison Daniel Mays Chih-Yuan Hsu Chih-Ting Yang Ernest Benally Harriett Beyuka Benjamin Feliciano C Jane Norman Maria Ynes Brueckner Clybert Bowannie Daniel R Schwartz Erica Lindsey Stephen Friedman Elizabeth Ketner Pamela Detsoi-Smi Source Type: research
Enhancing the implementation of provider-to-provider telehealth in rural and remote areas: A mixed methods study protocol
DISCUSSION: Innovative and sustained workforce models and solutions are needed globally. Virtual healthcare, including provider-to-provider models, demonstrate potential, especially in rural and remote areas, designed to increase access to specialised expertise for patients and to support the local workforce. This research will generate new data around behaviour, perceptions, and value from the WACHS rural and remote workforce about provider-to-provider telehealth, to explore the implementation and investigate strategies for the long-term sustainment of RPPT services.PMID:38571877 | PMC:PMC10989039 | DOI:10.1177/2055207624...
Source: Rural Remote Health - April 4, 2024 Category: Rural Health Authors: Kaylie Toll Joanna C Moullin Stephen Andrew Aled Williams Richard Varhol Timothy A Carey Suzanne Robinson Source Type: research
This is why we are staying: Job satisfaction among Physiotherapists in the Kimberley region of Western Australia
CONCLUSION: This study describes the many factors impacting job satisfaction among physiotherapists in a rural and remote location in WA Australia. These factors warrant consideration by organisations interested in improving recruitment and retention in this context. Improving recruitment and retention in physiotherapists in rural and remote Australia has the potential to positively influence health service provision, and therefore improve health outcomes for those living in rural and remote communities.PMID:38572851 | DOI:10.1111/ajr.13117 (Source: Rural Remote Health)
Source: Rural Remote Health - April 4, 2024 Category: Rural Health Authors: Chenae King Amanda Timler Janelle Gill Negin Loh Maria Morgan Jessica Nolan Robyn Sturdy James Robert Debenham Source Type: research
