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

Perspectives of rural health and human service practitioners following suicide prevention training programme in Australia: A thematic analysis.
Abstract There are well-established training programmes available to support health and human services professionals working with people vulnerable to suicide. However, little is known about involving people with lived experience in the delivery of suicide prevention training with communities with increased rates of suicide. The aim of this paper was to report on a formative dialogical evaluation that explored the views of health and human services workers with regard to a suicide prevention training programme in regional (including rural and remote areas) South Australia which included meaningful involvement of a...
Source: Rural Remote Health - January 8, 2018 Category: Rural Health Authors: Jones M, Ferguson M, Walsh S, Martinez L, Marsh M, Cronin K, Procter N Tags: Health Soc Care Community Source Type: research

Ultrasound curriculum taught by first-year medical students: A four-year experience in Tanzania.
This study reviews the implementation of a four-week ultrasound course administered annually from 2013-2016 in a healthcare professional school in Mwanza, Tanzania by first-year allopathic US medical students. METHODS: Participants (n=582, over 4 years) were recruited from the Tandabui Institute of Health Sciences and Technology to take the ultrasound course. Subjects were predominantly clinical officer students, but other participants included other healthcare professional students, practicing healthcare professionals, and school employees. Data collected includes pre-course examination scores, post-course examinatio...
Source: Rural Remote Health - January 5, 2018 Category: Rural Health Authors: Denny SP, Minteer WB, Fenning RTH, Aggarwal S, Lee DH, Raja SK, Raman KR, Farfel AO, Patel PA, MarkLieber, Bernstein ME, Lahham S, Fox JC Tags: World J Emerg Med Source Type: research

Association of Long-term Exposure to Airborne Particulate Matter of 1 μm or Less With Preterm Birth in China.
Association of Long-term Exposure to Airborne Particulate Matter of 1 μm or Less With Preterm Birth in China. JAMA Pediatr. 2018 Jan 02;:e174872 Authors: Wang YY, Li Q, Guo Y, Zhou H, Wang X, Wang Q, Shen H, Zhang Y, Yan D, Zhang Y, Zhang H, Li S, Chen G, Zhao J, He Y, Yang Y, Xu J, Wang Y, Peng Z, Wang HJ, Ma X Abstract Importance: Airborne particulate matter pollution has been associated with preterm birth (PTB) in some studies. However, most of these studies assessed only populations living near monitoring stations, and the association of airborne particulate matter having a median diameter of 1...
Source: Rural Remote Health - January 2, 2018 Category: Rural Health Authors: Wang YY, Li Q, Guo Y, Zhou H, Wang X, Wang Q, Shen H, Zhang Y, Yan D, Zhang Y, Zhang H, Li S, Chen G, Zhao J, He Y, Yang Y, Xu J, Wang Y, Peng Z, Wang HJ, Ma X Tags: JAMA Pediatr Source Type: research

Learning by doing in practice: a roundtable discussion about stakeholder engagement in implementation research.
DISCUSSION: The first perspective comes from a rural district medical officer from Uganda and touches on the success of using data as evidence in a low-resource setting. The second perspective is from an Afghani Ministry of Health expert who used a community-based approach to improving healthcare services in remote regions. Finally, the third perspective highlights the successes and trials of a policy-maker from India who offers advice on how to grow the relationship between decision-makers and researchers. Overall, the stakeholders in this roundtable discussion saw important benefits to their engagement in research. In or...
Source: Rural Remote Health - December 28, 2017 Category: Rural Health Authors: Arwal SH, Aulakh BK, Bumba A, Siddula A Tags: Health Res Policy Syst Source Type: research

Results of physician licence examination and scholarship contract compliance by the graduates of regional quotas in Japanese medical schools: a nationwide cross-sectional survey.
CONCLUSIONS: Quota entrants showed better academic performance than their peers. Most of the quota graduates remained in the contractual workforce. The imminent revision of the national policy regarding quota and scholarship programmes needs to be based on this evidence. PMID: 29275351 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - December 22, 2017 Category: Rural Health Authors: Matsumoto M, Takeuchi K, Owaki T, Iguchi S, Inoue K, Kashima S, Tazuma S, Maeda T Tags: BMJ Open Source Type: research

Exploring Advance Care Planning in Taiwanese Indigenous Cancer Survivors: Proposal for a Pilot Case-Control Study.
CONCLUSIONS: In this study, we expect to survey palliative care usage in the remote indigenous group, understand factors that influence ACP readiness, and later foster culturally appropriate ACP public participation and policies in order to facilitate collaboration between cancer health care providers in various Taiwanese subcultures. PMID: 29269340 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - December 21, 2017 Category: Rural Health Authors: Li IF, Hsiung Y Tags: JMIR Res Protoc Source Type: research

Comparison of Telemedicine to Traditional Face-to-Face Care for Children with Special Needs: A Quasiexperimental Study.
This study used a prospective, quasiexperimental research design with 222 parents or legal guardians of CSHCN receiving pediatric specialty care. The traditional group (n = 110) included families receiving face-to-face pediatric specialty care and the telemedicine group (n = 112) included families who had telemedicine visits along with traditional face-to-face pediatric specialty care. RESULTS: Results indicated no significant differences in family costs when the telemedicine group was compared to traditional face-to-face care. When the telemedicine group was asked to anticipate costs if te...
Source: Rural Remote Health - December 21, 2017 Category: Rural Health Authors: Hooshmand M, Foronda C Tags: Telemed J E Health Source Type: research

Identifying gaps in the practices of rural health extension workers in Ethiopia: a task analysis study.
CONCLUSION: HEWs were insufficiently prepared during pre-service education for all tasks that fall within their scope of practice. Many learned tasks through in-service or on-the-job training, and some tasks were not learned at all. Some tasks that are part of expected HEW practice were performed infrequently, potentially reducing the effectiveness of the Health Extension Program to provide preventive and basic curative health care services to communities. Findings should alert policy makers to the need to review HEWs' scope of practice, update pre-service education curricula and prioritize in-service training modules. ...
Source: Rural Remote Health - December 20, 2017 Category: Rural Health Authors: Desta FA, Shifa GT, Dagoye DW, Carr C, Van Roosmalen J, Stekelenburg J, Nedi AB, Kols A, Kim YM Tags: BMC Health Serv Res Source Type: research

Long-term trends in supply and sustainability of the health workforce in remote Aboriginal communities in the Northern Territory of Australia.
CONCLUSIONS: Overall increases in workforce supply in remote NT communities between 2004 and 2015 have been affected by continuing very high turnover of nurses and AHPs, and compounded by recent declines in AHP supply. Despite substantial increases in resourcing, an imperative remains to implement more robust health service models which better support the supply and retention of resident health staff. PMID: 29258521 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - December 19, 2017 Category: Rural Health Authors: Zhao Y, Russell DJ, Guthridge S, Ramjan M, Jones MP, Humphreys JS, Carey TA, Wakerman J Tags: BMC Health Serv Res Source Type: research

Effects of telehealth by allied health professionals and nurses in rural and remote areas: A systematic review and meta-analysis.
CONCLUSION: Telehealth services may be as effective as face-to-face interventions, which is encouraging given the potential benefits of telehealth in rural and remote areas with regards to healthcare access and time and cost savings. PMID: 29257195 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - December 19, 2017 Category: Rural Health Authors: Speyer R, Denman D, Wilkes-Gillan S, Chen YW, Bogaardt H, Kim JH, Heckathorn DE, Cordier R Tags: J Rehabil Med Source Type: research

Personalized  Health Monitoring System for Managing Well-Being in Rural Areas.
Personalized Health Monitoring System for Managing Well-Being in Rural Areas. J Med Syst. 2017 Dec 14;42(1):22 Authors: Nedungadi P, Jayakumar A, Raman R Abstract Rural India lacks easy access to health practitioners and medical centers, depending instead on community health workers. In these areas, common ailments that are easy to manage with medicines, often lead to medical escalations and even fatalities due to lack of awareness and delayed diagnosis. The introduction of wearable health devices has made it easier to monitor health conditions and to connect doctors and patients in urban ar...
Source: Rural Remote Health - December 14, 2017 Category: Rural Health Authors: Nedungadi P, Jayakumar A, Raman R Tags: J Med Syst Source Type: research

Integration of eye health into primary care services in Tanzania: a qualitative investigation of experiences in two districts.
CONCLUSIONS: Although training of primary health workers is useful, it is recognised that is not sufficient to address the burden of eye health disease present in rural communities in Tanzania. It is likely that broader engagement with the general health system, and most likely with the private sector, will be necessary to improve the coverage of eye health care to remote and poor communities such as those in Morogoro. Further investment is needed to develop innovative approaches to delivering eye health services, including preventative, curative and rehabilitative services. PMID: 29237503 [PubMed - in process] (Sourc...
Source: Rural Remote Health - December 13, 2017 Category: Rural Health Authors: Jolley E, Mafwiri M, Hunter J, Schmidt E Tags: BMC Health Serv Res Source Type: research

Views from the field: Medical student experiences and perceptions of interprofessional learning and collaboration in rural settings.
In this study, we explored the perceptions of undergraduate medical students regarding interprofessionalism across their four-year undergraduate program which focuses on rural health. A thematic content analysis of the text-data was conducted on a convenience sample of 47 student responses to essay questions across four cohorts of a four-year undergraduate medical program. The medical program has an explicit social accountability mandate for responsiveness to the needs of a rural population and thus students have multiple opportunities to experience interprofessional education and collaboration in rural contexts. Participa...
Source: Rural Remote Health - December 13, 2017 Category: Rural Health Authors: Thompson DS, Abourbih J, Carter L, Adams-Carpino G, Berry S, Graves LE, Ranger NJ Tags: J Interprof Care Source Type: research

The Worried Well? Characteristics of Cognitively Normal Patients Presenting to a Rural and Remote Memory Clinic.
CONCLUSION: We observed a pattern of differences unfold between the "worried well" patients and those with cognitive disease. No one variable was pathognomonic of a "worried well" patient. However, taking all the above into account when evaluating a patient may help clinically. PMID: 29223173 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - December 10, 2017 Category: Rural Health Authors: Verity R, Kirk A, O'Connell ME, Karunanayake C, Morgan DG Tags: Can J Neurol Sci Source Type: research

Burn care and rehabilitation in Australia: health professionals' perspectives.
CONCLUSION: Burn care and rehabilitation remains a complex and a challenging area of care with limited access to burn services especially in rural and remote areas. Interprofessional training and education of health professionals involved with the complex care of burn injury remains a key element to support and sustain the long-term rehabilitation requirements for patients and their families. Empowering patients to develop independence early in their rehabilitation is fundamental to their ongoing recovery. A burns model of care that embraces a multidisciplinary collaboration and integrated care across the continuum has the...
Source: Rural Remote Health - December 5, 2017 Category: Rural Health Authors: Kornhaber R, Rickard G, McLean L, Wiechula R, Lopez V, Cleary M Tags: Disabil Rehabil Source Type: research

[Shortage of physicians in rural areas and in the public health service : A critical analysis of the evidence on the role of medical education and training].
DISCUSSION: Foreign empirical studies identify almost equal two factors with regard to primary care in remote areas: the recruitment of students from rural areas combined with special educational programs with a rural primary care orientation both in under- and postgraduate medical education. These programs should include several and longer practical working periods in primary care units and be well coordinated between the medical school and the local teaching physicians. As for the state public health sector, comparable initiatives are still lacking. PMID: 29209761 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - December 5, 2017 Category: Rural Health Authors: Kaduszkiewicz H, Teichert U, van den Bussche H Tags: Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz Source Type: research

A systematic literature review of the prevalence of and risk factors for supportive care needs among women with gynaecological cancer and their caregivers.
CONCLUSIONS: Understanding the needs of women with gynaecological cancer and their caregivers is essential to improving care and outcomes. Current data are limited thus there is a need for qualitative studies of patient-caregiver dyad and vulnerable subgroups and well-designed quantitative studies of women with each type of gynaecological and their caregivers. PMID: 29204708 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - December 4, 2017 Category: Rural Health Authors: Beesley VL, Alemayehu C, Webb PM Tags: Support Care Cancer Source Type: research

Exploring the feasibility of eHealth solutions to decrease delays in maternal healthcare in remote communities of Ghana.
CONCLUSION: In Ghana's rural areas the three delays proposed in the model affect the outcomes of MHC. These delays are influenced by socio-economic status, access to facilities, and quality of care. EHealth solutions show great potential to reduce the delays. Based on the 5C model, a mHealth solution aiming to improve guidance during pregnancy was outlined. PMID: 29197391 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - December 2, 2017 Category: Rural Health Authors: Pagalday-Olivares P, Sjöqvist BA, Adjordor-van de Beek J, Abudey S, Silberberg AR, Buendia R Tags: BMC Med Inform Decis Mak Source Type: research

Modern technology to support carers of care recipients with dementia or functional mental illness: promising progress, but a long road ahead.
Abstract There is no doubt that family carers who look after a family member with dementia or with a functional mental illness fulfill an important role, not only for their loved one, but also for the health and aged care systems of the countries they live in. Due to increasing life expectancy, but also improved healthcare the number of family carers supporting older care recipients with functional mental illness or dementia is on the rise. While the carer role often can offer rewarding experiences caregivers are at increased risk of stress, depression, sleep problems, and often experience poor health outcomes wit...
Source: Rural Remote Health - November 14, 2017 Category: Rural Health Authors: Lautenschlager NT, Diehl-Schmid J, Loi SM, Mayer J, Tensil M, Kurz AF Tags: Int Psychogeriatr Source Type: research

Impact of epidemiological factors on the prevalence, intensity and distribution of ectoparasites in pigeons.
In conclusion the prevalence of ectoparasites in pigeons is very high in north-east region of Pakistan. PMID: 29114144 [PubMed] (Source: Rural Remote Health)
Source: Rural Remote Health - November 10, 2017 Category: Rural Health Authors: Ahmed H, Naz M, Mustafa I, Khan MR, Asif S, Afzal MS, Arshad M, Naveed M, Ali S, Simsek S Tags: J Parasit Dis Source Type: research

StatPearls
Authors: Abstract Telehealth is the use of a technology-based virtual platform to deliver various aspects of health information, prevention, monitoring, and medical care. The fastest growing sector of health care, telehealth’s largest segment is telemedicine. Narrowly, telemedicine is defined as the practice of medicine via a remote electronic interface. There are distinctions within telemedicine delivery. In practice, the majority of hospital-based health care delivery is doctor-to-doctor, providing expert specialist medicine to often rural, international, or non-specialist physicians. In contrast, patient...
Source: Rural Remote Health - October 31, 2017 Category: Rural Health Tags: Book Source Type: research

Transitioning from a single-site pilot project to a state-wide regional telehealth service: The experience from the Victorian Stroke Telemedicine programme.
Abstract Scaling of projects from inception to establishment within the healthcare system is rarely formally reported. The Victorian Stroke Telemedicine (VST) programme provided a very useful opportunity to describe how rural hospitals in Victoria were able to access a network of Melbourne-based neurologists via telemedicine. The VST programme was initially piloted at one site in 2010 and has gradually expanded as a state-wide regional service operating with 16 hospitals in 2017. The aim of this paper is to summarise the factors that facilitated the state-wide transition of the VST programme. A naturalistic case-s...
Source: Rural Remote Health - October 31, 2017 Category: Rural Health Authors: Bagot KL, Cadilhac DA, Kim J, Vu M, Savage M, Bolitho L, Howlett G, Rabl J, Dewey HM, Hand PJ, Denisenko S, Donnan GA, Bladin CF, Victorian Stroke Telemedicine Programme Consortium Tags: J Telemed Telecare Source Type: research