Community health nurses' learning needs in relation to the Canadian community health nursing standards of practice: results from a Canadian survey.
Abstract BACKGROUND: CANADIAN COMMUNITY HEALTH NURSES (CHNS) WORK IN DIVERSE URBAN, RURAL, AND REMOTE SETTINGS SUCH AS: public health units/departments, home health, community health facilities, family practices, and other community-based settings. Research into specific learning needs of practicing CHNs is sparsely reported. This paper examines Canadian CHNs learning needs in relation to the 2008 Canadian Community Health Nursing Standards of Practice (CCHN Standards). It answers: What are the learning needs of CHNs in Canada in relation to the CCHN Standards? What are differences in CHNs' learning needs by: prov...
Source: Rural Remote Health - November 3, 2014 Category: Rural Health Authors: Valaitis RK, Schofield R, Akhtar-Danesh N, Baumann A, Martin-Misener R, Underwood J, Isaacs S Tags: BMC Nurs Source Type: research

Telemedicine Networks of EHAS Foundation in Latin America.
nto V, Martínez-Fernández A Abstract Rural areas in developing countries are characterized by lack of resources, low population density, and scarcity of communications infrastructure. These circumstances make it difficult to provide appropriate health-care services. This paper explains research results achieved by Enlace Hispano Americano de Salud - Hispano American Health Link (EHAS) and how they have contributed to improve healthcare in isolated areas of developing countries through the use of information and communication technologies (ICT). As the first step, EHAS always collaborates with public ...
Source: Rural Remote Health - November 3, 2014 Category: Rural Health Authors: Prieto-Egido I, Simó-Reigadas J, Liñán-Benítez L, García-Giganto V, Martínez-Fernández A Tags: Front Public Health Source Type: research

Comparison of access to services in rural emergency departments in Quebec and British Columbia.
CONCLUSIONS: The results suggest that major differences exist in access to support services in rural EDs in British Columbia and Quebec. A nationwide study is justified to address this issue of variability in rural and remote health service delivery and its impact on interfacility transfers and patient outcomes. PMID: 25358275 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - November 1, 2014 Category: Rural Health Authors: Fleet R, Audette LD, Marcoux J, Villa J, Archambault P, Poitras J Tags: CJEM Source Type: research

Management of chronic hepatitis B in the Torres Strait Islands: an identified need for a comprehensive public health approach to chronic hepatitis B in remote Australian Indigenous communities.
Abstract We aimed to document how health service providers in the Torres Strait Island region of northern Australia respond to chronic hepatitis B, and to identify priorities for the effective clinical management of the infection. Semi-structured qualitative interviews with 61 health service providers were conducted in 2011 in the Torres Strait and north Queensland region to explore issues affecting chronic hepatitis B management. Two critical issues were identified affecting the health service response to chronic hepatitis B: (i) the absence of a systems-based approach to clinically managing the infection; and (i...
Source: Rural Remote Health - October 13, 2014 Category: Rural Health Authors: Wallace J, Pitts M, Ward J, McNally S Tags: Aust J Prim Health Source Type: research

The Etiology, Risk Factors, and Interactions of Enteric Infections and Malnutrition and the Consequences for Child Health and Development Study (MAL-ED): Description of the Tanzanian Site.
Abstract The Haydom, Tanzania, site (TZH) of The Etiology, Risk Factors and Interactions of Enteric Infections and Malnutrition and the Consequences for Child Health and Development (MAL-ED) Study is in north-central Tanzania, 300 km from the nearest urban center. TZH is in a remote rural district where most of the population are agropastoralists and grow maize as the staple food. The average household size is 7. The average woman achieves a parity of 6 and has 1 child death. Socioeconomic indicators are poor, with essentially no household having access to electricity, piped water, or improved sanitary facilities ...
Source: Rural Remote Health - October 13, 2014 Category: Rural Health Authors: Mduma ER, Gratz J, Patil C, Matson K, Dakay M, Liu S, Pascal J, McQuillin L, Mighay E, Hinken E, Ernst A, Amour C, Mvungi R, Bayyo E, Zakaria Y, Kivuyo S, Houpt ER, Svensen E Tags: Clin Infect Dis Source Type: research

Hospital admission for community-acquired pneumonia in a First Nations population.
CONCLUSION: Our findings emphasize the importance of preventing pneumonia in First Nations communities in northwestern Ontario. Research focusing on the distinct epidemiology of community-acquired pneumonia in this population is needed. PMID: 25291038 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - October 8, 2014 Category: Rural Health Authors: Poling J, Kelly L, Chan C, Fisman D, Ulanova M Tags: Can J Rural Med Source Type: research

Are teleoncology models merely about avoiding long distance travel for patients?
Abstract Teleoncology models are used increasingly throughout the world as a means to provide access to quality cancer care for people in rural, remote and other disadvantaged settings. Some authors have suggested that teleoncology is merely about avoiding long distance travel. In this commentary we argue that the benefits of teleoncology extend beyond those of the patients and their families to the rural health system and beyond. We draw upon the literature and results of an evaluation of the Townsville Teleoncology Network (TTN) in North Queensland, Australia to support our arguments. PMID: 25287049 [PubMed...
Source: Rural Remote Health - October 7, 2014 Category: Rural Health Authors: Sabesan S, Kelly J Tags: Eur J Cancer Care (Engl) Source Type: research

Intervention with substance-abusing mothers: Are there rural-urban differences?
CONCLUSIONS AND SCIENTIFIC SIGNIFICANCE: Data presented indicate there are important differences between urban and rural residing participants. Findings highlight the importance of considering the barriers that rural or remote locations might create. Identifying community-specific needs of substance abusing pregnant or parenting women in both rural and urban settings is crucial for the successful development and improvement of treatment and intervention programs for this vulnerable population of women. (Am J Addict 2014;XX:1-9). PMID: 25278087 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - October 2, 2014 Category: Rural Health Authors: Shaw MR, Grant T, Barbosa-Leiker C, Fleming SE, Henley S, Graham JC Tags: Am J Addict Source Type: research

Faculty analysis of distributed medical education in Northern Canadian Aboriginal communities.
CONCLUSIONS: Cultural immersion in Aboriginal communities is a way for medical students to gain an understanding of the needs and strengths of Aboriginal communities and learn what physicians might do to contribute effectively to Aboriginal health and wellbeing. Research is required to improve understanding about the aspects of this education experience that are most effective. PMID: 25277126 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - October 1, 2014 Category: Rural Health Authors: Hudson GL, Maar M Tags: Rural Remote Health Source Type: research

Twenty cultural and learning principles to guide the development of pharmacy curriculum in Pacific Island countries.
CONCLUSIONS: The 20 principles outlined in this article will be used to develop and trial culturally relevant training approaches for the development of medicine management competencies for various cadres of health personnel in PICs. These principles provide a practical framework for educators and health professionals to apply to health-based education and training in the Pacific, with potential application to other rural and remote environments. PMID: 25287360 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - October 1, 2014 Category: Rural Health Authors: Brown AN, McCormack C Tags: Rural Remote Health Source Type: research

The Telehealth Satisfaction Scale: Reliability, Validity, and Satisfaction with Telehealth in a Rural Memory Clinic Population.
Conclusions: The study findings demonstrate high user satisfaction with telehealth in a rural memory clinic and the sound psychometric properties of the TeSS in this population. PMID: 25272141 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - October 1, 2014 Category: Rural Health Authors: Morgan DG, Kosteniuk J, Stewart N, O'Connell ME, Karunanayake C, Beever R Tags: Telemed J E Health Source Type: research

A dose of our own therapy: using research findings to challenge mental health nurses to embrace contemporary practice realities.
Abstract This paper explores the effects of mental policy changes and the curtailment of mental health nursing education on the realities of working as a mental health nurse in rural and remote locations in New South Wales, Australia. Using the twin lenses of mental health nursing and the sociology of work and social change, the experiences of mental health nurses are explored and set in the context of the evolution of the mental health nurse into non-specialist mental health worker. At the same time, mental health nurses are challenged to adapt to new practice realities. PMID: 25259638 [PubMed - in process] ...
Source: Rural Remote Health - September 28, 2014 Category: Rural Health Authors: Crowther AJ, Ragusa AT Tags: Issues Ment Health Nurs Source Type: research

Computational Pathology and Telepathology: SY05-2 TELEPATHOLOGY PART II: TELEMICROSCOPY FOR QUALITY CONTROL.
Abstract In Japan, we have about 2000 board-certified pathologists. Most of them are working in the cities, thus few are available in the countries. Telepathology in Japan developed under these situations mainly to cover intra-operative frozen section diagnosis of rural hospitals. First, I would like to introduce telepathology network in Wakayama prefecture covering about 7 hospitals making almost 200 frozen section diagnosis each year for more than 10 years. We also tried tele-consultation meeting to support young pathologists alone in rural hospitals. With development of virtual slide (VS), I am now making remot...
Source: Rural Remote Health - September 7, 2014 Category: Rural Health Authors: Mori I, Osamura YR Tags: Pathology Source Type: research

[Electrocardiographic diagnosis of rural emergencies, by applying a tele-ECG recording and analysis system].
CONCLUSION: The findings show the value of bedside recording of ECG with its remote analysis in the absence of special diagnostic services. Each of the detected electrocardiographic syndromes is a risk factor of cardiac death. PMID: 25095660 [PubMed - indexed for MEDLINE] (Source: Rural Remote Health)
Source: Rural Remote Health - September 7, 2014 Category: Rural Health Authors: Riabykina GV, Vishniakova NA Tags: Ter Arkh Source Type: research

Rural outreach by specialist doctors in Australia: a national cross-sectional study of supply and distribution.
CONCLUSION: There is a healthy level of interest in rural outreach work, but remote outreach is less common. Whilst most providers are metropolitan-based, rural doctors are more likely to provide outreach services. Remote distribution is influenced differently: inner regional specialists are less likely to provide remote services compared with metropolitan specialists. To benefit from outreach services and ensure adequate remote distribution, we need to promote coordinated delivery of services arising from metropolitan and rural locations according to rural and remote health need. PMID: 25189854 [PubMed - as supplied ...
Source: Rural Remote Health - September 4, 2014 Category: Rural Health Authors: O Sullivan BG, Joyce CM, McGrail MR Tags: Hum Resour Health Source Type: research

Characteristics and outcome of unplanned out-of-institution births in Norway from 1999 to 2013: a cross-sectional study.
ing S Abstract OBJECTIVE: To study the incidence, maternal characteristics and outcome of unplanned out-of-institution births (= unplanned births) in Norway. DESIGN: Register-based cross-sectional study. POPULATION: All births in Norway (n = 892 137) from 1999 to 2013 with gestational age ≥22 weeks. METHODS: Analysis of data from the Medical Birth Registry of Norway from 1999 to 2013. Unplanned births (n = 6062) were compared with all other births (reference group). RESULTS: The annual incidence rate of unplanned births was 6.8/1000 births and remained stable du...
Source: Rural Remote Health - September 3, 2014 Category: Rural Health Authors: Gunnarsson B, Smárason AK, Skogvoll E, Fasting S Tags: Acta Obstet Gynecol Scand Source Type: research

Indigenous Respiratory Outreach Care: the first 18 months of a specialist respiratory outreach service to rural and remote Indigenous communities in Queensland, Australia.
Conclusion IROC is a culturally sensitive and sustainable model for adult and paediatric specialist outreach respiratory services that may be transferrable to Indigenous communities across Queensland and Australia. What is known about this topic? The high rates of respiratory illnesses in Australian Indigenous children have been poorly explored. There is a dearth of research quantifying and qualifying risk from birth and throughout early childhood, and there are virtually no evidence-based evaluations of interventions to prevent and manage disease. Despite data suggesting an excess burden of disease, there has been little ...
Source: Rural Remote Health - September 1, 2014 Category: Rural Health Authors: Medlin LG, Chang AB, Fong K, Jackson R, Bishop P, Dent A, Hill DC, Vincent S, O'Grady KA Tags: Aust Health Rev Source Type: research

Thrombolysis delivery by a regional telestroke network--experience from the U.K. National Health Service.
CONCLUSIONS: We demonstrate the safety and effectiveness of a horizontal networking approach for stroke telemedicine, which may be applicable to areas where traditional "hub-and-spoke" models may not be geographically feasible. PMID: 24572251 [PubMed - indexed for MEDLINE] (Source: Rural Remote Health)
Source: Rural Remote Health - August 27, 2014 Category: Rural Health Authors: Agarwal S, Day DJ, Sibson L, Barry PJ, Collas D, Metcalf K, Cotter PE, Guyler P, O'Brien EW, O'Brien A, O'Kane D, Owusu-Agyei P, Phillips P, Shekhar R, Warburton EA Tags: J Am Heart Assoc Source Type: research

Hepatitis B virus in the Lao People's Democratic Republic: a cross sectional serosurvey in different cohorts.
CONCLUSIONS: Overall, the results demonstrate a dramatic deficiency in vaccination coverage and vaccine responses and/or documentation within the regions of Lao PDR studied, which included urbanized areas with better health care access. Timely and effective hepatitis B vaccination coverage is needed in Lao PDR. PMID: 25149478 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - August 23, 2014 Category: Rural Health Authors: Black AP, Nouanthong P, Nanthavong N, Souvannaso C, Vilivong K, Jutavijittum P, Samountry B, Lütteke N, Hübschen JM, Goossens S, Quet F, Buisson Y, Muller CP Tags: BMC Infect Dis Source Type: research

Reporting of occupational exposures to blood and body fluids in the primary dental care setting in Scotland: an evaluation of current practice and attitudes.
Abstract Objectives To evaluate experience, practice and beliefs regarding occupational exposures to blood and oral fluids among a random sample of 300 dentists working in Scotland's NHS primary dental services.Method A cross-sectional postal survey assessed occupational exposure policies and procedures, recent occupational exposure incidence and current management. Beliefs were measured using constructs from the theory of planned behaviour, shown to influence behaviour in this population.Results Forty-two percent of dentists responded. Fourteen percent had sustained an occupational exposure in the previous 12 mon...
Source: Rural Remote Health - August 22, 2014 Category: Rural Health Authors: Leavy P, Templeton A, Young L, McDonnell C Tags: Br Dent J Source Type: research

Correlates of Quality of Life in Rural Heart Failure Patients.
CONCLUSIONS: -This study of rural HF patients confirms previously identified factors associated with perceptions of quality of life. However, further study is warranted with an urban control group. Clinical Trial Registration-URL: http://www.clinicaltrials.gov. Unique identifier: NCT00415545. PMID: 25146960 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - August 21, 2014 Category: Rural Health Authors: Nesbitt T, Doctorvaladan S, Southard JA, Singh S, Fekete A, Marie K, Moser DK, Pelter M, Robinson S, Wilson MD, Cooper L, Dracup K Tags: Circ Heart Fail Source Type: research

A new clinical guideline to improve sedation safety in patients transferred under the Mental Health Act from remote parts of Western Australia.
CONCLUSIONS: Standardizing the approach to managing agitated patients who are transferred under the Mental Health Act is essential in order to mitigate medical morbidity that may arise from sedation related complications. The sedation guideline developed by our service has been well received by staff, seems practical and feasible to implement and has the potential to reduce sedation related morbidity. PMID: 25147313 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - August 21, 2014 Category: Rural Health Authors: Balaratnasingam S Tags: Australas Psychiatry Source Type: research

What core primary health care services should be available to Australians living in rural and remote communities?
CONCLUSION: This study identifies a basket of PHC services that consumers in rural and remote communities can expect to access. It provides rigorously derived evidence that will contribute to a more systematic approach to PHC service planning and availability and will assist policy makers in the allocation of scarce resources necessary to improve the health outcomes of residents of rural and remote areas. PMID: 25143194 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - August 21, 2014 Category: Rural Health Authors: Thomas SL, Wakerman J, Humphreys JS Tags: BMC Fam Pract Source Type: research

Natural calamities and 'the Big Migration': Challenges to the Mongolian health system in 'the Age of the Market'
Abstract Beginning with the demise of the socialist state system in 1990, Mongolia embarked on a process of neoliberal economic reform, initiating what is known among the Mongols as 'the Age of the Market'. The socialist health system has been replaced by a series of reforms initiated and substantiated by foreign donor organisations. This paper critically examines Mongolia's health system and discusses the extent to which this 'system', despite its provision of universal, accessible and essential primary health care services, is unable to accommodate the health needs of poor urban in-migrants and nomadic herders i...
Source: Rural Remote Health - August 18, 2014 Category: Rural Health Authors: Lindskog BV Tags: Glob Public Health Source Type: research

Epidemiology of human African trypanosomiasis.
Abstract Human African trypanosomiasis (HAT), or sleeping sickness, is caused by Trypanosoma brucei gambiense, which is a chronic form of the disease present in western and central Africa, and by Trypanosoma brucei rhodesiense, which is an acute disease located in eastern and southern Africa. The rhodesiense form is a zoonosis, with the occasional infection of humans, but in the gambiense form, the human being is regarded as the main reservoir that plays a key role in the transmission cycle of the disease. The gambiense form currently assumes that 98% of the cases are declared; the Democratic Republic of the Congo...
Source: Rural Remote Health - August 17, 2014 Category: Rural Health Authors: Franco JR, Simarro PP, Diarra A, Jannin JG Tags: Clin Epidemiol Source Type: research

Quality modeling of drinking groundwater using GIS in rural communities, northwest of Iran.
Abstract Given the importance of groundwater resources in water supply, this work aimed to study quality of drinking groundwater in rural areas in Tabriz county, northwest of Iran. Thirty two groundwater samples from different areas were collected and analyzed in terms of general parameters along with 20 heavy metals (e.g. As, Hg and …). The data of the analyses were applied as an attribute database for preparing thematic maps and showing water quality parameters. Multivariate statistical techniques, including principal component analysis (PCA) and hierarchical cluster analysis (CA) were used to compare and...
Source: Rural Remote Health - August 11, 2014 Category: Rural Health Authors: Mosaferi M, Pourakbar M, Shakerkhatibi M, Fatehifar E, Belvasi M Tags: J Environ Health Sci Eng Source Type: research

Committed to Working for the Community: Experiences of a Public Health Nurse in a Remote Area During the Great East Japan Earthquake.
We examined the experiences of a public health nurse (PHN) in a rural area affected by the Great East Japan Earthquake. We used an ethnographic method to obtain in-depth information about her experiences, from which six themes were developed. The PHN risked her life to protect members of the community, but remained anxious to see her own young children as soon as possible. Nevertheless, she was strongly committed to helping community members and continued to work for them. We suggest creating a practical system to allow PHNs to obtain information about the safety of their own families during a disaster. PMID: 25102036...
Source: Rural Remote Health - August 7, 2014 Category: Rural Health Authors: Sato M, Atogami F, Nakamura Y, Kusaka Y, Yoshizawa T Tags: Health Care Women Int Source Type: research

Influence of Service Characteristics on High Priority Performance Indicators and Standards in the BreastScreen Australia Program.
Abstract BACKGROUND: Data from BreastScreen Australia Screening and Assessment Services (SAS) for 2002-2010 were analysed to determine whether some SAS characteristics were more conducive that others to high screening performance, as indicated by high priority performance indicators and standards. MATERIALS AND METHODS: Indicators investigated related to: numbers of benign open biopsies, screen-detected invasive cancers, and interval cancers, and wait times between screening and assessment. Multivariate Poisson regression was undertaken using as candidate predictors of performance, SAS size (screening volume)...
Source: Rural Remote Health - August 6, 2014 Category: Rural Health Authors: Roder DM, Ward GH, Farshid G, Gill PG Tags: Asian Pac J Cancer Prev Source Type: research

Exploring the association of sense of coherence, and spiritual and religious beliefs in a rural population group on the island of crete, Greece.
This article reports the results of an observation study, aimed at exploring an association between spirituality, religiousness, and sense of coherence in a population group residing in a rural area of Crete, Greece. STUDY DESIGN AND METHODS: The study was conducted during the period 2007-2009. Subjects aged 65 years and older (n = 118) living in two remote and rural villages in the Heraklion county (Crete) were eligible. Eighty-nine people (51 women and 38 men) participated. Demographic data were obtained, and all participants were asked to complete the Greek version of the self-reported Royal Free Interview for Spir...
Source: Rural Remote Health - August 6, 2014 Category: Rural Health Authors: Stefanaki IN, Shea S, Linardakis M, Symvoulakis EK, Wynyard R, Lionis C Tags: Int J Psychiatry Med Source Type: research

Assessing Program Efficiency: A Time and Motion Study of the Mental Health Emergency Care - Rural Access Program in NSW Australia.
Abstract The Mental Health Emergency Care-Rural Access Program (MHEC-RAP) is a telehealth solution providing specialist emergency mental health care to rural and remote communities across western NSW, Australia. This is the first time and motion (T&M) study to examine program efficiency and capacity for a telepsychiatry program. Clinical services are an integral aspect of the program accounting for 6% of all activities and 50% of the time spent conducting program activities, but half of this time is spent completing clinical paperwork. This finding emphasizes the importance of these services to program eff...
Source: Rural Remote Health - August 6, 2014 Category: Rural Health Authors: Saurman E, Lyle D, Kirby S, Roberts R Tags: Int J Environ Res Public Health Source Type: research

Social network analysis predicts health behaviours and self-reported health in african villages.
Abstract The provision of healthcare in rural African communities is a highly complex and largely unsolved problem. Two main difficulties are the identification of individuals that are most likely affected by disease and the prediction of responses to health interventions. Social networks have been shown to capture health outcomes in a variety of contexts. Yet, it is an open question as to what extent social network analysis can identify and distinguish among households that are most likely to report poor health and those most likely to respond to positive behavioural influences. We use data from seven highly remo...
Source: Rural Remote Health - August 1, 2014 Category: Rural Health Authors: Chami GF, Ahnert SE, Voors MJ, Kontoleon AA Tags: PLoS One Source Type: research

Area Disparity in Children's Perceptions of Access to Tobacco and Cigarette Purchasing Experiences in Taiwan.
CONCLUSIONS: The health department should strictly enforce laws regarding retailers selling tobacco to underage, particularly in remote areas. Schools can reinforce tobacco-use prevention messages. PMID: 25040119 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - July 26, 2014 Category: Rural Health Authors: Lee H, Hsu CC, Chen FL, Yen YY, Lin PL, Chiu YW, Lee CH, Peng WD, Chen T, Lu DL, Huang HL Tags: J Sch Health Source Type: research

The authors reply.
PMID: 25029163 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - July 21, 2014 Category: Rural Health Authors: Tawil I, Brown LH Tags: Crit Care Med Source Type: research

Does delivery of a training program for healthcare professionals increase access to pulmonary rehabilitation and improve outcomes for people with chronic lung disease in rural and remote Australia?
PMID: 25030042 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - July 17, 2014 Category: Rural Health Authors: Johnston CL, Maxwell LJ, Maguire GP, Alison JA Tags: Aust Health Rev Source Type: research

Program Evaluation of Remote Heart Failure Monitoring: Healthcare Utilization Analysis in a Rural Regional Medical Center.
Conclusions: The findings from this project indicate that a remote HF monitoring program can be successfully implemented in a rural, underserved area. Reductions in healthcare utilization were observed among program participants, but reductions were also observed among a matched cohort, illustrating the need for rigorous assessment of the effects of HF remote monitoring programs in healthcare systems. PMID: 25025239 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - July 15, 2014 Category: Rural Health Authors: Riley WT, Keberlein P, Sorenson G, Mohler S, Tye B, Ramirez AS, Carroll M Tags: Telemed J E Health Source Type: research

Mobile technologies for disease surveillance in humans and animals.
Abstract A paper-based disease reporting system has been associated with a number of challenges. These include difficulties to submit hard copies of the disease surveillance forms because of poor road infrastructure, weather conditions or challenging terrain, particularly in the developing countries. The system demands re-entry of the data at data processing and analysis points, thus making it prone to introduction of errors during this process. All these challenges contribute to delayed acquisition, processing and response to disease events occurring in remote hard to reach areas. Ou...
Source: Rural Remote Health - July 11, 2014 Category: Rural Health Authors: Mwabukusi M, Karimuribo ED, Rweyemamu MM, Beda E Tags: Onderstepoort J Vet Res Source Type: research

Technology-Based Patient Consultations: Research Findings from Haematology Patients in Regional, Rural and Remote Queensland.
CONCLUSION: The strategies are not replacing face-to-face contact between the haematologist and patient, but rather extending the length of time between such contacts. Whilst patients have expressed enthusiasm for technology-assisted patient consultations, there are still obstacles to overcome as many who would like access to such a service delivery do not presently have these options available. PMID: 25005862 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - July 9, 2014 Category: Rural Health Authors: McGrath P Tags: Patient Source Type: research

From rhetoric to reality? Putting HIV and AIDS rights talk into practice in a South African rural community.
We present a case study of the Entabeni Project in South Africa - in which a foreign-funded NGO sought to work with female health volunteers in a deep rural community to increase their access to two HIV-relevant rights: women's rights (especially gender equality) and rights to health (especially access to HIV- and AIDS-related services). Whilst the project had short-term health-related successes, it was less successful in implementing a gender empowerment agenda. The concept of women's rights had no purchase with women who had little interest in directly challenging male power, foregrounding the fight against poverty as th...
Source: Rural Remote Health - July 8, 2014 Category: Rural Health Authors: Campbell C, Nair Y Tags: Cult Health Sex Source Type: research

Factors associated with health facility childbirth in districts of Kenya, Tanzania and Zambia: a population based survey.
CONCLUSION: Strong socio-economic inequities in the likelihood of facility childbirths were revealed in all the districts added to geographic inequities in two of the three districts. This strongly suggests an urgent need to strengthen services targeting disadvantaged and remote populations. The finding of a positive association between HIV counselling/testing and odds in favor of giving birth at a health facility suggests potential positive effects can be achieved by strengthening integrated approaches in maternal health service delivery. PMID: 24996456 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - July 4, 2014 Category: Rural Health Authors: Ng Anjo Phiri S, Kiserud T, Kvåle G, Byskov J, Evjen-Olsen B, Michelo C, Echoka E, Fylkesnes K Tags: BMC Pregnancy Childbirth Source Type: research

The Utah Remote Monitoring Project: Improving Health Care One Patient at a Time.
This article describes a successful telemonitoring project in Utah. Subjects and Methods: This was a nonrandomized prospective observational preintervention-postintervention study, using a convenience sample. Patients with uncontrolled diabetes and/or hypertension from four rural and two urban primary care clinics and one urban stroke center participated in a telemonitoring program. The primary clinical outcome measures were changes in hemoglobin A1C (A1C) and blood pressure. Other outcomes included fasting lipids, weight, patient engagement, diabetes knowledge, hypertension knowledge, medication adherence, and patient per...
Source: Rural Remote Health - July 3, 2014 Category: Rural Health Authors: Shane-McWhorter L, Lenert L, Petersen M, Woolsey S, McAdam-Marx C, Coursey JM, Whittaker TC, Hyer C, LaMarche D, Carroll P, Chuy L Tags: Diabetes Technol Ther Source Type: research

From the trunk of a volkswagen beetle: a mobile nursing clinic in appalachia.
This article identifies and describes the roles nurses and nurse practitioners played in caring for Appalachian families through a roving Health Wagon in the 1980s and 1990s in Southwest Virginia. Family nurse practitioner Sister Bernadette Kenny was instrumental in bringing care on wheels to rural residents living in the Appalachian mountainous region of southwest Virginia. PMID: 24892864 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - June 5, 2014 Category: Rural Health Authors: Snyder A, Thatcher E Tags: Fam Community Health Source Type: research

Impact of a chronic disease self-management program on health care utilization in rural communities: a retrospective cohort study using linked administrative data.
CONCLUSIONS: This is the first study to examine health care use following participation in the CDSMP in a Canadian population and to use administrative data to measure health care utilization. Similar to other studies that used self-report measures to evaluate health care use we found no differences in health care utilization before and after participation in the CDSMP. Future research needs to confirm our findings and examine the impact of the CDSMP on health care utilization in different age groups to help to determine whether these interventions are more effective with select population groups. PMID: 24885135 [PubM...
Source: Rural Remote Health - June 5, 2014 Category: Rural Health Authors: Jaglal SB, Guilcher SJ, Hawker G, Lou W, Salbach NM, Manno M, Zwarenstein M Tags: BMC Health Serv Res Source Type: research

Identifying maternity services in public hospitals in rural and remote Australia.
PMID: 24882523 [PubMed - as supplied by publisher] (Source: Rural Remote Health)
Source: Rural Remote Health - June 2, 2014 Category: Rural Health Authors: Longman J, Pilcher JM, Donoghue DA, Rolfe M, Kildea SV, Kruske S, Oats JJ, Morgan GG, Barclay LM Tags: Aust Health Rev Source Type: research

Evidence for low high-density lipoprotein cholesterol levels in Australian indigenous peoples: a systematic review.
Abstract BACKGROUND: Low plasma high-density lipoprotein cholesterol (HDL-C) levels are a strong, independent, but poorly understood risk factor for cardiovascular disease (CVD). Although this atherogenic lipid abnormality has been widely reported in Australia's Indigenous peoples, Aboriginal and Torres Strait Islanders, the evidence has not come under systematic review. This review therefore examines published data for Indigenous Australians reporting 1) mean HDL-C levels for both sexes and 2) factors associated with low HDL-C. METHODS: PubMed, Medline and Informit ATSI Health databases were systematically s...
Source: Rural Remote Health - June 2, 2014 Category: Rural Health Authors: Lyons JG, O Dea K, Walker KZ Tags: BMC Public Health Source Type: research

The Contribution of Geography to Disparities in Preventable Hospitalisations between Indigenous and Non-Indigenous Australians.
CONCLUSIONS: Higher rates of PPH admission among Indigenous people are not simply a function of their greater likelihood of living in rural and remote areas. The very considerable geographic variation in the disparity in rates of PPH admission between Indigenous and non-Indigenous people indicates that there is potential to reduce unwarranted variation by characterising outlying areas which contribute the most to this disparity. PMID: 24859265 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - June 1, 2014 Category: Rural Health Authors: Harrold TC, Randall DA, Falster MO, Lujic S, Jorm LR Tags: PLoS One Source Type: research

A decade of experience evolving visiting dental services in partnership with rural remote Aboriginal communities.
CONCLUSIONS: This descriptive study finds the core values for this success have been communication, clinical leadership, mentorship within effective governance systems all linked to an integrated education and research agenda. PMID: 24861393 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - June 1, 2014 Category: Rural Health Authors: Dyson K, Kruger E, Tennant M Tags: Aust Dent J Source Type: research

Gender Differences in Recurrent Mental Health Contact After a Hospitalization for Interpersonal Violence: Western Australia, 1997 to 2008.
This study aimed to determine gender differences in risk factors for recurrent mental health contacts after a hospitalization for interpersonal violence in Western Australia between 1997 and 2008. This population-based retrospective cohort study used linked hospital morbidity data and mental health records to identify individuals who were hospitalized due to interpersonal violence and had recurrent mental health contacts following hospitalization. A total of 1,969 individuals had a first-ever mental health contact after their index hospitalization for violence. The most common reasons for a mental health contact after inte...
Source: Rural Remote Health - May 28, 2014 Category: Rural Health Authors: Meuleners LB, Fraser ML Tags: J Interpers Violence Source Type: research

A qualitative study: potential benefits and challenges of traditional healers in providing aspects of palliative care in rural South Africa.
CONCLUSIONS: Considering the influences of cultural and spiritual beliefs on the wellbeing of patients living in rural areas, the inclusion of traditional healers in a palliative care team is a sensible move. It is, nevertheless, important to note that unanticipated challenges may arise with respect to power differentials within the palliative care team and to beliefs that contradict medical prognosis. PMID: 24815856 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - May 17, 2014 Category: Rural Health Authors: Campbell LM, Amin NN Tags: Rural Remote Health Source Type: research

Associations between Exposure to Intimate Partner Violence, Armed Conflict, and Probable PTSD among Women in Rural Côte d'Ivoire.
CONCLUSION: Past-year IPV was more strongly associated with past-week probable PTSD than remote IPV and violence directly related to the crisis. IPV must be considered within humanitarian mental health and psychosocial programming. PMID: 24823492 [PubMed - in process] (Source: Rural Remote Health)
Source: Rural Remote Health - May 17, 2014 Category: Rural Health Authors: Gupta J, Falb KL, Carliner H, Hossain M, Kpebo D, Annan J Tags: PLoS One Source Type: research

Integrating social capital theory, social cognitive theory, and the technology acceptance model to explore a behavioral model of telehealth systems.
This study integrated social capital theory, social cognitive theory, and the technology acceptance model (TAM) to develop a comprehensive behavioral model for analyzing the relationships among social capital factors (social capital theory), technological factors (TAM), and system self-efficacy (social cognitive theory) in telehealth. The proposed framework was validated with 365 respondents from Nantou County, located in Central Taiwan. Structural equation modeling (SEM) was used to assess the causal relationships that were hypothesized in the proposed model. The finding indicates that elderly residents generally reported...
Source: Rural Remote Health - May 11, 2014 Category: Rural Health Authors: Tsai CH Tags: Int J Environ Res Public Health Source Type: research