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Specialty: Rural Health

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Total 179 results found since Jan 2013.

Using GIS to Plan Specialty Health Services for Veterans: The Example of Acute Stroke Care
Examines access to stroke care for veterans who are age 65and older and focuses on veterans' travel time to receivestroke care. Discusses improving access to care bybuilding relationships with community partners and usingtelehealth equipment for stroke care.  --
Source: Rural publications via the Rural Assistance Center - August 6, 2014 Category: Rural Health Source Type: news

The Utah Remote Monitoring Project: Improving Health Care One Patient at a Time.
Conclusions: Telemonitoring improved clinical outcomes and may be a useful tool to help enhance disease management and care of patients with diabetes and/or hypertension. PMID: 24991923 [PubMed - as supplied by publisher]
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

Interactive Atlas of Heart Disease and Stroke
State and county maps and data on heart disease and stroke, with data available by demographic group. Also covers social and environmental determinants, availability of health services, and location of health care facilities. -- Centers for Disease Control and Prevention
Source: Rural web sites and other tools via the Rural Assistance Center - May 29, 2014 Category: Rural Health Source Type: news

Appropriateness of CT Imaging to Support the Diagnosis of Stroke: A Review of the Clinical Evidence
The objective of this review is to summarize recent clinical evidence of CT and expert clinical assessment to support the diagnosis of stroke and TIAs. PMID: 24716258
Source: Rural Remote Health - April 14, 2014 Category: Rural Health Tags: Book Source Type: research

Recombinant tissue plasminogen activator (rt‐PA) utilisation by rural clinicians in acute ischaemic stroke: A survey of barriers and enablers
ConclusionsTo reduce barriers to rt‐PA utilisation in rural facilities physicians require education on the calculated risk of ICH as well as exposure and experience to improve their ability to confidently diagnose stroke patients who are eligible for rt‐PA treatment. Education for nurses on symptoms of stroke and rt‐PA utilisation and administration is recommended.
Source: Australian Journal of Rural Health - October 11, 2013 Category: Rural Health Authors: Jocelyn M. Williams, Martin R. Jude, Christopher R. Levi Tags: Original Research Source Type: research

Recombinant tissue plasminogen activator (rt-PA) utilisation by rural clinicians in acute ischaemic stroke: A survey of barriers and enablers.
CONCLUSIONS: To reduce barriers to rt-PA utilisation in rural facilities physicians require education on the calculated risk of ICH as well as exposure and experience to improve their ability to confidently diagnose stroke patients who are eligible for rt-PA treatment. Education for nurses on symptoms of stroke and rt-PA utilisation and administration is recommended. PMID: 24118148 [PubMed - as supplied by publisher]
Source: The Australian Journal of Rural Health - October 1, 2013 Category: Rural Health Authors: Williams JM, Jude MR, Levi CR Tags: Aust J Rural Health Source Type: research

A Picture of Health, Chronic Disease in North Dakota: A Status Report for 2012
Presents data on indicators that provide information about how well people in NorthDakota are doing regarding heart disease and stroke prevention, diabetes prevention and control, and tobacco prevention and control. -- North Dakota Department of Health
Source: Rural publications via the Rural Assistance Center - September 25, 2013 Category: Rural Health Source Type: news

Recombinant tissue plasminogen activator (rt‐PA) utilisation by rural clinicians in acute ischaemic stroke: An audit of current practice and clinical outcomes
ConclusionRecombinant tissue plasminogen activator can be delivered in rural Australian hospitals in a timely manner within recommended implementation guidelines. Acute stroke thrombolytic services in rural Australian facilities had comparable outcomes to metropolitan facilities. Small numbers of thrombolysed patients prevented a validation study of the well‐defined outcome benefits from rt‐PA. The need for ongoing data collection in regional settings is supported.
Source: Australian Journal of Rural Health - August 16, 2013 Category: Rural Health Authors: Jocelyn M. Williams, Tina J. Navin, Martin R. Jude, Christopher R. Levi Tags: Original Research Source Type: research

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

Recombinant tissue plasminogen activator (rt-PA) utilisation by rural clinicians in acute ischaemic stroke: An audit of current practice and clinical outcomes.
CONCLUSION: Recombinant tissue plasminogen activator can be delivered in rural Australian hospitals in a timely manner within recommended implementation guidelines. Acute stroke thrombolytic services in rural Australian facilities had comparable outcomes to metropolitan facilities. Small numbers of thrombolysed patients prevented a validation study of the well-defined outcome benefits from rt-PA. The need for ongoing data collection in regional settings is supported. PMID: 24033520 [PubMed - in process]
Source: The Australian Journal of Rural Health - August 1, 2013 Category: Rural Health Authors: Williams JM, Navin TJ, Jude MR, Levi CR Tags: Aust J Rural Health Source Type: research

“Living With a Ball and Chain”: The Experience of Stroke for Individuals and Their Caregivers in Rural Appalachian Kentucky
ConclusionsThe findings provide insight for rural health care providers and community leaders to begin to understand the experience of stroke in terms of stroke onset, transition through the health care continuum, return to home, and community reintegration. An understanding of these experiences may lead to discussions of how to improve service provision, facilitate reintegration, support positive health outcomes, and improve quality of life for stroke survivors and their caregivers. The findings also indicate areas in need of future research including investigation of the effects of support groups, local health navigators...
Source: The Journal of Rural Health - May 23, 2013 Category: Rural Health Authors: Megan M. Danzl, Elizabeth G. Hunter, Sarah Campbell, Violet Sylvia, Janice Kuperstein, Katherine Maddy, Anne Harrison Tags: ORIGINAL ARTICLE Source Type: research

Personal and Family Health in Rural Areas of Kentucky With and Without Mountaintop Coal Mining
ConclusionsEfforts to reduce longstanding health problems in Appalachia must focus on mountaintop mining portions of the region, and should seek to eliminate socioeconomic and environmental disparities.
Source: The Journal of Rural Health - March 12, 2013 Category: Rural Health Authors: Michael Hendryx Tags: ORIGINAL ARTICLE Source Type: research

Rural‐Urban Differences in Inpatient Quality of Care in US Veterans With Ischemic Stroke
ConclusionsAfter adjustment for key demographic, clinical, and facility‐level characteristics, there does not appear to be a systematic difference in inpatient stroke quality between rural and urban VAMCs. Future research should seek to understand the few differences in care found that could serve as targets for future quality improvement interventions.
Source: The Journal of Rural Health - March 1, 2013 Category: Rural Health Authors: Michael S. Phipps, Huanguang Jia, Neale R. Chumbler, Xinli Li, Jaime G. Castro, Jennifer Myers, Linda S. Williams, Dawn M. Bravata Tags: ORIGINAL ARTICLE Source Type: research

Teleneurology applications: Report of the Telemedicine Work Group of the American Academy of Neurology.
CONCLUSIONS: Teleneurology is an effective tool for the rapid evaluation of patients in remote locations requiring neurologic care. These underserved locations include geographically isolated rural areas as well as urban cores with insufficient available neurology specialists. With this technology, neurologists will be better able to meet the burgeoning demand for access to neurologic care in an era of declining availability. An increase in physician awareness and support at the federal and state level is necessary to facilitate expansion of telemedicine into further areas of neurology. PMID: 23400317 [PubMed - as supplied by publisher]
Source: Rural Remote Health - February 12, 2013 Category: Rural Health Authors: Wechsler LR, Tsao JW, Levine SR, Swain-Eng RJ, Adams RJ, Demaerschalk BM, Hess DC, Moro E, Schwamm LH, Steffensen S, Stern BJ, Zuckerman SJ, Bhattacharya P, Davis LE, Yurkiewicz IR, Alphonso AL, For the American Academy of Neurology Telemedicine Work Grou Tags: Neurology Source Type: research