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Rural and Remote Health

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https://read.qxmd.com/read/30744384/a-mapping-study-to-guide-a-palliative-approach-to-care
#1
Emily Saurman, David Lyle, Sarah Wenham, Melissa Cumming
INTRODUCTION: All healthcare providers can influence the delivery and outcome of a palliative approach to care, ensuring that everyone has 'equitable access to quality care based on assessed need as they approach and reach the end-of-life'. This study mapped the delivery of palliative care in far west New South Wales (NSW), Australia, with objectives to: identify who was involved in providing such care in the Far West Local Health District (FWLHD), how they connect, and any gaps in the network describe what care was provided and identify any challenges to care provision...
February 2019: Rural and Remote Health
https://read.qxmd.com/read/30744383/multiple-physician-visits-after-restricting-the-prescription-of-compresses-patches-in-a-japanese-rural-community-preliminary-results
#2
Tetsuaki Ban, Hideo Hirose, Hiroyuki Teraura, Kazuhiko Kotani, Tadao Gotoh
No abstract text is available yet for this article.
February 2019: Rural and Remote Health
https://read.qxmd.com/read/30736701/using-mobile-transport-vouchers-to-improve-access-to-skilled-delivery
#3
Marilyn Ommeh, Christine J Fenenga, Cees J Hesp, Doriane Nzorubara, Tobias F Rinke de Wit
INTRODUCTION: Reducing maternal death remains a challenge in many low-income countries. Preventing maternal deaths depends significantly on the presence of a skilled birth attendant at child delivery. The main objective of this study was to find out whether use of mobile transport vouchers would result in an increased number of pregnant women choosing to deliver at a health facility rather than at home. METHOD: A total of 86 expectant mothers living in Samburu County (Kenya), all having access to a mobile phone with Safaricom mobile SIM card, were enrolled into the project...
February 2019: Rural and Remote Health
https://read.qxmd.com/read/30727739/dual-normative-commitments-mediating-the-relationship-between-perceived-investment-in-employees-development-and-intention-to-leave-among-the-healthcare-workforce-in-underserviced-areas-of-taiwan
#4
Pey-Lan Du, Ing-Chung Huang, Yu-Hwa Huang, Chao-Sung Chang
INTRODUCTION: To study the factors affecting the intent to leave of healthcare workers who serve in underserviced areas of Taiwan, the authors tested the mediating role of both professional and organizational commitment in the relationship between perceived investment of employee development and intention to leave among these healthcare workers. METHOD: This study was designed as a cross-sectional study using a well-organized questionnaire with major study variables consisting of perceived investment in employees' development (PIED), Meyer's occupational and organizational normative commitment, and intent to leave...
February 2019: Rural and Remote Health
https://read.qxmd.com/read/30721624/emergency-rural-obstetric-transfers-in-south-australia-a-review-of-the-clinical-and-precipitating-factors
#5
Ashlee K Rigby, Janet N Richards, Jennene Greenhill
INTRODUCTION: The provision of critical management of obstetric emergencies is a vital service for rural women and their families. Emergency obstetric transfers are indispensable to reduce maternal and neonatal mortality and morbidity because local rural hospitals often do not have the resources or expertise to manage both maternal and neonatal outcomes. However, the transfer of a rural pregnant woman to a higher level, tertiary perinatal centre (TPC) is often stressful for the patient and costly for health services...
February 2019: Rural and Remote Health
https://read.qxmd.com/read/30704256/perspectives-from-the-frontline-of-two-north-american-community-paramedicine-programs-an-observational-ethnographic-study
#6
Angela C Martin, Peter O'Meara
INTRODUCTION: Community paramedicine is one emerging model filling gaps in rural healthcare delivery. It can expand the reach of primary care and public health service provision in underserviced rural communities through proactive engagement of paramedics in preventative care and chronic disease management. This study addressed key research priorities identified at the National Agenda for Community Paramedicine Research conference in Atlanta, USA in 2012. The motivations, job satisfaction and challenges from the perspectives of community paramedics and their managers pioneering two independent programs in rural North America were identified...
February 2019: Rural and Remote Health
https://read.qxmd.com/read/30673294/cell-phone-usefulness-to-improve-the-skin-cancer-screening-preliminary-results-and-critical-analysis-of-mobile-app-development
#7
Carlos Eduardo Goulart Silveira, Cristiane Carcano, Edmundo C Mauad, Humberto Faleiros, Adhemar Longatto-Filho
INTRODUCTION: The high incidence of skin cancer in Brazil has resulted in an urgent need for more efficient methods of reducing the time between initial diagnosis and therapy. Such delays are significant in large countries like Brazil, where a considerable proportion of the population live in remote areas with limited access to specialized medical care. To address this problem the use of mobile phones as screening devices for suspicious skin lesions has been incorporated as long-distance teledermatology services...
January 2019: Rural and Remote Health
https://read.qxmd.com/read/30578728/the-impact-of-national-health-insurance-coverage-on-pit-and-fissure-sealing-experience
#8
Jin-Sun Choi, Deok-Young Park
INTRODUCTION: The purpose of this study was to review the change of supplied amount of oral pit and fissure sealing (PFS) in urban and rural areas of South Korea after including PFS into the list of treatments covered by the National Health Insurance (NHI), and to check whether there is a difference in supplied amount in areas where the dental treatment accessibility is different based on the data of the Korean National Health and Nutritional Examination Survey (KNHANES). METHODS: The KNHANES data year used for 'before coverage' was 2007, and that of 'after coverage' was 2012...
December 2018: Rural and Remote Health
https://read.qxmd.com/read/30543755/the-prevalence-of-diabetes-mellitus-among-sami-and-non-sami-inhabitants-of-northern-norway-the-saminor-1-survey-2003-2004-and-the-saminor-2-clinical-survey-2012-2014
#9
Ali Naseribafrouei, Bent-Martin Eliassen, Marita Melhus, Johan Svartberg, Ann Ragnhild Broderstad
INTRODUCTION: This study aimed to compare the prevalence of diabetes mellitus (DM) between Sami and non-Sami inhabitants of Northern Norway participating in the SAMINOR 1 Survey and the SAMINOR 2 Clinical Survey, and to track DM prevalence over time. METHODS: SAMINOR 1 (2003-2004) and SAMINOR 2 (2012-2014) are cross-sectional, population-based studies that each recruited Sami and non-Sami inhabitants. The data used in this article were restricted to participants aged 40-79 years in 10 municipalities in Northern Norway...
December 2018: Rural and Remote Health
https://read.qxmd.com/read/30543754/qualitative-evaluation-of-a-public-private-partnership-for-reproductive-health-training-in-papua-new-guinea
#10
Jodi Thiessen, Athaliah Bagoi, Caroline Homer, Michele Rumsey
INTRODUCTION: The recent policy environment in both Papua New Guinea and Australia for partnering with private entities to address health issues has led to a public-private partnership (PPP) between the National Department of Health in Papua New Guinea, the Australian Government and the Oil Search Foundation. A reproductive health training unit was formed to provide health worker training in essential obstetric care and emergency obstetric care. This article provides a qualitative evaluation of the PPP, looking at facilitating features and barriers to the PPP's target of improving the competence of frontline health workers in obstetric care service provision in Papua New Guinea...
December 2018: Rural and Remote Health
https://read.qxmd.com/read/30525866/hoeing-machine-accident-a-case-report
#11
Kasim Turgut, Sükrü Gürbüz
CONTEXT: Agricultural accidents are a prominent cause of mortality and morbidity in the literature despite few studies. The machines and equipments used in this sector frequently cause agricultural accidents. One of these, the hoeing machine, can cause tragic and severe injuries. ISSUE: We present a case of subtotal leg amputation that occurred after a hoeing machine accident in 2015 in Malatya, eastern Turkey. We monitored the patient and started initial therapies according to advanced trauma life support in the emergency service...
December 2018: Rural and Remote Health
https://read.qxmd.com/read/30507247/an-evidence-based-program-for-rural-surgical-and-obstetrical-networks
#12
Stuart Iglesias, Jude Kornelsen
CONTEXT: Over the past 25 years, the attrition of small volume rural surgery programs across Western Canada has been significant and sustained. The 'Joint position paper on rural surgery and operative delivery' (JPP) offers a consensus policy framework for the sustainability of rural surgical programs by nesting them within larger regional programs. The many recommendations in the JPP coalesce around the recognition that surgical care should be provided as close to home as possible. To achieve this, surgical care should be delivered within rural and regional surgical programs integrated into well-functioning networks staffed by generalist specialist surgeons trained across surgical disciplines and family physicians with enhanced surgical skills (FPESS)...
December 2018: Rural and Remote Health
https://read.qxmd.com/read/30447659/current-practices-barriers-and-enablers-for-advance-care-planning-among-healthcare-workers-of-aged-care-facilities-in-western-new-south-wales-australia
#13
Larry Lam, Armaan S Ansari, Patrick J Baquir, Naziha Chowdhury, Kelvin Tran, Jannine Bailey
INTRODUCTION: Advance care planning (ACP) and advance care directives (ACDs) play a vital role in preparing for end-of-life care. However, current literature suggests that uptake of ACP and ACDs in rural Australia is low, which may contribute to lower quality care for the older rural population, as patients' end-of-life wishes may not be recognised and acknowledged. This study aims to provide a current perspective on the attitudes and practices of healthcare workers from residential aged care facilities towards ACP and ACDs in the central west, far west and Orana regions of New South Wales, Australia...
November 2018: Rural and Remote Health
https://read.qxmd.com/read/30447658/what-leads-to-the-subjective-perception-of-a-rural-area-a-qualitative-study-with-undergraduate-students-and-postgraduate-trainees-in-germany-to-tailor-strategies-against-physician-s-shortage
#14
Lisa Wilhelmi, Freya Ingendae, Jost Steinhaeuser
INTRODUCTION: The increasing shortage of physicians, especially general practitioners (GPs), in rural areas is an issue in most western countries. Many redistribution strategies have been utilized in the past to counter this shortage. The physician's perception of rural areas might be an underestimated aspect of a subsequent choice of living and working environment. The aim of this study was to explore determinants influencing this subjective perception of rurality and to develop further strategies to resolve the physician shortage in rural areas...
November 2018: Rural and Remote Health
https://read.qxmd.com/read/30433794/developing-the-health-visitor-concept-of-family-resilience-in-wales-using-group-concept-mapping
#15
Carolyn Wallace, Fran Dale, Georgina Jones, Jane O'Kane, Michelle Thomas, Liz Wilson, David Pontin
INTRODUCTION: A health visitor's ability to assess and analyse aspects of family resilience in daily practice is essential to enable practitioners to support families and facilitate positive lifestyle choices, and improve child health and developmental outcomes. The purpose of this research was to undertake an in-depth exploration of the concept of family resilience as understood by health visitors in Wales and to develop a concept map. This knowledge has been used to develop the Family Resilience Assessment Instrument Tool (FRAIT)...
November 2018: Rural and Remote Health
https://read.qxmd.com/read/30433793/profile-of-gynaecology-surgeries-from-western-province-solomon-islands
#16
Araz Boghossian, Mandy Wang, Angeline Nagu, Alan Tong, David Knox
INTRODUCTION: Evidence is lacking on the profile of gynaecological conditions affecting women in the Solomon Islands, including the availability and quality of surgical management. METHODS: Prospective analysis of hospital records was undertaken on all patients who underwent gynaecological surgery at Gizo Hospital, Western Province during a 6-day program led by volunteer Australian surgeons. Patient data on pre-operative history, investigation results, performed surgical procedures and postoperative recovery were collected...
November 2018: Rural and Remote Health
https://read.qxmd.com/read/30424679/appropriateness-of-task-of-public-health-doctors-in-south-korea
#17
Dae Hyun Lee, Mid-Eum Moon, Youngdoo Go, Jeehyun Song, Jemin Kim, Cheolsu Kim, Kyung Hwa Seo, Seokyoung Kim, Jaerim Kim
INTRODUCTION: Public health doctors (PHDs) in South Korea serve the medically underserved region of South Korea as part of national service duty, but their number has declined in recent years (due to changes in the medical education system). Therefore, there is an increasing need to deploy PHDs efficiently. Consisting of 2138 medical doctors of different specialties, they serve as both primary care physicians and public health experts. METHODS: The purpose of this study was to investigate the appropriateness of tasks of PHDs in South Korea...
November 2018: Rural and Remote Health
https://read.qxmd.com/read/30403491/cardiac-rehabilitation-services-for-people-in-rural-and-remote-areas-an-integrative-literature-review
#18
Patricia E Field, Richard C Franklin, Ruth N Barker, Ian Ring, Peter A Leggat
INTRODUCTION: Morbidity and mortality from heart disease continues to be high in Australia with cardiac rehabilitation (CR) recognised as best practice for people with heart disease. CR is known to reduce mortality, reoccurrence of heart disease, hospital readmissions and costs, and to improve quality of life. Australian Aboriginal and Torres Strait Islanders (Australian First Peoples or Indigenous peoples) have a greater need for CR due to their higher burden of disease. However, CR referral, access and attendance remain low for all people who live in rural and remote areas...
November 2018: Rural and Remote Health
https://read.qxmd.com/read/30403490/expectations-of-rural-community-based-medical-education-a-case-study-from-thailand
#19
Praphun Somporn, Lucie Walters, Julie Ash
INTRODUCTION: Thailand has recognised and sought to remedy rural medical workforce shortages. The Collaborative Project to Increase Production of Rural Doctors (CPIRD) has improved rural workforce recruitment through publicly funding medical school places for students with rural backgrounds. However, challenges in rural retention continue. CPIRD is seeking to develop a Thai rural community-based medical education (RCBME) program in the southern region of Thailand to improve preparation for rural practice and rural medical retention rates...
November 2018: Rural and Remote Health
https://read.qxmd.com/read/30368234/comparing-st-segment-elevation-myocardial-infarction-care-between-patients-residing-in-central-and-remote-locations-a-retrospective-case-series
#20
Ahmad Kamona, Scott Cunningham, Brian Addison, Gordon F Rushworth, Andrew Call, Charles Bloe, Alistair Innes, Raymond R Bond, Aaron Peace, Stephen James Leslie
INTRODUCTION: People who experience an ST-elevation myocardial infarction (STEMI) due to an occluded coronary artery require prompt treatment. Treatments to open a blocked artery are called reperfusion therapies (RTs) and can include intravenous pharmacological thrombolysis (TL) or primary percutaneous coronary intervention (pPCI) in a cardiac catheterisation laboratory (cath lab). Optimal RT (ORT) with pPCI or TL reduces morbidity and mortality. In remote areas, a number of geographical and organisational barriers may influence access to ORT...
October 2018: Rural and Remote Health
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