1,518 results match your criteria Rural and remote health[Journal]


The Australian Rural Clinical School (RCS) program supports rural medical workforce: evidence from a cross-sectional study of 12 RCSs.

Rural Remote Health 2019 03 4;19(1):4971. Epub 2019 Mar 4.

Department of Rural Health, Rural Clinical School, The University of Melbourne

Introduction: Many strategies have been implemented to address the shortage of medical practitioners in rural areas. One such strategy, the Rural Clinical School Program supporting 18 rural clinical schools (RCSs), represents a substantial financial investment by the Australian Government. This is the first collaborative RCS study summarising the rural work outcomes of multiple RCSs. Read More

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http://dx.doi.org/10.22605/RRH4971DOI Listing

Teleneurology service provided via tablet technology: 3-year outcomes and physician satisfaction.

Rural Remote Health 2019 03 4;19(1):4743. Epub 2019 Mar 4.

Vanderbilt University Medical Center, Nashville, Tennessee, USA

Introduction: This study aimed to demonstrate that teleneurology consultations conducted via tablet technology are an efficient and cost-effective means of managing acute neurologic emergencies at community-based hospitals and that utilizing such technology yields high community physician satisfaction.

Method: During a 39-month period, Vanderbilt University Medical Center in Tennessee USA, provided teleneurology services to 10 community-based hospitals that lacked adequate neurology coverage. Hospitalists at one community-based hospital were not comfortable treating any patient with a neurologic symptom, resulting in 100% of those patients being transferred. Read More

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https://www.rrh.org.au/journal/article/4743
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http://dx.doi.org/10.22605/RRH4743DOI Listing
March 2019
1 Read

Factors influencing health profession students' willingness to practice in rural regions of Bosnia and Herzegovina: a cross-sectional study.

Rural Remote Health 2019 02 27;19(1):4717. Epub 2019 Feb 27.

Family Medicine Center "Tanja Pekez-Pavlisko", A.G. Matosa 42, 44320 Kutina, Croatia

Introduction: The literature indicates different factors influencing recruitment of health professional students to work in rural areas. The purpose of this study is to explore the willingness of health profession students in the Faculty of Medicine Foca, University of East Sarajevo, Bosnia and Herzegovina to work in a rural area following graduation and the factors influencing incentives to pursue a rural career.

Methods: The cross-sectional study included first-year through sixth-year students aged 18 years or older and enrolled in one of three study programs at the Faculty of Medicine: medicine, dentistry and nursing. Read More

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http://dx.doi.org/10.22605/RRH4717DOI Listing
February 2019

General practice location and malpractice litigation.

Rural Remote Health 2019 02 24;19(1):4663. Epub 2019 Feb 24.

Centre for Quality and Department of Regional Health Research, University of Southern Denmark, P.V. Tuxensvej 3-5, 1st, 5500 Middelfart, Denmark

Introduction: Healthcare systems in many countries struggle to recruit general practitioners (GPs) for clinics in rural areas leading to less GPs for an increasing number of patients. As a result, fewer resources are available for individual patients, potentially influencing patient satisfaction and the likelihood of malpractice litigation. The aim of this study was to investigate the association between malpractice litigation and local setting characteristics in a Danish national sample of GPs considering rurality, number of patients listed with the GP, as well as levels of local unemployment, education, income and healthcare expenditure. Read More

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http://dx.doi.org/10.22605/RRH4663DOI Listing
February 2019

A mapping study to guide a palliative approach to care.

Rural Remote Health 2019 02 12;19(1):4625. Epub 2019 Feb 12.

Far West Local Health District, Broken Hill Health Service, Thomas Street, Broken Hill, NSW 2880, Australia

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. The mapping process and outcomes can be used to guide the implementation of new models of care by building on the localised knowledge of current networks, provision of care and challenges. Read More

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https://www.rrh.org.au/journal/article/4625
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http://dx.doi.org/10.22605/RRH4625DOI Listing
February 2019
11 Reads

Multiple physician visits after restricting the prescription of compresses/patches in a Japanese rural community: preliminary results.

Rural Remote Health 2019 02 12;19(1):5078. Epub 2019 Feb 12.

National Health Insurance Shirotori Hospital, Gifu, Japan

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http://dx.doi.org/10.22605/RRH5078DOI Listing
February 2019

Using mobile transport vouchers to improve access to skilled delivery.

Rural Remote Health 2019 02 9;19(1):4577. Epub 2019 Feb 9.

PharmAccess Group, AHTC, Tower C4, Paasheuvelweg 25 1105 BP Amsterdam, The Netherlands

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. Read More

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http://dx.doi.org/10.22605/RRH4577DOI Listing
February 2019
1 Read

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.

Rural Remote Health 2019 02 7;19(1):4837. Epub 2019 Feb 7.

Department of Hematology-Oncology, E-Da Cancer Hospital, No. 21, Yi-Da Road, Jiao-Su Village, Yan-Chao District, 824, Kaohsiung City, Taiwan, Republic of China

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. In total, 692 healthcare workers from 48 health centers were enrolled for study; 616 people, including 415 (68. Read More

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http://dx.doi.org/10.22605/RRH4837DOI Listing
February 2019

Emergency rural obstetric transfers in South Australia: a review of the clinical and precipitating factors.

Rural Remote Health 2019 02 6;19(1):4634. Epub 2019 Feb 6.

Flinders University Rural Clinical School, Flinders University, Ral Ral Avenue, Renmark, SA 5341, Australia

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. Read More

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http://dx.doi.org/10.22605/RRH4634DOI Listing
February 2019
4 Reads
0.868 Impact Factor

Perspectives from the frontline of two North American community paramedicine programs: an observational, ethnographic study.

Rural Remote Health 2019 02 1;19(1):4888. Epub 2019 Feb 1.

Department of Community Emergency health & Paramedic Practice, Monash University, Frankston, Victoria

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. Read More

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http://dx.doi.org/10.22605/RRH4888DOI Listing
February 2019
1 Read

Cell phone usefulness to improve the skin cancer screening: preliminary results and critical analysis of mobile app development.

Rural Remote Health 2019 01 24;19(1):4895. Epub 2019 Jan 24.

Barretos Cancer Hospital, Street Antenor Duarte Villela, 1331 - Dr. Paulo Prata, Barretos - SP, 14784-400, Brazil

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. Read More

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https://www.rrh.org.au/journal/article/4895
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http://dx.doi.org/10.22605/RRH4895DOI Listing
January 2019
6 Reads

The impact of national health insurance coverage on pit and fissure sealing experience.

Rural Remote Health 2018 12 23;18(4):4804. Epub 2018 Dec 23.

Department of Preventive and Public Health Dentistry, Gangneung-Wonju National University, 7 Jukheongil, Gangneung, Ganwondo 25457, Republic of Korea

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. Data analysis was done using STATA software. Read More

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http://dx.doi.org/10.22605/RRH4804DOI Listing
December 2018
2 Reads

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).

Rural Remote Health 2018 12 14;18(4):4623. Epub 2018 Dec 14.

Centre for Sami Health Research, Department of Community Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromso, Norway; and Department of Medicine, University Hospital of Northern Norway, Harstad, Norway

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. Read More

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http://dx.doi.org/10.22605/RRH4623DOI Listing
December 2018
1 Read

Qualitative evaluation of a public-private partnership for reproductive health training in Papua New Guinea.

Rural Remote Health 2018 12 12;18(4):4608. Epub 2018 Dec 12.

WHO Collaborating Centre for Nursing, Midwifery and Health Development, University of Technology Sydney, Ultimo, NSW 2007, Australia

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. Read More

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https://www.rrh.org.au/journal/article/4608
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http://dx.doi.org/10.22605/RRH4608DOI Listing
December 2018
3 Reads

Hoeing machine accident: a case report.

Rural Remote Health 2018 12 6;18(4):4636. Epub 2018 Dec 6.

Department of Emergency Medicine, Inonu University, Malatya, Turkey

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. Read More

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http://dx.doi.org/10.22605/RRH4636DOI Listing
December 2018
1 Read

An evidence-based program for rural surgical and obstetrical networks.

Rural Remote Health 2018 12 4;18(4):4921. Epub 2018 Dec 4.

Department of Family Practice, University of British Columbia, 5950 University Boulevard, Vancouver BC, V6T 1Z3, Canada

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. Read More

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http://dx.doi.org/10.22605/RRH4921DOI Listing
December 2018
2 Reads

Current practices, barriers and enablers for advance care planning among healthcare workers of aged care facilities in western New South Wales, Australia.

Rural Remote Health 2018 11 19;18(4):4714. Epub 2018 Nov 19.

Bathurst Rural Clinical School, Western Sydney University, PO Box 9008, Bathurst, NSW 2795, Australia

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. Read More

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https://www.rrh.org.au/journal/article/4714
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http://dx.doi.org/10.22605/RRH4714DOI Listing
November 2018
2 Reads

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.

Rural Remote Health 2018 11 19;18(4):4694. Epub 2018 Nov 19.

Institute of Family Medicine, University Hospital Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, House 50, 23538 Lübeck, Schleswig-Holstein, Germany

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. Read More

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http://dx.doi.org/10.22605/RRH4694DOI Listing
November 2018
11 Reads

Developing the health visitor concept of family resilience in Wales using Group Concept Mapping.

Rural Remote Health 2018 11 16;18(4):4604. Epub 2018 Nov 16.

Faculty of Life Sciences and Education, University of South Wales, Lower Glyntaf Campus, Pontypridd, CF371DL, Wales, UK

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). Read More

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http://dx.doi.org/10.22605/RRH4604DOI Listing
November 2018
4 Reads

Profile of gynaecology surgeries from Western Province, Solomon Islands.

Rural Remote Health 2018 11 16;18(4):4630. Epub 2018 Nov 16.

Department of Obstetrics and Gynaecology, Orange Base Hospital, 1530 Forest Road, Orange, NSW 2800, Australia

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. Read More

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https://www.rrh.org.au/journal/article/4630
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http://dx.doi.org/10.22605/RRH4630DOI Listing
November 2018
14 Reads

Appropriateness of task of public health doctors in South Korea.

Rural Remote Health 2018 11 13;18(4):4723. Epub 2018 Nov 13.

Korean Association of Public Health Doctor and Changsu Public Health Clinic Branch, Yongsan-Gu, Seoul, South Korea. Present address: Yonsei Severance Hospital, Seoul, South Korea

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. Read More

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https://www.rrh.org.au/journal/article/4723
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http://dx.doi.org/10.22605/RRH4723DOI Listing
November 2018
12 Reads

Cardiac rehabilitation services for people in rural and remote areas: an integrative literature review.

Rural Remote Health 2018 11 7;18(4):4738. Epub 2018 Nov 7.

James Cook University, College of Public Health, Medical & Veterinary Sciences, Townsville, Qld 4811, Australia

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. Read More

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https://www.rrh.org.au/journal/article/4738
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http://dx.doi.org/10.22605/RRH4738DOI Listing
November 2018
23 Reads

Expectations of rural community-based medical education: a case study from Thailand.

Rural Remote Health 2018 11 8;18(4):4709. Epub 2018 Nov 8.

Prideaux Centre, Flinders University, GPO Box 2100, Adelaide, SA 5050, Australia

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. Read More

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https://www.rrh.org.au/journal/article/4709
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http://dx.doi.org/10.22605/RRH4709DOI Listing
November 2018
14 Reads

Comparing ST-segment elevation myocardial infarction care between patients residing in central and remote locations: a retrospective case series.

Rural Remote Health 2018 10 27;18(4):4618. Epub 2018 Oct 27.

NHS Highland, Cardiac Unit, Raigmore Hospital, Inverness, IV2 3UJ, UK

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. Read More

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http://dx.doi.org/10.22605/RRH4618DOI Listing
October 2018
4 Reads

Japanese regional-quota medical students in their final year are less motivated to work in medically underserved areas than they were in their first year: a prospective observational study.

Rural Remote Health 2018 10 21;18(4):4840. Epub 2018 Oct 21.

Primary Care and Medical Education, Faculty of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, Japan

Introduction: In Japanese medical schools, a special regional quota (chiikiwaku) system has been widely implemented to increase the number of physicians in medically underserved areas (MUAs). Regional quota students are required to take out a student loan but are exempted from repayment after fulfilling an approximately 9-year obligatory practice period. This study investigated the anticipated willingness of final-year regional quota students to remain in MUAs after their obligatory practice period, as well as factors associated with this willingness during students' first year. Read More

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https://www.rrh.org.au/journal/article/4840
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http://dx.doi.org/10.22605/RRH4840DOI Listing
October 2018
12 Reads

Exploring roles and capacity development of village midwives in Sudanese communities.

Rural Remote Health 2018 10 21;18(4):4668. Epub 2018 Oct 21.

ational Reproductive Health Program, PO Box 303, Khartoum 1111, Sudan

Introduction: Home birth remains a strong preference and village midwives are the only option for maternal and neonatal care for many rural women in Sudan. This study assessed whether interventions such as strengthening linkages among health facility/staff, skilled birth attendants and village midwives (VMWs); strengthening the supervision system; and strengthening the governance capacity of local health departments improved their service delivery, and it examined factors linked with improved performance of VMWs in their communities.

Methods: This descriptive study comprised a cross-sectional baseline survey, two intervention years and an endline survey. Read More

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https://www.rrh.org.au/journal/article/4668
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http://dx.doi.org/10.22605/RRH4668DOI Listing
October 2018
12 Reads

Selective admission policy of medical undergraduates in western China: applicants' real attitudes to the choice of a rural medical career.

Rural Remote Health 2018 10 14;18(4):4519. Epub 2018 Oct 14.

School of Public Health, Brown University, Providence, RI 02912, USA

Introduction: Since 2010, the Chinese government has been introducing selective admission policy to recruit rural students for 5-year western medicine and traditional Chinese medicine undergraduate education in order to improve rural townships' medical services system in western China. This study aimed to analyse the selective admission policy in western China from the perspective of medical students' attitudes towards rural career choice.

Methods: A cross-sectional survey was conducted and an anonymous questionnaire was used to investigate a sample of medical undergraduates chosen under the selective admission policy. Read More

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http://dx.doi.org/10.22605/RRH4519DOI Listing
October 2018
9 Reads

Lessons for health program monitoring and evaluation in a low resource setting.

Rural Remote Health 2018 10 12;18(4):4596. Epub 2018 Oct 12.

UNSW Australia, Botany Street UNSW Kensington Campus, Australia

Numerous guidelines outline best practices for health program monitoring and evaluation (M&E). However, health programs are often implemented in less than ideal circumstances where these best practices may not be resourced or feasible. This article describes how M&E has been conducted for a health service delivery improvement program in remote Papua New Guinea and outlines lessons learned. Read More

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http://dx.doi.org/10.22605/RRH4596DOI Listing
October 2018
10 Reads

The patterns of self-reported maternal complications in Indonesia: are there rural-urban differences?

Rural Remote Health 2018 10 10;18(4):4609. Epub 2018 Oct 10.

Occupational Health and Safety Program, Faculty of Medicine, Universitas Sebelas Maret, Jl. Ir Sutami 36A Surakarta, Indonesia

Introduction: Specific and targeted intervention is needed to reduce the relatively high maternal mortality and morbidity in Indonesia. The apparent rural-urban disparities might require different intervention strategies. Therefore, this study aims to assess patterns and sociodemographic determinants of self-reported maternal morbidity in rural and urban areas. Read More

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https://www.rrh.org.au/journal/article/4609
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http://dx.doi.org/10.22605/RRH4609DOI Listing
October 2018
2 Reads

Keeping them interested: a national study of factors that change medical student interest in working rurally.

Rural Remote Health 2018 10 8;18(4):4872. Epub 2018 Oct 8.

Department of Medicine, University of Auckland, PO BOX 92019, Auckland 1142, New Zealand

Introduction: In most countries it remains a challenge to sustain the rural medical workforce. Based on evidence that medical students with rural backgrounds are more likely than their urban peers to enter rural practice, medical schools may have rural entry pathways. It is less well established what happens to career intentions during medical school. Read More

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http://dx.doi.org/10.22605/RRH4872DOI Listing
October 2018
3 Reads

Contextual factors and health service performance from the perspective of the provincial health administrators in Papua New Guinea.

Rural Remote Health 2018 10 5;18(4):4484. Epub 2018 Oct 5.

School of Public Health and Community Medicine, University of New South Wales, UNSW Sydney, NSW 2052, Australia

Introduction: The Rural Primary Health Services Delivery Project aims to improve the quality and coverage of health services to rural populations in Papua New Guinea. There are limitations in measuring performance of such projects through analysis of health information system data alone due to data quality issues and a multitude of unmeasured factors that affect performance. A mixed methods study was undertaken to understand the contextual factors that affect health service performance. Read More

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http://dx.doi.org/10.22605/RRH4484DOI Listing
October 2018
3 Reads

Telemedicine in remote Australia: The Royal Flying Doctor Service (RFDS) Medical Chest Program as a marker of remote health.

Rural Remote Health 2018 10 6;18(4):4502. Epub 2018 Oct 6.

Graduate Medicine, Faculty of Science Medicine and Health, University of Wollongong, NSW 2522, Australia

Introduction: Remote communities across Australia lack the ready access to medical care generally afforded to metropolitan populations. The Royal Flying Doctor Service (RFDS) medical chest program provides medical resources to these communities allowing medications to be dispensed in conjunction with a telehealth consulting service. More than 3000 medical chests are located throughout Australia and each year the Queensland RFDS conducts approximately 20 000 telehealth consultations. Read More

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http://dx.doi.org/10.22605/RRH4502DOI Listing
October 2018
2 Reads

Rural medicine 'cooking up' longitudinal integrated clerkships.

Rural Remote Health 2018 09 22;18(3):5099. Epub 2018 Sep 22.

Flinders Rural Health South Australia, PO Box 3570, Mount Gambier, SA 5290, Australia

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http://dx.doi.org/10.22605/RRH5099DOI Listing
September 2018
3 Reads

He's here and he's gone; he's here and he's gone … The experiences of new mothers in rural Newfoundland and Labrador, Canada, whose partners work away from home.

Rural Remote Health 2018 09 13;18(3):4542. Epub 2018 Sep 13.

Eastern Health, PO Box 13122, St. John's, NL, Canada

Introduction Employment-related mobility (ERM) is a complex phenomenon that impacts family life. New mothers who have partners working away from home for intermittent and extended periods of time are particularly affected. As these families transition to parenting roles they are further challenged with the expectation that the mother manages sole responsibility for family and home life while her partner works away. Read More

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http://dx.doi.org/10.22605/RRH4542DOI Listing
September 2018
5 Reads

Paramedic and physician perspectives on the potential use of remotely supported prehospital ultrasound.

Rural Remote Health 2018 09 13;18(3):4574. Epub 2018 Sep 13.

Centre for Rural Health, University of Aberdeen, Centre for Health Science, Inverness, Scotland, IV2 3JH, UK.

Introduction: During remotely supported prehospital ultrasound (RSPU), an ultrasound operator performs a scan and sends images to a remote expert for interpretation. This novel technology has been undergoing investigation in the randomised controlled SatCare trial, which seeks to assess the capability of RSPU to improve patient outcomes and standard of prehospital care in the Highlands of Scotland. This study aimed to explore the views of emergency medicine physicians and paramedics prior to starting the trial. Read More

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http://dx.doi.org/10.22605/RRH4574DOI Listing
September 2018
1 Read

Experience of receiving care by interns reduces psychological barrier of community residents to further care in Japan.

Rural Remote Health 2018 09 5;18(3):4613. Epub 2018 Sep 5.

Hyogo College of Medicine

Introduction: A uniform certified basic training program for interns started in Japan in 2004. Following this change, more interns chose to train in community settings, including in rural areas. Patients' experiences of and attitudes toward interns' practice might vary across communities. Read More

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http://dx.doi.org/10.22605/RRH4613DOI Listing
September 2018
12 Reads

Lack of medical resources and public health vulnerability in Mongolia's winter disasters.

Rural Remote Health 2018 09 5;18(3):4617. Epub 2018 Sep 5.

Graduate School of Environmental Studies, Nagoya University

Introduction: Many countries face the need to address medical resource shortages following various disasters. The dzud is a winter disaster that occurs in Mongolia following drought in dryland areas, and it leads to high livestock mortality. Affected provinces suffer increased mortality rates for children aged under 5 years. Read More

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http://dx.doi.org/10.22605/RRH4617DOI Listing
September 2018
9 Reads

Medical service unity: an effective approach for medical care in rural areas in China.

Rural Remote Health 2018 09 4;18(3):4483. Epub 2018 Sep 4.

Chinese Academy of Sciences, Beijing 100190 China

Context: Medical care in rural China has long suffered because of a concentration of medical resources in major hospitals in cities. The patients in rural areas thus do not have affordable access to quality medical services. To tackle such issues, a tiered medical scheme (TMS) was promoted by the Chinese State Council in 2015. Read More

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http://dx.doi.org/10.22605/RRH4483DOI Listing
September 2018
15 Reads

Primary health care nurses' competencies in rural disasters caused by floods.

Rural Remote Health 2018 09 3;18(3):4450. Epub 2018 Sep 3.

Universidade Federal do Rio Grande do Sul Nursing School, Rua São Manoel 963, POA RS, Brazil

Introduction: The objective of this study was to identify primary health care nurses' competencies when responding to hydrological disasters in rural areas.

Methods: A descriptive, exploratory and qualitative study was developed. The Critical Incidents Technique was adopted. Read More

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http://dx.doi.org/10.22605/RRH4450DOI Listing
September 2018
2 Reads

An explanation of turnover intention among early-career nursing and allied health professionals working in rural and remote Australia - findings from a grounded theory study.

Rural Remote Health 2018 09 3;18(3):4511. Epub 2018 Sep 3.

Medical School & Research School of Population Health, Centre for Research on Ageing, Health and Well-being, The Australian National University, Acton, ACT 0200, Australia

Introduction: Rural health workforce shortages are a global phenomenon. Countries like Australia, with industrialised economies, large land masses and broadly dispersed populations, face unique rural health challenges in providing adequate services and addressing workforce shortages. This article focuses on retention of early-career nursing and allied health professionals working in rural and remote Australia. Read More

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http://dx.doi.org/10.22605/RRH4511DOI Listing
September 2018
17 Reads

Urban-rural disparities in office-based dermatological services in Taiwan - a nationwide survey.

Rural Remote Health 2018 08 31;18(3):4730. Epub 2018 Aug 31.

Department of Dermatology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC; and School of Medicine, National Yang-Ming University, Taipei, Taiwan, ROC

Introduction: Shortages and maldistribution of dermatology services have negative impacts on the quality of care for patients with skin problems. Only a limited amount of literature is available regarding the current state of dermatologic services in Taiwan. The aim of this study was to examine the urban-rural distribution of dermatologists and office-based dermatology services in Taiwan. Read More

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http://dx.doi.org/10.22605/RRH4730DOI Listing
August 2018
1 Read
0.870 Impact Factor

Managing qualitative research as insider-research in small rural communities.

Rural Remote Health 2018 08 31;18(3):4576. Epub 2018 Aug 31.

Collaboration for Evidence, Research and Impact in Public Health, Faculty of Health Sciences, Curtin University, PO Box U1987, Bentley, WA 6845, Australia

Rural clinicians in small communities face the pressure of always being 'on duty', and the ethical challenges of overlapping relationships with members of the community and duality of roles. The lead author of this commentary has experience as an insider researcher living within a small rural community, and has navigated the ethical challenges and community pressures of conducting qualitative research within an interconnected network. With appropriate measures and planning, insider research can be conducted rigorously, while maintaining ongoing relationships, confidentiality and anonymity. Read More

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http://dx.doi.org/10.22605/RRH4576DOI Listing
August 2018
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Enhancing health professional education capacity in the Western Pacific region.

Rural Remote Health 2018 08 30;18(3):4306. Epub 2018 Aug 30.

Fiji National University, Suva, Fiji

In the past 5 years there has been a rapid rise in numbers of foreign-trained medical graduates returning to their countries to work as interns across the Western Pacific. These graduates were found to have a varied and different level of clinical knowledge and skill from that previously experienced in the region. This change in workforce profile led to an urgent need for upskilling clinicians as educators and supervisors. Read More

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http://dx.doi.org/10.22605/RRH4306DOI Listing
August 2018
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Pre-graduating medical students' interest in rural internship.

Rural Remote Health 2018 08 28;18(3):4456. Epub 2018 Aug 28.

The Rural Clinical School of Western Australia and The University of Western Australia, Crawley, WA 6009, Australia

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http://dx.doi.org/10.22605/RRH4456DOI Listing
August 2018
4 Reads

Prevalence of exposure to occupational carcinogens among farmers.

Rural Remote Health 2018 08 27;18(3):4348. Epub 2018 Aug 27.

School of Public Health, Curtin University, Bentley, WA 6102, Australia

Introduction: Farmers experience a range of carcinogenic exposures, including some pesticides, fuels, engine exhausts, metals, some organic solvents, silica, wood dusts and solar radiation. However many studies investigating the risk of cancer in farmers focus on pesticide exposure alone. The aim of this study was to determine which carcinogens Australian farmers are exposed to, the prevalence and circumstances of those exposures, and the use of protective equipment. Read More

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https://www.rrh.org.au/journal/article/4348
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http://dx.doi.org/10.22605/RRH4348DOI Listing
August 2018
13 Reads

'Surfing the coastal wave' - a new way to consider workforce distribution.

Rural Remote Health 2018 08 27;18(3):4753. Epub 2018 Aug 27.

Monash University School of Rural Health, Northways Rd, Churchill, Vic. 3842, Australia

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http://dx.doi.org/10.22605/RRH4753DOI Listing
August 2018
3 Reads

Culturally safe end-of-life care for First Nations persons living on reserve.

Rural Remote Health 2018 08 27;18(3):4500. Epub 2018 Aug 27.

Department of Occupational Therapy, 2-64 Corbett Hall, University of Alberta, Edmonton, Canada

End-of-life (EOL) care involves not just the final few days of a person's life but also living with a terminal illness over an extended period of time. Importantly, in addition to medical care and relief of physical suffering, it focuses on quality of life, honoring personal healthcare treatment decisions, supporting the family, and psychological, cultural and spiritual concerns for dying people and their families. The goal of this commentary is to raise rehabilitation therapists' awareness of the need for culturally safe EOL care services for First Nations persons who live on reserve and to identify strategies to help resolve this unmet need. Read More

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http://dx.doi.org/10.22605/RRH4500DOI Listing
August 2018
19 Reads

The importance of cultural awareness when planning and implementing telepsychiatric services.

Rural Remote Health 2018 08 24;18(3):4724. Epub 2018 Aug 24.

Department of Clinical Medicine, Faculty of Health Sciences, UiT The Arctic University of Norway, Tromsø, Norway and Division of Mental Health and Addictions, University Hospital of North Norway, Tromsø, Norway

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http://dx.doi.org/10.22605/RRH4724DOI Listing
August 2018
3 Reads

Surviving, not thriving: a qualitative analysis of parents' perceptions of physical activity participation for rurally residing children with a disability.

Rural Remote Health 2018 08 24;18(3):4536. Epub 2018 Aug 24.

Gomeroi Gaaynggal Centre, Faculty of Health, University of Newcastle, Department of Rural Health, Tamworth, NSW 2340, Australia

Introduction: Preliminary research suggests that rurally residing children with a disability seldom participate in the recommended 60 minutes of moderate-to-vigorous physical activity per day and face multiple barriers to participation. The purpose of this study was to explore parents' perceptions of physical activity participation of rurally residing children with a disability, including barriers and any factors that may facilitate their participation.

Methods: Participants were parents or carers of a school-aged child with a disability residing in a rural or remote area of the state of New South Wales, Australia. Read More

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http://dx.doi.org/10.22605/RRH4536DOI Listing
August 2018
2 Reads

Raising awareness of sensory impairment among community nurses: a brief intervention in a remote island setting.

Rural Remote Health 2018 08 21;18(3):4548. Epub 2018 Aug 21.

NHS Western Isles, 37 South Beach St, Stornoway, Isle of Lewis, UK

Introduction: The prevalence of sensory impairment that includes sight and/or hearing impairment is projected to rise worldwide given the strong correlation between sensory impairment, older age and the demographic structure of the global population. Sensory impairment and associated disability is thus a significant global health concern. The prevalence rates for sensory impairment in Scotland are significant: as more people live into older age and as the age distribution in rural areas is markedly different with a higher proportion of older people, the extent of sensory impairment in the rural population will increase proportionally. Read More

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http://dx.doi.org/10.22605/RRH4548DOI Listing
August 2018
2 Reads