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Zeitschriftenartikel zum Thema "Medicine, Rural South Australia Case studies":
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van Spijker, Bregje A., Jose A. Salinas-Perez, John Mendoza, Tanya Bell, Nasser Bagheri, Mary Anne Furst, Julia Reynolds et al. „Service availability and capacity in rural mental health in Australia: Analysing gaps using an Integrated Mental Health Atlas“. Australian & New Zealand Journal of Psychiatry 53, Nr. 10 (28.06.2019): 1000–1012. http://dx.doi.org/10.1177/0004867419857809.
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Objective: Access to services and workforce shortages are major challenges in rural areas worldwide. In order to improve access to mental health care, it is imperative to understand what services are available, what their capacity is and where existing funds might be spent to increase availability and accessibility. The aim of this study is to investigate mental health service provision in a selection of rural and remote areas across Australia by analysing service availability, placement capacity and diversity. Method: This research studies the health regions of Western New South Wales and Country Western Australia and their nine health areas. Service provision was analysed using the DESDE-LTC system for long-term care service description and classification that allows international comparison. Rates per 100,000 inhabitants were calculated to compare the care availability and placement capacity for children and adolescents, adults and older adults. Results: The lowest diversity was found in northern Western Australia. Overall, Western New South Wales had a higher availability of non-acute outpatient services for adults, but hardly any acute outpatient services. In Country Western Australia, substantially fewer non-acute outpatient services were found, while acute services were much more common. Acute inpatient care services were more common in Western New South Wales, while sub-acute inpatient services and non-acute day care services were only found in Western New South Wales. Conclusion: The number and span of services in the two regions showed discrepancies both within and between regions, raising issues on the equity of access to mental health care in Australia. The standard description of the local pattern of rural mental health care and its comparison across jurisdictions is critical for evidence-informed policy planning and resource allocation.
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Fares, Julian, Kon Shing Kenneth Chung, Megan Passey, Jo Longman und Pim P. Valentijn. „Exploring the psychometric properties of the Rainbow Model of Integrated Care measurement tool for care providers in Australia“. BMJ Open 9, Nr. 12 (Dezember 2019): e027920. http://dx.doi.org/10.1136/bmjopen-2018-027920.
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ObjectiveTo assess the reliability and validity of a shortened version of the Rainbow Model of Integrated Care (RMIC) measurement tool (MT). The original version of the measurement tool has been modified (shortened) for the Australian context.DesignValidation of the psychometric properties of the RMIC-MT.SettingHealthcare providers providing services to a geographically defined rural area in New South Wales (NSW), Australia.ParticipantsA sample of 56 healthcare providers providing mental and physical healthcare.Main outcome measuresThe psychometric properties of the tool were tested using principal component analysis for validity and Cronbach’s alpha for reliability.ResultsThe tool was shown to have good validity and reliability. The 35 items used in the shortened version of the tool were reduced to 29 items grouped into four dimensions: community-governance orientation, normative integration, functional integration and clinical-professional coordination.ConclusionsThe shortened version of the RMIC-MT is a valid and reliable tool that evaluates integrated care from a healthcare provider’s perspective in NSW, Australia. In order to assess the tool’s appropriateness in an international context, future studies should focus on validating the tool in other healthcare settings.
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Wilson, Annabelle M., Anthea M. Magarey, James Dollman, Michelle Jones und Nadia Mastersson. „The challenges of quantitative evaluation of a multi-setting, multi-strategy community-based childhood obesity prevention programme: lessons learnt from the eat well be active Community Programs in South Australia“. Public Health Nutrition 13, Nr. 8 (13.10.2009): 1262–70. http://dx.doi.org/10.1017/s1368980009991807.
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AbstractObjectiveTo describe the rationale, development and implementation of the quantitative component of evaluation of a multi-setting, multi-strategy, community-based childhood obesity prevention project (the eat well be active (ewba) Community Programs) and the challenges associated with this process and some potential solutions.Designewba has a quasi-experimental design with intervention and comparison communities. Baseline data were collected in 2006 and post-intervention measures will be taken from a non-matched cohort in 2009. Schoolchildren aged 10–12 years were chosen as one litmus group for evaluation purposes.SettingThirty-nine primary schools in two metropolitan and two rural communities in South Australia.SubjectsA total of 1732 10–12-year-old school students completed a nutrition and/or a physical activity questionnaire and 1637 had anthropometric measures taken; 983 parents, 286 teachers, thirty-six principals, twenty-six canteen and thirteen out-of-school-hours care (OSHC) workers completed Program-specific questionnaires developed for each of these target groups.ResultsThe overall child response rate for the study was 49 %. Sixty-five per cent, 43 %, 90 %, 90 % and 68 % of parent, teachers, principals, canteen and OSHC workers respectively, completed and returned questionnaires. A number of practical, logistical and methodological challenges were experienced when undertaking this data collection.ConclusionsLearnings from the process of quantitative baseline data collection for the ewba Community Programs can provide insights for other researchers planning similar studies with similar methods, particularly those evaluating multi-strategy programmes across multiple settings.
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Littleford, Angela, Debbie Martin, Lee Martinez und Angela May. „Rural and Metropolitan Community Health: Celebrating the Strengths“. Australian Journal of Primary Health 5, Nr. 3 (1999): 60. http://dx.doi.org/10.1071/py99034.
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The paper outlines the strengths, similarities and differences of metropolitan and rural community health sectors. Case studies are used to look at the history of community health in South Australia, its current status is described and some future directions are proposed. Perspectives are drawn from the authors' collective experiences. Rural and metropolitan community health services in South Australia have developed from different models since they were established in the 1970s. Rural community health services have invariably been established as entities within hospitals and health services, although metropolitan community health services have generally been established as stand alone facilities independent of the acute sector. To illustrate this, two case studies are used to demonstrate the evolution of metropolitan and rural community health services.
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Bamford, Errol J., Danielle S. Taylor, Graeme J. Hugo, Lyle Dunne, Brian G. Symon und David Wilkinson. „Accessibility to general practitioners in rural South Australia: A case study using geographic information system technology“. Medical Journal of Australia 171, Nr. 11-12 (Dezember 1999): 614–16. http://dx.doi.org/10.5694/j.1326-5377.1999.tb123821.x.
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Hawke, Melanie, und Joe Byrne. „Community-based Early Childhood Assessment and Intervention in Rural Settings: Transdisciplinary Case Management of Developmental Delay in Children“. Australian Journal of Primary Health 6, Nr. 4 (2000): 130. http://dx.doi.org/10.1071/py00046.
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This paper reports on an assessment of the need for early intervention services for children aged 0-8 years in the Southern Fleurieu sub-region of South Australia and an evaluation of the efficacy of utilising a generic community health service to provide the therapeutic and case management services to appropriately address those needs. Previous studies in regional South Australia estimated the incidence of developmental delay in children to be 5% of the total population aged 0-8 years (Barossa Valley, 1997). This estimate indicated a client group of over 130 in the Southern Fleurieu sub-region. The project team adopted a transdisciplinary model for early identification and intervention, with over half the children on the program aged less than five years, indicating that the program addressed needs of children at an early age. Outcomes have demonstrated the appropriateness of using a transdisciplinary approach in a regional setting and the community health service as the auspice has shown an increase in the capacity for therapists to provide the wide variety of programs that are essential in addressing early childhood delay.
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Cowain, Taryn. „Cognitive–Behavioural Therapy via Videoconferencing to a Rural Area“. Australian & New Zealand Journal of Psychiatry 35, Nr. 1 (Februar 2001): 62–64. http://dx.doi.org/10.1046/j.1440-1614.2001.00853.x.
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Objective: This case report describes the use of cognitive–behavioural therapy via twoway, interactive audiovisual videoconferencing and identifies issues involved in using this form of technology to provide therapy. Clinical picture: A 38-year-old married woman living in rural South Australia presented with panic disorder with agoraphobia and major depression. The patient had refused antidepressant treatment. Treatment: The patient was treated with 12 sessions of cognitive–behavioural therapy delivered via videoconferencing. Outcome: Anxiety and depressive symptoms resolved with concomitant improvement in function. Conclusions: Providing this form of therapy via videoconferencing can be effective.
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Midgley, S. J., und J. W. Turnbull. „Domestication and use of Australian acacias: case studies of five important species“. Australian Systematic Botany 16, Nr. 1 (2003): 89. http://dx.doi.org/10.1071/sb01038.
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Some Acacia species native to Australia and neighbouring countries are significant in the rural economy of many countries. Aspects of the domestication process and uses of A. mangium, A. crassicarpa, A. mearnsii, A.�saligna and A. colei are reviewed. Commercial plantations of A. mearnsii in tropical highlands and temperate areas provide high quality tannins for adhesives and leather making and wood for paper pulp, rayon, charcoal and small-utility timbers. Plantations of A. saligna in warm-temperate and semi-arid areas provide stock fodder, soil stabilisation, fuelwood and charcoal. In the humid tropical lowlands of South-east Asia, pulpwood is produced in extensive plantings of A. mangium and in smaller-scale plantations of A. crassicarpa in Indonesia. The human food value of seeds of some dry-zone Australian acacias, such as A. colei, is recognised. Domestication of these and other Australian acacias is at various stages and is influenced by the characteristics of the species, extent of planting and the commercial value of the products. The potential for many acacias to become weeds is recognised. The case studies highlight a number of important aspects in domesticating acacias.
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McQuoid-Mason, D. J. „COVID-19 vaccine hesitancy and missed vaccine roll- out targets: The case for using general practitioners“. South African Medical Journal 112, Nr. 3 (01.03.2022): 214–15. http://dx.doi.org/10.7196/samj.2022.v112i3.16379.
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The South African (SA) government’s roll-out of the COVID-19 vaccine is behind its target, largely owing to concerns about the sideeffects and the effectiveness of the vaccines, and because they have been developed over a very short time frame. Another factor is a lack of trust in government policies regarding COVID-19 and its running of public health. One survey has indicated that for persons seeking a vaccination, the preferred vaccine site would be general practitioners (GPs). GPs have been used in Australia, the UK and elsewhere. In Australia, with a scattered rural population, 5 600 GPs have been vaccinating over one million patients weekly. Calls have been made by the South African Medical Association, among others, for GPs to be allowed to assist with the government’s roll-out programme. If ~8 000 GPs in SA participated in a properly administered roll-out programme, and each GP were to vaccinate only 10 people a day, this would yield 400 000 vaccinations a week or ~1.6 million a month. The GPs could invite their patients and others to visit their room for a COVID-19 vaccination, as they do with the annual influenza vaccine.
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Kelly, Janet, Judith Dwyer, Tamara Mackean, Kim O'Donnell und Eileen Willis. „Coproducing Aboriginal patient journey mapping tools for improved quality and coordination of care“. Australian Journal of Primary Health 23, Nr. 6 (2017): 536. http://dx.doi.org/10.1071/py16069.
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This paper describes the rationale and process for developing a set of Aboriginal patient journey mapping tools with Aboriginal patients, health professionals, support workers, educators and researchers in the Managing Two Worlds Together project between 2008 and 2015. Aboriginal patients and their families from rural and remote areas, and healthcare providers in urban, rural and remote settings, shared their perceptions of the barriers and enablers to quality care in interviews and focus groups, and individual patient journey case studies were documented. Data were thematically analysed. In the absence of suitable existing tools, a new analytical framework and mapping approach was developed. The utility of the tools in other settings was then tested with health professionals, and the tools were further modified for use in quality improvement in health and education settings in South Australia and the Northern Territory. A central set of patient journey mapping tools with flexible adaptations, a workbook, and five sets of case studies describing how staff adapted and used the tools at different sites are available for wider use.
Dissertationen zum Thema "Medicine, Rural South Australia Case studies":
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Blue, Ian A. „The professional working relationship of rural nurses and doctors : four South Australian case studies“. Title page, table of contents and abstract only, 2002. http://web4.library.adelaide.edu.au/theses/09PH/09phb6582.pdf.
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Blue, Ian Alasdair. „The professional working relationship of rural nurses and doctors : four South Australian case studies / Ian Alasdair Blue“. Thesis, 2002. http://hdl.handle.net/2440/21833.
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Taylor, Judy. „Community participation in organising rural general medical practice three case studies in South Australia“. 2004. http://arrow.unisa.edu.au:8081/1959.8/24996.
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It is well documented that rural and remote Australian residents have poorer access to medical services than their counterparts in capital cities. According to the Australian Institute of Health and Welfare in 1998 there were 75.3 vocationally registered general practitioners per 100,000 population in rural and remote areas, compared with 103.0 per 100,000 in metropolitan areas. In 1998 28.7% of the Australian population lived in rural and remote areas, so a substantial proportion of the Australian population is adversely affected by the unequal distribution of general practitioners. Australian country communities highly regard the services of general practitioners and they continue to demand residential medical services. Demand is driven by need for access to health services, but also by the intimate inter-relationships between the general practice and community sustainability. For example, the general practice contributes to the viability of the local hospital which is often a major employer in the district. Consequently, many country communities strive to keep their general practice by contributing to practice infrastructure, providing governance, raising funds for medical equipment, and actively helping recruitment. thesis (PhDHealthSciences)--University of South Australia, 2004.
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Mills, David (Peter David Duncombe). „The role of goal setting in the diabetes case management of aboriginal and non-aboriginal populations in rural South Australia / David Mills“. 2005. http://hdl.handle.net/2440/38374.
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Includes publications published as a result of ideas developed in this thesis, inserted at end. "April 2005" Includes bibliographical references (leaves 210-242) 242 leaves : Title page, contents and abstract only. The complete thesis in print form is available from the University Library. Examines goal setting in people with diabetes as part of chronic disease management in a rural setting. The studies were performed in Eyre Peninsula with a significant (10-20%) Aboriginal population. Thesis (M.D.)--University of Adelaide, Dept. of General Practice, 2005
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Mills, David (Peter David Duncombe). „The role of goal setting in the diabetes case management of Aboriginal and non-Aboriginal populations in rural South Australia / David Mills“. Thesis, 2005. http://hdl.handle.net/2440/38374.
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Includes publications published as a result of ideas developed in this thesis, inserted at end. Includes bibliographical references (leaves 210-242) 242 leaves Examines goal setting in people with diabetes as part of chronic disease management in a rural setting. The studies were performed in Eyre Peninsula with a significant (10-20%) Aboriginal population. Thesis (M.D.) -- University of Adelaide, Dept. of General Practice, 2005
Bücher zum Thema "Medicine, Rural South Australia Case studies":
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Cahir, Fred, Ian Clark und Philip Clarke. Aboriginal Biocultural Knowledge in South-eastern Australia. CSIRO Publishing, 2018. http://dx.doi.org/10.1071/9781486306121.
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Indigenous Australians have long understood sustainable hunting and harvesting, seasonal changes in flora and fauna, predator–prey relationships and imbalances, and seasonal fire management. Yet the extent of their knowledge and expertise has been largely unknown and underappreciated by non-Aboriginal colonists, especially in the south-east of Australia where Aboriginal culture was severely fractured.
Aboriginal Biocultural Knowledge in South-eastern Australia is the first book to examine historical records from early colonists who interacted with south-eastern Australian Aboriginal communities and documented their understanding of the environment, natural resources such as water and plant and animal foods, medicine and other aspects of their material world. This book provides a compelling case for the importance of understanding Indigenous knowledge, to inform discussions around climate change, biodiversity, resource management, health and education. It will be a valuable reference for natural resource management agencies, academics in Indigenous studies and anyone interested in Aboriginal culture and knowledge.
