Relevant bibliographies by topics / Rural doctors

Academic literature on the topic 'Rural doctors'

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Published: 4 June 2021
Last updated: 20 February 2023

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Journal articles on the topic "Rural doctors"

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Li, Jinhu, Anthony Scott, Matthew McGrail, John Humphreys, and Julia Witt. "Retaining rural doctors: Doctors' preferences for rural medical workforce incentives." Social Science & Medicine 121 (November 2014): 56–64. http://dx.doi.org/10.1016/j.socscimed.2014.09.053.

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Chiu, Ya-Ling, Jying-Nan Wang, Haiyan Yu, and Yuan-Teng Hsu. "Consultation Pricing of the Online Health Care Service in China: Hierarchical Linear Regression Approach." Journal of Medical Internet Research 23, no. 7 (July 14, 2021): e29170. http://dx.doi.org/10.2196/29170.

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Background Online health care services are a possible solution to alleviate the lack of medical resources in rural areas, and further understanding of the related medical service pricing system would contribute to improvement of the online health care community (OHC). Although many studies have investigated the OHC, the impact of physicians’ reputations and wage levels on consulting prices in the OHC has rarely been discussed in the literature. Objective This study was designed to explore the determinants of consulting prices in the OHC. We addressed the following questions: (1) Are the prices of online health consultation services affected by wage levels at the doctor’s location? (2) How does a physician’s online and offline reputation affect their consulting prices? Methods Employing a large-scale sample of 16,008 doctors in China, we first used descriptive statistics to investigate the determinants of consulting prices in their entirety. Hierarchical linear modeling was then used to investigate the determinants of consulting prices in the OHC. Results The empirical results led to the conclusion that if doctors have more elevated clinic titles, work in higher-level hospitals, have better online reputations, and/or have made more past sales, their consulting prices will be higher. Additionally, the wage level in the city in which the doctor is working determines their opportunity cost and therefore also affects consulting prices. Conclusions The findings indicate that the characteristics of the doctor, the doctor’s online reputation, and past sales affect the consulting price. In particular, the wage level in the city affects the price of the consultation. These findings highlight that the OHC is important because it can indeed break through geographical restrictions and give rural residents the opportunity to obtain medical service from doctors in big cities. However, doctors from cities often charge higher fees because of their higher opportunity cost. The results reveal that one of the most important functions of the OHC is to reduce the medical disparity between urban and rural areas; however, planners appear to ignore the possibility that rural residents with lower incomes may not be able to afford such high medical consultation costs. Therefore, the government should consider providing incentives to encourage urban doctors to provide discounts to rural residents or directly offer appropriate subsidies.
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MAGNUS, J. H., and A. TOLLAN. "Rural doctor recruitment: does medical education in rural districts recruit doctors to rural areas?" Medical Education 27, no. 3 (May 1993): 250–53. http://dx.doi.org/10.1111/j.1365-2923.1993.tb00264.x.

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Chen, Qiwei, Lan Yang, Qiming Feng, and Scott S. Tighe. "Job Satisfaction Analysis in Rural China: A Qualitative Study of Doctors in a Township Hospital." Scientifica 2017 (2017): 1–6. http://dx.doi.org/10.1155/2017/1964087.

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Background. Township hospitals in China provide rural communities with basic but much needed critical health care services. The doctors working in these hospitals often feel unsatisfied when considering their work schedules and financial rewards. Method. To explore job satisfaction of health workers in a township hospital, a qualitative study was conducted of 39 doctors from five township hospitals in Guangxi Zhuang Autonomous Region. The goal was to understand the level of job satisfaction of doctors and to make recommendations for improvements. Results. About 75% (28/39) of the doctors expressed negative attitudes related to their work conditions. Slightly more than half (22/39) mentioned they should receive greater compensation for their work and more than one were seriously considering other options. Many participants (35/39) showed their satisfaction about the achievement of serving as a doctor. Conclusion. Their main concerns related to job satisfaction included working conditions, financial rewards, and the doctor’s relationships with patients. Increasing the incomes and fringe benefits of healthcare workers, improving their work conditions, and providing training and continuing education opportunities would help rural clinics retain doctors and eliminate the current unsatisfactory conditions. The findings also highlight the need for the government to increase financial support of township hospitals.
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Kinchagulova, Miliausha V., N. S. Brynza, O. P. Gorbunova, and Yu S. Reshetnikova. "THE RESULTS OF “ZEMSKY DOCTOR” PROGRAM IN TYUMEN REGION." Health Care of the Russian Federation 62, no. 6 (May 24, 2019): 289–94. http://dx.doi.org/10.18821/0044-197x-2018-62-6-289-294.

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The problem of the availability of doctors and nurses is particularly relevant in rural areas. The purpose of the study is to assess the effectiveness of the implementation of the Zemsky Doctor program in the Tyumen Region. To achieve the goal, a number of tasks were solved: analysis of number, composition and movement of program participants; analysis of the impact of the program on the availability of doctors in the rural population; analysis of the reasons for early termination of contracts. Materials and methods. The study was conducted by the Tyumen State Medical University of the Ministry of Health of Russia with the assistance of the Health Department of the Tyumen Region in 2018 on the basis of processing and analyzing statistical data on 520 doctors who participated in the Zemsky Doctor program in the Tyumen Region (without autonomous districts). Results. The main reason for early termination of contracts on the initiative of the program participant is the acquisition of housing in another settlement. The analysis showed that the majority of early termination of contracts falls on recipients of payments in 2012-2014. Discussion. The criterion of effectiveness of the program is the provision of doctors for the population. The analysis led to the conclusion that “Zemsky Doctor” program contributed to the improvement of the rural population’s supply of doctors, at the same time, the annual average growth rate of provision of doctors during the period of the program implementation was 5,7%, the maximum value of the indicator was noted in 2015-2016. Currently, the problem of retaining recruited specialists in rural areas is particularly relevant. Conclusion. The results of study can be used by regional authorities, management of medical organizations when deciding on the further implementation of Zemsky Doctor program, as well as in making managerial decisions on the issues of human resources for rural healthcare generally.
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Hoyal, Francis M. D. "RETENTION OF RURAL DOCTORS." Australian Journal of Rural Health 3, no. 1 (February 1995): 2–9. http://dx.doi.org/10.1111/j.1440-1584.1995.tb00139.x.

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Gross, Miriam. "Between Party, People, and Profession: The Many Faces of the ‘Doctor’ during the Cultural Revolution." Medical History 62, no. 3 (June 11, 2018): 333–59. http://dx.doi.org/10.1017/mdh.2018.23.

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During the Chinese Cultural Revolution (1966–76), Chairman Mao fundamentally reformed medicine so that rural people received medical care. His new medical model has been variously characterised as: revolutionary Maoist medicine, a revitalised form of Chinese medicine; and the final conquest by Western medicine. This paper finds that instead of Mao’s vision of a new ‘revolutionary medicine’, there was a new medical synthesis that drew from the Maoist ideal and Western and Chinese traditions, but fundamentally differed from all of them. Maoist medicine’s ultimate aim was doctors as peasant carers. However, rural people and local governments valued treatment expertise, causing divergence from this ideal. As a result, Western and elite Chinese medical doctors sent to the countryside for rehabilitation were preferable to barefoot doctors and received rural support. Initially Western-trained physicians belittled elite Chinese doctors, and both looked down on barefoot doctors and indigenous herbalists and acupuncturists. However, the levelling effect of terrible rural conditions made these diverse conceptions of the doctor closer during the Cultural Revolution. Thus, urban doctors and rural medical practitioners developed a symbiotic relationship: barefoot doctors provided political protection and local knowledge for urban doctors; urban doctors’ provided expertise and a medical apprenticeship for barefoot doctors; and both counted on the local medical knowledge of indigenous healers. This fragile conceptual nexus had fallen apart by the end of the Maoist era (1976), but the evidence of new medical syntheses shows the diverse range of alliances that become possible under the rubric of ‘revolutionary medicine’.
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Cuesta-Briand, Beatriz, Mathew Coleman, Rebekah Ledingham, Sarah Moore, Helen Wright, David Oldham, and Denese Playford. "Extending a Conceptual Framework for Junior Doctors’ Career Decision Making and Rural Careers: Explorers versus Planners and Finding the ‘Right Fit’." International Journal of Environmental Research and Public Health 17, no. 4 (February 20, 2020): 1352. http://dx.doi.org/10.3390/ijerph17041352.

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This study uses data from a Rural Clinical School of Western Australia (RCSWA) and WA Country Health (WACHS) study on rural work intentions among junior doctors to explore their internal decision-making processes and gain a better understanding of how junior doctors make decisions along their career pathway. This was a qualitative study involving junior doctor participants in postgraduate years (PGY) 1 to 5 undergoing training in Western Australia (WA). Data was collected through semi-structured telephone interviews. Two main themes were identified: career decision-making as an on-going process; and early career doctors’ internal decision-making process, which fell broadly into two groups (‘explorers’ and ‘planners’). Both groups of junior doctors require ongoing personalised career advice, training pathways, and career development opportunities that best “fit” their internal decision-making processes for the purposes of enhancing rural workforce outcomes.
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Angell, Blake, Mushtaq Khan, Mir Raihanul Islam, Kate Mandeville, Nahitun Naher, Eleanor Hutchinson, Martin McKee, Syed Masud Ahmed, and Dina Balabanova. "Incentivising doctor attendance in rural Bangladesh: a latent class analysis of a discrete choice experiment." BMJ Global Health 6, no. 7 (July 2021): e006001. http://dx.doi.org/10.1136/bmjgh-2021-006001.

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ObjectiveDoctor absenteeism is widespread in Bangladesh, and the perspectives of the actors involved are insufficiently understood. This paper sought to elicit preferences of doctors over aspects of jobs in rural areas in Bangladesh that can help to inform the development of packages of policy interventions that may persuade them to stay at their posts.MethodsWe conducted a discrete choice experiment with 308 doctors across four hospitals in Dhaka, Bangladesh. Four attributes of rural postings were included based on a literature review, qualitative research and a consensus-building workshop with policymakers and key health-system stakeholders: relationship with the community, security measures, attendance-based policies and incentive payments. Respondents’ choices were analysed with mixed multinomial logistic and latent class models and were used to simulate the likely uptake of jobs under different policy packages.ResultsAll attributes significantly impacted doctor choices (p<0.01). Doctors strongly preferred jobs at rural facilities where there was a supportive relationship with the community (β=0.93), considered good attendance in education and training (0.77) or promotion decisions (0.67), with functional security (0.67) and higher incentive payments (0.5 per 10% increase of base salary). Jobs with disciplinary action for poor attendance were disliked by respondents (−0.63). Latent class analysis identified three groups of doctors who differed in their uptake of jobs. Scenario modelling identified intervention packages that differentially impacted doctor behaviour and combinations that could feasibly improve doctors’ attendance.ConclusionBangladeshi doctors have strong but varied preferences over interventions to overcome absenteeism. We generated evidence suggesting that interventions considering the perspective of the doctors themselves could result in substantial reductions in absenteeism. Designing policy packages that take account of the different situations facing doctors could begin to improve their ability and motivation to be present at their job and generate sustainable solutions to absenteeism in rural Bangladesh.
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Gu, Linni, Rui Zhu, Zhen Li, Shengfa Zhang, Jing Li, Donghua Tian, and Zhijun Sun. "Factors Associated with Rural Residents’ Contract Behavior with Village Doctors in Three Counties: A Cross-Sectional Study from China." International Journal of Environmental Research and Public Health 17, no. 23 (December 2, 2020): 8969. http://dx.doi.org/10.3390/ijerph17238969.

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Historically, cooperative medical insurance and village doctors are considered two powerful factors in protecting rural residents’ health. However, with the central government of China’s implementation of new economic policies in the 1980s, cooperative medical insurance collapsed and rural residents fell into poverty because of sickness. In 2009, the New Rural Cooperative Medical Insurance (NRCMI) was implemented to provide healthcare for rural residents. Moreover, the National Basic Drug System was implemented in the same year to protect rural residents’ right to basic drugs. In 2013, a village doctor contract service was implemented after the publication of the Guidance on Pilot Contract Services for Rural Doctors. This contract service aimed to retain patients in rural primary healthcare systems and change private practice village doctors into general practitioners (GPs) under government management. Objectives: This study investigates the factors associated with rural residents’ contract behavior toward village doctors. Further, we explore the relationships between trust, NRCMI reimbursement rate, and drug treatment effect. We used a qualitative approach, and twenty-five village clinics were chosen from three counties as our study sites using a random sampling method. A total of 625 villagers participated in the investigation. Descriptive analysis, chi-squared test, t-test, and hierarchical logistic analyses were used to analyze the data. Results: The chi-squared test showed no significant difference in demographic characteristics, and the t-test showed a significant difference between signed and unsigned contract services. The results of the hierarchical logistic analysis showed that trust significantly influenced patients’ willingness to contract services, and the drug treatment effect and NRCMI reimbursement rate moderated the influence of trust. Conclusion: Our findings suggest that the government should aim to strengthen trust in the doctor–patient relationship in rural areas and increase the NRCMI reimbursement rate. Moreover, health officers should perfect the contract service package by offering tailored contract services or expanding service packages.
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Dissertations / Theses on the topic "Rural doctors"

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Skorupa, Sandra. "Development of a screening instrument to identify risk for the white coat effect in rural and non-rural patients." Diss., Online access via UMI:, 2007.

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Sutherns, Rebecca Lee. "Women's experiences of maternity care in rural Ontario, do doctors matter?" Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2002. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp05/NQ65835.pdf.

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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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Somo, Tlou. "Job satisfaction amongst doctors working at rural hospitals of Waterberg District in the Limpopo Province." Thesis, University of Limpopo (Turfloop Campus), 2007. http://hdl.handle.net/10386/887.

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Thesis (MBA) --University of Limpopo, 2007
If medical doctors are expected to function effectively and efficiently to provide the highest quality of care to the largest number of patients in rural hospitals, it is imperative that they derive job satisfaction from their work and thus perform well. The present study aimed to investigate whether the doctors in the target population have job satisfaction. The doctors were selected from the rural hospitals of the Waterberg District of the Limpopo Province. An exploratory qualitative research design was used, which included a self administered questionnaire enquiring about the demographic and work situation variables. Content analysis was used to analyse qualitative data. The main findings that emerged from the study were that the respondents were dissatisfied with their work environment. The most common theme that emerged was related to the bad working conditions, lack of support from management, lack of proper equipment, and the salary or incentives in proportion to the workload. These findings highlighted the issues that can be addressed by the employing organisation.
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Marinus, Thurston Walter. "The role of communities in the recruitment and retention process of medical doctors for rural South Africa." University of Western Cape, 2013. http://hdl.handle.net/11394/3933.

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Magister Commercii - MCom
The purpose of this research study is to explore the variables that contribute to improving the process of recruiting and retaining rural doctors within the South African context. The aim is to explore rural doctors’ perceptions of the role which the rural community can and ought to play in respect of the latter process. A basic recognition is that the emphasis on the Mainstream Approach (which elevates health workforce planning and management as well as market-related interventions and solutions) cannot exclusively achieve the desired result of effective and efficient recruitment and retention of rural doctors. The ‘active’ role which communities can and ought to play in the recruitment/ retention process, is an overlooked and neglected aspect within the South African research and healthcare service-delivery context. Even though the notion of collaborative management and governance of human resources within the health sector is generally mandated from a policy and legislative perspective, the practical manifestation and implementation thereof remain limited or at best piece-meal. An alternative governance model with reference to the humanresources- in-health system outlines the Partnership Approach advocating the need for the establishment of practical working relationships, amongst an identified range of multiple-stakeholders. This study examines the notions of ‘passive’ vis-à-vis ‘active’ community participation equated to the Utilitarian and Community Empowerment/ Development Perspectives continuum. The study introduces the ‘Principle of Balancing Model’ as well as the notion of a ‘hybrid perspective’ as key underpinnings of an efficacious rural-doctor recruitment and retention process.
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Salins, Swarthick E. "Primary health care delivery in rural India : examining the efficacy of a policy for recruiting junior doctors in Karnataka." Thesis, St Andrews, 2008. http://hdl.handle.net/10023/630.

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MacLeod, Hugh. "Recruiting and retaining doctors in remote and rural British Columbia, --sticking together band-aids or creating a systemic solution?" Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape8/PQDD_0005/MQ41808.pdf.

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Jasiukėnas, Aurimas. "Gydytojų motyvavimo dirbti rajoninėse sveikatos priežiūros įstaigose vertinimas." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2013. http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2013~D_20130604_151744-96284.

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Darbo tikslas. Atskleisti gydytojų požiūrį į motyvavimą dirbti rajoninėse sveikatos priežiūros įstaigose. Uždaviniai. 1. Išskirti pagrindinius veiksnius, susijusius su gydytojo darbo rajono sveikatos priežiūros įstaigoje pasirinkimu. 2. Atskleisti problemas, su kuriomis susiduria gydytojai, neseniai pradėję dirbti rajoninėse sveikatos priežiūros įstaigose. 3. Išsiaiškinti gydytojų nuomonę apie priemones, kurios yra taikomos arba galėtų būti taikomos siekiant pritraukti ir išsaugoti gydytojus dirbti rajonuose. Tyrimo metodika. Taikant kokybinį tyrimo metodą, giluminio interviu būdu, apklausti 8 Lietuvos rajonų sveikatos įstaigose dirbantys gydytojai rezidentai ir 3 neseniai (iki 3 metų) rajonų gydymo įstaigose pradėję dirbti gydytojai. Rezultatai. Dirbti į rajonines sveikatos priežiūros įstaigas vykstama dėl mažesnės konkurencijos darbo rinkoje, didesnių atlyginimų. Gydytojai apie darbo vietas sužino skambindami patys į ligonines arba per turimus ryšius. Rajoninės įstaigos motyvuoja gydytojus atvykti dirbti į rajoną finansinėmis ir nepiniginėmis priemonėmis, siūlant didesnį atlyginimą, rezidentūros apmokėjimą, palankų darbo grafiką atvykstančiam gydytojui. Universitetų priemonės vertinamos negatyviai, nes yra netiesioginis dėstytojų ir gydytojų nuteikimas prieš darbą rajone, nėra sudaromos sąlygos studijų metų padirbti rajone. Gydytojas rajone įgauna žinių ir praktinių įgūdžių atlikdamas įvairesnių procedūrų, kartais srityse, kurios yra už jo kompetencijos ribų. Rajoninėse... [toliau žr. visą tekstą]
Aim of the study. To identify and analyze the doctors’ motivation aspects to work at hospitals in the rural areas. Objectives. 1. To identify the main factors that influence the doctors’ decision to work at hospitals in the rural areas. 2. To determine the problems that doctors are facing in their beginning at work in the rural areas. 3. To investigate the doctors’ opinion about the instruments that were used or could be adopted in practice to attract and retain doctors in rural hospitals. Methods. Qualitative study was used to get the information which contains motivating factors for doctors to work at the rural hospitals. Using in-deph semistructured questionnaires were asked 8 residency students and 3 doctors at rural hospitals. Respondents were selected using short (less than 3 years) working period in rural hospital criteria. Results. Lower competition in labor market and higher salaries are the push factors for doctors to choose the rural workplace. Most of the doctors request the hospitals directly for the vacant positions or get the information about available positions from people they know. Rural hospitals attract doctors with higher wages, refund the payment of residency studies and adjust a better working schedule. The incentives of universities should be better developed because there is lack of rural practice possibilities for the students. There is indeed strong influence made by lecturers who spread negative and inadequate approach about rural hospitals... [to full text]
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Woods, Joana Francisca. "A descriptive analysis of the role of a WhatsApp clinical discussion group as a forum for continuous medical education in the management of complicated HIV/TB clinical cases in a group of doctors in the Eastern Cape." University of the Western Cape, 2018. http://hdl.handle.net/11394/6589.

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Master of Public Health - MPH
Background: As South Africa’s HIV programme increases in size, increasingly complex HIV/TB cases occur that are often beyond the clinical scope of primary health care clinicians. In the Eastern Cape (EC) province, health facilities are geographically widespread, with a discrepancy of specialist availability outside of academic/tertiary institutions. The use of WhatsApp, a Mobile Instant Messaging (MIM) application, could facilitate learning and mentoring of primary healthcare clinicians in peripheral facilities. The aim of this study is to describe this app and its use as an alternative learning tool to improve clinician access to specialized management of complicated HIV/TB cases, as part of Continuing Medical Education (CME). Method: A an observational, descriptive cross-sectional study was conducted among a group of clinicians from the EC province that formed part of a Wits RHI WhatsApp HIV/TB clinical discussion group from January 2016 to July 2017. Data was collected using a structured anonymous internet questionnaire, distributed to the clinicians that formed part of the WhatsApp group, informed consent being obtained from participants prior to completion. Data was analysed with Epi Info, using descriptive and analytic statistics. Frequency distributions and cross tabulations were generated and bi-variate analysis was done to determine significant associations between relevant variables.
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Fitzpatrick, Lesley Maria Gerard. "Inventing cultural heroes : a critical exploration of the discursive role of culture, nationalism and hegemony in the Australian rural and remote health sector." Thesis, Queensland University of Technology, 2006. https://eprints.qut.edu.au/16371/1/Lesley_Fitzpatrick_Thesis.pdf.

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Rural and remote areas of Australia remain the last bastion of health disadvantage in a developed nation with an enviable health score-card. During the last ten years, rural and remote health has emerged as a significant issue in the media and the political arena. This thesis examines print media, policy documents and interviews from selected informants to ascertain how they represent medical practitioners and health services in rural and remote areas of Australia, why they do so, and the consequences of such positions. In many of these representations, rural and remote medical practitioners are aligned with national and cultural mythologies, while health services are characterised as dysfunctional and at crisis point. Ostensibly, the representations and identity formulations are aimed at redressing the health inequities in remote rural and Australia. They define and elaborate debates and contestations about needs and claims and how they should be addressed; a process that is crucial in the development of professional identity and power (Fraser; 1989). The research involves an analysis and critical reading of the entwined discourses of culture, power, and the politics of need. Following Wodak and others (1999), these dynamics are explored by examining documents that are part of the discursive constitution of the field. In particular, the research examines how prevailing cultural concepts are used to configure the Australian rural and remote medical practitioner in ways that reflect and advance socio-cultural hegemony. The conceptual tools used to explore these dynamics are drawn from critical and post-structural theory, and draw upon the work of Nancy Fraser (1989; 1997) and Ruth Wodak (1999). Both theorists developed approaches that enable investigation into the effects of language use in order to understand how the cultural framing of particular work can influence power relations in a professional field. The research follows a cultural studies approach, focussing on texts as objects of research and acknowledging the importance of discourse in the development of cultural meaning (Nightingale, 1993). The methodological approach employs Critical Discourse Analysis, specifically the Discourse Historical Method (Wodak, 1999). It is used to explore the linguistic hallmarks of social and cultural processes and structures, and to identify the ways in which political control and dominance are advanced through language-based strategies. An analytical tool developed by Ruth Wodak, Rudolf de Cillia, Martin Reisigl and Karin Leibhart (1999) was adapted and used to identify nationalistic identity formulations and related linguistic manoeuvres in the texts. The dissertation argues that the textual linguistic manoeuvres and identity formulations produce and privilege a particular identity for rural and remote medical practitioners, and that cultural myth is used to popularise, shore up and advance the goals of rural doctors during a period of crisis and change. Important in this process is the differentiation of rural and remote medicine from other disciplines in order to define and advance its political needs and claims (Fraser, 1989). This activity has unexpected legacies for the rural and remote health sector. In developing a strong identity for rural doctors, discursive rules have been established by the discipline regarding roles, personal and professional characteristics, and practice style; rules which hold confounding factors for the sustainability of remote and rural medical practice and health care generally. These factors include: the professional fragmentation of the discipline of primary medical care into general practice and rural medicine; and identity formulations that do not accommodate an ageing workforce characterised by cultural diversity, decreasing engagement in full time work, and a higher proportion of women participants. Both of these factors have repercussions for the recruitment and retention of rural and remote health professionals and the maintenance of a sustainable health workforce. The dissertation argues that the formulated identities of rural and remote medical practitioners in the texts maintain and reproduce relationships of cultural, political and social power. They have also influenced the ways in which rural and remote health services have been developed and funded. They selectively represent and value particular roles and approaches to health care. In doing so, they misrepresent the breadth and complexities of rural and remote health issues, and reinforce a reputational economy built on differential professional and cultural respect, and political and economic advantage. This disadvantages the community, professions and interest groups of lower value and esteem, and other groups whose voices are often not heard. Thus, regardless of their altruistic motivations, the politics of identity and differentiation employed in the formulated identities in the texts are based on an approach that undermines the redistributive goals of justice and equity (Fraser 1997), and works primarily to develop and advantage the discipline of rural medicine.
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Books on the topic "Rural doctors"

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Chomitz, Kenneth M. What do doctors want?: Developing incentives for doctors to serve in Indonesia's rural and remote areas. Washington, DC: World Bank, Development Research Group, 1998.

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Anson, Ofra. The village doctors in different ownership clinics in China's countryside. Amsterdam: KIT Publishers, 2003.

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Baer, Leonard David. Doctors in a strange land: The place of international medical graduates in rural america. Lanham: Lexington Books, 2002.

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Traeger, the pedal radio man: He gave a voice to the bush and to flying doctors. Moorooka, Brisbane, Qld: Boolarong Press, 1995.

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Family practice stories: Memories, reflections, and stories of Hoosier family doctors of the mid-twentieth century. Indianapolis, Indiana: Indiana Historical Society Press, 2013.

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Larimore, Walter L. Bryson City seasons: More tales of a doctors practice in the smoky mountains. Waterville, Me: Thorndike Press, 2006.

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Clifford, Robert. Surely not, doctor! London: Pelham, 1985.

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Clifford, Robert. Look out, Doctor! London: Warner, 1993.

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Clifford, Robert. Surely not, doctor! London: Sphere, 1986.

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The island doctor: Memories, myths, and musings of a country doctor. Windsor, Ont: Princess O'Toole Press, 2009.

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Book chapters on the topic "Rural doctors"

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Shah, Md Faruk. "Biomedicine and Modernity: The Case of the “Village Doctors”." In Biomedicine, Healing and Modernity in Rural Bangladesh, 167–98. Singapore: Springer Singapore, 2019. http://dx.doi.org/10.1007/978-981-32-9143-0_5.

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Fenwick, Alan, Wendie Norris, and Becky McCall. "Research, training and drug testing in Sudan, 1971-1988." In A tale of a man, a worm and a snail: the schistosomiasis control initiative, 25–41. Wallingford: CABI, 2021. http://dx.doi.org/10.1079/9781786392558.0004.

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Abstract In Sudan, almost every town has a small hospital, described as a 'one-doctor hospital', and traditionally, the newly graduated doctors are assigned to a hospital for two years, where they learned a trade and lived there. The wards are quite sparse in the hospital. While this is good for male graduates, it is not well received by parents of female graduates because Sudanese tradition expects women to marry and give birth in finish their study. To meet the demand for doctors in rural communities, Some changes were needed, and the School of Medicine solved this problem somewhat. problem by limiting consumption to 50% of men and 50% of men. This book chapter describes a physician's experience with schistosomiasis research and testing.
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Mridha, Mannan, and Muhammad Islam. "To improve patient care & safety of rural patients empowering the village doctors." In EMBEC & NBC 2017, 502–5. Singapore: Springer Singapore, 2017. http://dx.doi.org/10.1007/978-981-10-5122-7_126.

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Rezaee, Arman. "Monitoring the Monitors in Punjab, Pakistan." In Introduction to Development Engineering, 513–32. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-86065-3_19.

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AbstractAbsenteeism of government frontline health workers can prevent access to primary care, including outpatient care, pre- and postnatal care, deliveries, and vaccinations. As rates of absenteeism tend to be higher in lower-income areas, this issue has the potential to exacerbate the socioeconomic divide. Specifically in Punjab, Pakistan, government doctors posted to rural health clinics, called Basic Health Units (BHUs), were found to be absent two-thirds of the time. Health inspectors are employed to visit BHUs at least once a month to collect data from a paper-based register located at each BHU and ensure doctors are present. However, absenteeism of the government inspectors causes this system to break down. This case study follows the implementation of the “Monitoring the Monitors” program, which aimed to replace the paper-based record-keeping system with an app-based system that feeds an online dashboard system (for real-time aggregation and presentation of data). Conducting a large-scale randomized controlled trial, inspection rates increased from 25.5% to 51.9% after 6 months. After a year of operation, inspection rates were 33.8% in the treatment districts and 23.5% in control districts. An A/B test was used to measure the effect of a simple flagging system that notified senior health officials when health workers were absent during an inspection and showed an increase in doctor attendance from 23.6% to 41.3%. The government eventually adopted this system (rebranded as HealthWatch), and it is now one of the many apps being used to monitor frontline service providers.
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Reza, Suman, and Quamrul Alam. "Extended social franchising of village doctors for improving quality of health services in the rural areas of Bangladesh." In The Economic Development of Bangladesh in the Asian Century, 225–39. Abingdon, Oxon ; New York, NY : Routledge, 2021. |: Routledge, 2020. http://dx.doi.org/10.4324/9781003088165-15.

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Haque, Md Mahfuzul. "Patient-Doctor Trust at Local Healthcare Centers in Rural Bangladesh." In Policy Response, Local Service Delivery, and Governance in Bangladesh, Nepal, and Sri Lanka, 233–57. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-66018-5_10.

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Tufano, Luigi. "Potere feudale ed élite locale nel Mezzogiorno alla fine del Medioevo. Note sulla contea orsiniana di Nola." In La signoria rurale nell’Italia del tardo medioevo. 3 L’azione politica locale, 201–31. Florence: Firenze University Press, 2021. http://dx.doi.org/10.36253/978-88-5518-427-4.11.

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This paper takes the cue from the sixteenth-century work of the Nolan doctor and humanist, Ambrogio Leone. In it the forms of itself perception by the political and social élite of Nola during the second half of fifteenth century will be examined through their relation with the dinasty of Orsini, lords of Nola from the end of 13th century to 1528.
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Nayak, Shriniwas, Satish Kumar, Dolly Agarwal, and Paras Parikh. "AI-Enabled Personalized Interview Coach in Rural India." In Artificial Intelligence in Education. Posters and Late Breaking Results, Workshops and Tutorials, Industry and Innovation Tracks, Practitioners’ and Doctoral Consortium, 89–93. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-11647-6_15.

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Bosquez, Carlos, and Wilson Valencia. "Telemedicine IoT Prototype “Doctor Pi” for Measuring Elders Vital Signs in Rural Areas of Ecuador." In Lecture Notes in Electrical Engineering, 831–40. Singapore: Springer Nature Singapore, 2022. http://dx.doi.org/10.1007/978-981-19-2281-7_76.

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Puaksom, Davisakd. "Thailand's Rural Doctor Society in the 1970s–80s and Its Struggles to Improve Health in the Countryside." In The Geopolitics of Health in South and Southeast Asia, 98–119. London: Routledge, 2023. http://dx.doi.org/10.4324/9781003332060-5.

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Conference papers on the topic "Rural doctors"

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Plavina, Liana, and Mairis Husca. "Is It Easy to Recruit Young Doctors for Military Service?" In 13th International Scientific Conference "Rural Environment. Education. Personality. (REEP)". Latvia University of Life Sciences and Technologies. Faculty of Engineering. Institute of Education and Home Economics, 2020. http://dx.doi.org/10.22616/reep.2020.051.

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Wang, Jinguo, and Na Wang. "The Relationship Between Economic Development and the Education of Rural Doctors." In International Conference on Education Innovation and Social Science (ICEISS 2017). Paris, France: Atlantis Press, 2017. http://dx.doi.org/10.2991/iceiss-17.2017.6.

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"Study on the Effect and Improvement of Responsibility Service of Rural Family Doctors in China." In 2018 4th International Conference on Education & Training, Management and Humanities Science. Clausius Scientific Press, 2018. http://dx.doi.org/10.23977/etmhs.2018.29128.

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Mittal, Sujata. "Cervical cancer management in Rural India: Are we really living in 21st century or need to focus on health education of our doctors." In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685408.

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Objectives: To study cases of cervical cancer managed/unmanaged in rural India and to analyze the reasons for poor outcome. Methods: This is a retrospective study of 218 cases of cervical cancers between 2008-2013 with resultant outcome in terms of treatment or absence of treatment in spite of diagnosis. Reasons for not taking the treatment have been analyzed. Also, analysis of 21 cases of simple hysterectomy with resultant complications like VVF, RVF has been done. Indications of surgery, operating surgeon, availability of preoperative/postoperative HPR, slides/blocks, discharge summary and disease status at the time of referral was done. Results: 44% refused to take treatment in spite of stage III diagnosis citing financial constraints, distance to be traveled daily for RT and apathetic attitude of family towards females. 20.65% opted for other hospitals. 29.8% took complete treatment. 80% of females were illiterate and dependent. 9.7% had simple hysterectomy for invasive disease. 95% of simple hysterectomies were performed by general surgeons in private setups resulting in 19% of complications like VVF, RVF. 100% cases of simple Hysterectomy did not have pre-operative biopsy. Only 50% cases had post-operative biopsy report and in none of the cases were slide/blocks available for review as trained pathologists were not available. General surgeons who had performed surgery were neither trained in doing P/V examinations nor aware of staging of cervical cancer. Conclusion: Illiteracy, poverty and absence of implementation of cancer control programs are the major hurdles in control of cervical cancer. The study highlights the absence of Government’s will to control cervical cancer in rural India. It emphasizes on the need of intensive training and health education of gynaecologists and surgeons at district/rural level, lack of which is a primary factor for violation of medical ethics by the doctors.
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McGrath, A., M. Prak, A. Reidel, D. Vanna, N. Sopheak, I. Gborie, D. Leng, and C. Turner. "G281(P) Transforming neonatal learning in rural cambodia: design of a comprehensive neonatal training programme for midwives, nurses and doctors in a rural province in cambodia." In Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference and exhibition, 13–15 May 2019, ICC, Birmingham, Paediatrics: pathways to a brighter future. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2019. http://dx.doi.org/10.1136/archdischild-2019-rcpch.273.

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O'Rorke, Shawna, Essie torres, and Alice Richman. "Abstract C91: Understanding practices, perceptions, and likelihood of recommending the HPV vaccine among doctors in rural eastern North Carolina." In Abstracts: Ninth AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; September 25-28, 2016; Fort Lauderdale, FL. American Association for Cancer Research, 2017. http://dx.doi.org/10.1158/1538-7755.disp16-c91.

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Japarova, Damira. "Health System Reform in Kyrgyzstan: Problems and Prospects." In International Conference on Eurasian Economies. Eurasian Economists Association, 2011. http://dx.doi.org/10.36880/c02.00368.

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Today all over the world costs of medical services are growing and alternative ways of effective financing of health care are being researched. During the reforms the Kyrgyz Republic introduced a system of compulsory medical insurance, the institution of family medicine and a "single payer" system. Methods of payment for hospital services flush to an artificial increase in the number of hospitalizations and unnecessary assignment of diagnostic and therapeutic procedures. The main brake of health care reform is underfunding of sector. Improving health care is possible by limiting the free medical care. The replacement of free care by paid services occurs spontaneously, there are abuses and the shadow economy in health care. The Compulsory medical insurance doesn’t have such terms as an accident, insurance risk, and the current model in Kyrgyzstan is not a real model of insurance and serves as a kind of state-funding health care. The most part of the population in rural areas is not involved in the payment of health insurance due to unemployment. Patients pay a fee in addition to medication, and also carry out informal payments to doctors, that is, patient with co-payments have to repeatedly pay for the same medical service without a guarantee of a cure. Taking into account the experience of other countries, the imposition of patient payment for their own care is more just to bringing the patient for his treatment.
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McGrath, Ailbhe, Nicola Smith, Manila Prak, Arthur Riedel, Neary Sopheak, Dary Vanna, Ele Baker, Isata Gborie, Lorn Leouk, and Claudia Turner. "P438 Design of an assessment tool to evaluate neonatal care practice across a rural province in cambodia and subsequent initiation of a comprehensive neonatal training programme for midwives, nurses and doctors." In Faculty of Paediatrics of the Royal College of Physicians of Ireland, 9th Europaediatrics Congress, 13–15 June, Dublin, Ireland 2019. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2019. http://dx.doi.org/10.1136/archdischild-2019-epa.774.

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Liu, Miao, and Wenjun Wang. "Analysis of antibiotic purchasing service design based on SAPAD-AHP method." In 13th International Conference on Applied Human Factors and Ergonomics (AHFE 2022). AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1002124.

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In the medical field, more than half of people will choose antibiotics for self-medication, they believe that antibiotics can be used for illnesses such as colds and fevers, or even for viral infections, which accelerates bacterial immunity to antibiotics. Misuse of antibiotics is not only unhelpful, but can damage the organism in a variety of ways that can lead to drug resistance, drug toxicity and allergic reactions. Worldwide, hundreds of thousands of people die each year due to bacterial resistance. In China, the use of antibiotics is even higher in outpatient and inpatient settings. The misuse of antibiotics poses a serious threat to the effectiveness of their use. In order to raise awareness of the dangers of antibiotic misuse, reduce people's choice of non-essential antibiotic medication, and expand and improve monitoring of health care institutions, this study introduces the SAPAD model and AHP to tap into users' real needs and complete a study of users' service design system for antibiotic drug purchase.The article uses observation method, user interview method and questionnaire method in the early stage to get the process of users' medicine purchase in common flu. Based on the SAPAD model framework, the user behavior is disassembled, and the people and things involved in the drug purchase process are listed to complete the mapping of behavior-object-meaning. The study obtained meaning clusters by clustering analysis of meaning layers, and combined with AHP to calculate the weight of each meaning cluster to derive core meaning clusters. The SAPAD model is a user-centered model framework for solving practical problems, which can start from the user's behavior, analyze, cluster and reorganize the meaning behind the behavior layer by layer, and finally dig into the user's real needs; the AHP method combines qualitative and quantitative analysis, and is highly logical and scientific, which can be applied to this topic The effective combination of SAPAD model and hierarchical analysis can gradually quantify the qualitative analysis and obtain more objective research results, which provides new ideas for the theoretical research framework of service design.This study completes the construction of meaning-based objects through the mapping of core meaning clusters to objects. The research process analyzes the key behaviors of users in purchasing drugs in common influenza, and obtains four semantic level meaning clusters through cluster analysis, namely "want to buy drugs quickly and correctly", "want to fully understand the effects of drugs", "want doctors to provide advice on appropriate medication" and "want to raise awareness of antibiotic medications". The study used AHP to analyze the meaning clusters and calculated the weights of each level to obtain the core meaning clusters of "buy the right medicine quickly", "get the right medication diagnosis", and "understand the effect of the medicine".The study reconstructed the service design system for users to purchase drugs in the process of common influenza through user requirements, summarized the key design elements, and improved the service function modules of online drug purchase and online consultation and advice.This study combines SAPAD model and AHP to design research on the user's antibiotic purchase process. Through the SAPAD model, we deeply study the user behavior, get the mapping of user behavior and meaning, and combine the quantitative research of AHP to get the core meaning cluster "quickly buy the right medicine", "get the right diagnosis of medication" and "understand the effect of medication", which guide the design of the service system of user's medication purchase process and the design of the APP for online medication purchase consultation. The SAPAD-AHP method in this study improved the function of the service system for antibiotic purchase process, and the designed output APP effectively improved the user's knowledge on the cautious use of antibiotics, strengthened the supervision of doctors' prescribing of antibiotics, and provided an effective solution to improve the problem of excessive use of antibacterial drugs in primary care institutions and rural areas.
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Valeeva, Elvira E. "Foreign Language Course For Doctoral Students At Technological University." In Conference on Land Economy and Rural Studies Essentials. European Publisher, 2022. http://dx.doi.org/10.15405/epsbs.2022.02.94.

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Reports on the topic "Rural doctors"

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Gagnon, Marie-Pierre. Should non-physician clinicians versus doctors be used for caesarean section? SUPPORT, 2016. http://dx.doi.org/10.30846/161011.

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Many low-income countries face a shortage of trained medical doctors, especially in rural areas. This situation has detrimental effects on healthcare outcomes for the population. Non-physician clinicians are trained to perform some tasks usually carried out by doctors, including obstetric care. In some countries, non-physician clinicians are authorized to carry out caesarean sections. As their training and salary are lower and their retention is better, these clinicians could offer an alternative to doctors for caesarean section in low-income countries.
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Carnahan, Ryan, Grant Brown, Marianne Smith, Elena Letuchy, Linda Rubenstein, Bryan Gryzlak, Susan Schultz, et al. Evaluating a Training Program for Rural Doctors and Nursing Home Staff on Safe Medicine Use for Patients with Dementia and Nursing Home Residents. Patient-Centered Outcomes Research Institute (PCORI), June 2020. http://dx.doi.org/10.25302/06.2020.cer.1131.

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MacFarlane, Andrew. 2021 medical student essay prize winner - A case of grief. Society for Academic Primary Care, July 2021. http://dx.doi.org/10.37361/medstudessay.2021.1.1.

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As a student undertaking a Longitudinal Integrated Clerkship (LIC)1 based in a GP practice in a rural community in the North of Scotland, I have been lucky to be given responsibility and my own clinic lists. Every day I conduct consultations that change my practice: the challenge of clinically applying the theory I have studied, controlling a consultation and efficiently exploring a patient's problems, empathising with and empowering them to play a part in their own care2 – and most difficult I feel – dealing with the vast amount of uncertainty that medicine, and particularly primary care, presents to both clinician and patient. I initially consulted with a lady in her 60s who attended with her husband, complaining of severe lower back pain who was very difficult to assess due to her pain level. Her husband was understandably concerned about the degree of pain she was in. After assessment and discussion with one of the GPs, we agreed some pain relief and a physio assessment in the next few days would be a practical plan. The patient had one red flag, some leg weakness and numbness, which was her ‘normal’ on account of her multiple sclerosis. At the physio assessment a few days later, the physio felt things were worse and some urgent bloods were ordered, unfortunately finding raised cancer and inflammatory markers. A CT scan of the lung found widespread cancer, a later CT of the head after some developing some acute confusion found brain metastases, and a week and a half after presenting to me, the patient sadly died in hospital. While that was all impactful enough on me, it was the follow-up appointment with the husband who attended on the last triage slot of the evening two weeks later that I found completely altered my understanding of grief and the mourning of a loved one. The husband had asked to speak to a Andrew MacFarlane Year 3 ScotGEM Medical Student 2 doctor just to talk about what had happened to his wife. The GP decided that it would be better if he came into the practice - strictly he probably should have been consulted with over the phone due to coronavirus restrictions - but he was asked what he would prefer and he opted to come in. I sat in on the consultation, I had been helping with any examinations the triage doctor needed and I recognised that this was the husband of the lady I had seen a few weeks earlier. He came in and sat down, head lowered, hands fiddling with the zip on his jacket, trying to find what to say. The GP sat, turned so that they were opposite each other with no desk between them - I was seated off to the side, an onlooker, but acknowledged by the patient with a kind nod when he entered the room. The GP asked gently, “How are you doing?” and roughly 30 seconds passed (a long time in a conversation) before the patient spoke. “I just really miss her…” he whispered with great effort, “I don’t understand how this all happened.” Over the next 45 minutes, he spoke about his wife, how much pain she had been in, the rapid deterioration he witnessed, the cancer being found, and cruelly how she had passed away after he had gone home to get some rest after being by her bedside all day in the hospital. He talked about how they had met, how much he missed her, how empty the house felt without her, and asking himself and us how he was meant to move forward with his life. He had a lot of questions for us, and for himself. Had we missed anything – had he missed anything? The GP really just listened for almost the whole consultation, speaking to him gently, reassuring him that this wasn’t his or anyone’s fault. She stated that this was an awful time for him and that what he was feeling was entirely normal and something we will all universally go through. She emphasised that while it wasn’t helpful at the moment, that things would get better over time.3 He was really glad I was there – having shared a consultation with his wife and I – he thanked me emphatically even though I felt like I hadn’t really helped at all. After some tears, frequent moments of silence and a lot of questions, he left having gotten a lot off his chest. “You just have to listen to people, be there for them as they go through things, and answer their questions as best you can” urged my GP as we discussed the case when the patient left. Almost all family caregivers contact their GP with regards to grief and this consultation really made me realise how important an aspect of my practice it will be in the future.4 It has also made me reflect on the emphasis on undergraduate teaching around ‘breaking bad news’ to patients, but nothing taught about when patients are in the process of grieving further down the line.5 The skill Andrew MacFarlane Year 3 ScotGEM Medical Student 3 required to manage a grieving patient is not one limited to general practice. Patients may grieve the loss of function from acute trauma through to chronic illness in all specialties of medicine - in addition to ‘traditional’ grief from loss of family or friends.6 There wasn’t anything ‘medical’ in the consultation, but I came away from it with a real sense of purpose as to why this career is such a privilege. We look after patients so they can spend as much quality time as they are given with their loved ones, and their loved ones are the ones we care for after they are gone. We as doctors are the constant, and we have to meet patients with compassion at their most difficult times – because it is as much a part of the job as the knowledge and the science – and it is the part of us that patients will remember long after they leave our clinic room. Word Count: 993 words References 1. ScotGEM MBChB - Subjects - University of St Andrews [Internet]. [cited 2021 Mar 27]. Available from: https://www.st-andrews.ac.uk/subjects/medicine/scotgem-mbchb/ 2. Shared decision making in realistic medicine: what works - gov.scot [Internet]. [cited 2021 Mar 27]. Available from: https://www.gov.scot/publications/works-support-promote-shared-decisionmaking-synthesis-recent-evidence/pages/1/ 3. Ghesquiere AR, Patel SR, Kaplan DB, Bruce ML. Primary care providers’ bereavement care practices: Recommendations for research directions. Int J Geriatr Psychiatry. 2014 Dec;29(12):1221–9. 4. Nielsen MK, Christensen K, Neergaard MA, Bidstrup PE, Guldin M-B. Grief symptoms and primary care use: a prospective study of family caregivers. BJGP Open [Internet]. 2020 Aug 1 [cited 2021 Mar 27];4(3). Available from: https://bjgpopen.org/content/4/3/bjgpopen20X101063 5. O’Connor M, Breen LJ. General Practitioners’ experiences of bereavement care and their educational support needs: a qualitative study. BMC Medical Education. 2014 Mar 27;14(1):59. 6. Sikstrom L, Saikaly R, Ferguson G, Mosher PJ, Bonato S, Soklaridis S. Being there: A scoping review of grief support training in medical education. PLOS ONE. 2019 Nov 27;14(11):e0224325.
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