Academic literature on the topic 'Rural health services'

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Journal articles on the topic "Rural health services":

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Mukherjee, Suneeta. "Rural health services." Indian Journal of Pediatrics 58, no. 4 (July 1991): 407–14. http://dx.doi.org/10.1007/bf02750919.

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Perkins, David. "Integrating rural health services." Australian Journal of Rural Health 21, no. 6 (December 2013): 297–98. http://dx.doi.org/10.1111/ajr.12083.

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Purcell, Rachael, and Joe McGirr. "Rural health service managers' perspectives on preparing rural health services for climate change." Australian Journal of Rural Health 26, no. 1 (August 17, 2017): 20–25. http://dx.doi.org/10.1111/ajr.12374.

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Kumar, Anant. "Mental health services in rural India: challenges and prospects." Health 03, no. 12 (2011): 757–61. http://dx.doi.org/10.4236/health.2011.312126.

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Chalifoux, Zona, Jane B. Neese, Kathleen C. Buckwalter, Eugene Litwak, and Ivo L. Abraham. "Mental health services for rural elderly: Innovative service strategies." Community Mental Health Journal 32, no. 5 (October 1996): 463–80. http://dx.doi.org/10.1007/bf02251046.

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Tobin, Margaret J. "Rural Psychiatric Services." Australian & New Zealand Journal of Psychiatry 30, no. 1 (February 1996): 114–23. http://dx.doi.org/10.3109/00048679609076079.

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Objective: The objective was to describe and evaluate a community mental health service developed during 1991–1992 in an attempt to meet the mental illness needs of an isolated rural community. The setting was the Grampians health region in Western Victoria: this region has an area of 45,000 square kilo-metres and a population of 182,000. Method: The method involved firstly describing the evolution of the service delivery model. This comprised a team of travelling psychiatrists and community psychiatric nurses which succeeded in providing a combined inpatient and outpatient service which was integrated with general practitioners. Secondly, diagnostic and case load descriptions of patients receiving service were compared for both the inpatient and outpatient settings. Results: The results were that reduced reliance on inpatient beds and increased consumer satisfaction were achieved. Conclusion: It was concluded that on initial evaluation of the service it was seen to be meeting its objective of treating the seriously mentally ill in an isolated rural community based setting.
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Rohrer, James E., Joyce E. Beaulieu, and David E. Berry. "Rural Health Services: A Management Perspective." Journal of Public Health Policy 16, no. 3 (1995): 376. http://dx.doi.org/10.2307/3342870.

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Berry, David E., and John W. Seavey. "Assuring access to rural health services." Health Care Management Review 19, no. 2 (1994): 32–42. http://dx.doi.org/10.1097/00004010-199421000-00004.

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Mueller, Keith J. "Rural Health Services: A Management Perspective." Journal of Health Politics, Policy and Law 20, no. 4 (1995): 1081–84. http://dx.doi.org/10.1215/03616878-20-4-1081.

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Colon-Rivera, Hector, and Lisa B. Dixon. "Mental Health Services in Rural Areas." Psychiatric Services 71, no. 9 (September 1, 2020): 984–85. http://dx.doi.org/10.1176/appi.ps.71903.

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Dissertations / Theses on the topic "Rural health services":

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Sun, Xiao Ming. "Health access and health financing in rural China." Thesis, Keele University, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.263121.

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Sandbulte, Natalie J. "Rural communities and mental health care." Theological Research Exchange Network (TREN), 2007. http://www.tren.com/search.cfm?p088-0180.

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Beatty, Kate, Michael Meit, Emily Phillips, and Megan Heffernan. "Rural Health Departments: Capacity to Improve Communities' Health." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/6838.

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Local health departments (LHD) serve a critical role in leveraging internal and community assets to improve health and equity in their communities; however, geography is an important factor when understanding LHD capacity and perspective. LHDs serve a critical role in leveraging internal and community assets to improve health and equity in their communities; however, geography is an important factor when understanding LHD capacity and perspective. Data were obtained from the NACCHO 2013 National Profile of Local Health Departments Study. LHDs were coded as “urban”, “micropolitan”, or “rural” based on Rural/Urban Commuting Area codes. Results demonstrate that rural LHDs differed from their urban counterparts. Specifically, rural LHDs relied more heavily on state and federal resources and have less access to local resources making them more sensitive to budget cuts. Rural LHDs also rely more heavily on clinical services as a revenue source. Larger rural LHDs provide more clinical services while urban health departments work more closely with community partners to provide important safety net services. Small rural LHDs have less partners and are unable to provide as many direct services due to their lack of human and financial resources. LHDs residing in urban communities were 16.6 times (95% confidence interval [CI], 5.3-52.3) and micropolitan LHDs were 3.4 times (95% CI, 1.1-11.3) more likely to seek PHAB accreditation than rural LHDs.
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Eastman, Martha Anne. ""All for Health for All": The Local Dynamics of Rural Public Health in Maine, 1885-1950." Fogler Library, University of Maine, 2006. http://www.library.umaine.edu/theses/pdf/EastmanMA2006.pdf.

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Beatty, Kate, Michael Meit, Tyler Carpenter, Amal Khoury, and Paula Masters. "Clinical Service Delivery Disparities along the Urban/Rural Continuum." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/6847.

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background: Rural communities face numerous health disparities related to health behaviors, health outcomes, and access to medical care. LHDs serving rural communities have fewer resources to meet their community needs. The number and types of community organizations (hospitals, health clinics, not-for-profits), available to partner with may be limited geographically. These factors may affect availability of clinical services in rural communities. This study will assess LHD clinical service delivery levels based on rurality. data sets and sources: Data were obtained from the NACCHO 2013 National Profile of Local Health Departments Study. LHDs were coded as “urban”, “micropolitan”, or “rural” based on Rural/Urban Commuting Area (RUCA) Both “micropolitan” and “rural” categories are considered rural by the Federal Office of Rural Health Policy. analysis: Bivariate analysis for 25 clinical services offered by rurality . For each service, we compared the proportions of LHDs that: 1) directly performed, 2) contracted with organizations, and 3) reported that the service was provided independently by organizations in the community. principal findings: Analyses show significant differences in patterns of clinical services offered, contracted or provided by third parties based on rurality. LHDs in micropolitan areas provided more services directly than urban and rural LHDs (p≤0.001). Urban LHDs were more likely to contract with other organizations (p≤0.001). conclusions: Rural LHDs are less likely to offer, contract, or have services provided by another organization in the community, whereas larger rural (i.e., micropolitan) jurisdictions are more likely to directly provide these services. implications for public health practice and policy: Lower levels of clinical service delivery by rural LHDs may contribute to the access issues facing rural communities. Health care reform brings threats and opportunities for LHD clinical service delivery. Further analyses to assess impacts on rural LHDs and identify strategies to ensure access to clinical services is encouraged.
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Yan, Nicole, and 甄錦樺. "Exploring health in China's rural villages: apublic health field exercise." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2011. http://hub.hku.hk/bib/B46943821.

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Morrisey, Karyn Marie. "Access to health care services in rural ireland." Thesis, University of Leeds, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.502767.

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Meit, Michael, Kate E. Beatty, and Megan Heffernan. "Exploring Service Composition and Financing Among Rural LHDs." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/6836.

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Billmeyer, Tina W. "Evaluation of a behavioral health integration program in a rural primary care facility." Huntington, WV : [Marshall University Libraries], 2007. http://www.marshall.edu/etd/descript.asp?ref=755.

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Hale, Nathan, Tamar Klaiman, Kate E. Beatty, and Michael Meit. "Rural Health Departments and Clinical Services: Transition to Whom?" Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/6845.

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Books on the topic "Rural health services":

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United States. Agency for Health Care Policy and Research., ed. Health services research on rural health. Rockville, MD (Executive Center, 2101 E. Jefferson St., Suite 501, Rockville 20852): U.S. Dept. of Health and Human Services, 1992.

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United States. Agency for Health Care Policy and Research, ed. Health services research on rural health. Rockville, Md: Agency for Health Care Policy and Research, 1994.

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T, Coward Raymond, ed. Health services for rural elders. New York: Springer, 1994.

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Crosby, Richard A., Monica L. Wendel, Robin C. Vanderpool, and Baretta R. Casey. Rural populations and health. San Francisco: Jossey-Bass, a Wiley imprint, 2012.

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Harris, Val. Rural inequalities training pack. Thirsk: North Yorkshire Forum for Voluntary Organisations, 1998.

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E, Beaulieu Joyce, and Berry David E, eds. Rural health services: A management perspective. Ann Arbor, Mich: AUPHA Press/Health Administration Press, 1994.

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Papua New Guinea. National Parliament. Permanent Parliamentary Committee on Public Accounts. Parliamentary report on rural health services. Papua New Guinea]: Permanent Parliamentary Committee on Public Accounts, 2011.

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Ralph, Jones L., and Parlour Richard R, eds. Psychiatric services for underserved rural populations. New York: Brunner/Mazel, 1985.

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Jennissen, Therese. Health issues in rural Canada. Ottawa: Library of Parliament, Research Branch, 1993.

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Ali, Osman. Rural health: The way forward. Kota Kinabalu, Sabah: Penerbit Universiti Malaysia Sabah, 2010.

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Book chapters on the topic "Rural health services":

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Levin, Bruce Lubotsky, and Ardis Hanson. "Rural Behavioral Health Services." In Foundations of Behavioral Health, 301–19. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-18435-3_14.

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Levin, Bruce Lubotsky, and Ardis Hanson. "Rural Mental Health Services." In Handbook of Rural Health, 241–56. Boston, MA: Springer US, 2001. http://dx.doi.org/10.1007/978-1-4757-3310-5_14.

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Mulder, Pamela L., Robert Jackson, and Sarah Jarvis. "Services in Rural Areas." In A Public Health Perspective of Women’s Mental Health, 313–33. New York, NY: Springer New York, 2010. http://dx.doi.org/10.1007/978-1-4419-1526-9_16.

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Hu, Yi. "Mobile Medical Services." In Rural Health Care Delivery, 151–55. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-39982-4_14.

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Hu, Yi. "Guidelines for Health Care Services." In Rural Health Care Delivery, 83–96. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-39982-4_9.

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Hu, Yi. "Cooperative Medical Services in Rural Areas." In Rural Health Care Delivery, 157–67. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-39982-4_15.

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Montgomery, Phyllis, Cheryl Forchuk, Carolyne Gorlick, and Rick Csiernik. "12. Rural Women’s Strategies for Seeking Mental Health and Housing Services." In Rural Women's Health, 233–50. Toronto: University of Toronto Press, 2012. http://dx.doi.org/10.3138/9781442662513-014.

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Morrissey, Karyn, Dimitris Ballas, Graham Clarke, Stephen Hynes, and Cathal O’Donoghue. "Spatial Access to Health Services." In Spatial Microsimulation for Rural Policy Analysis, 213–30. Berlin, Heidelberg: Springer Berlin Heidelberg, 2012. http://dx.doi.org/10.1007/978-3-642-30026-4_12.

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Roberts, James E., Meredith E. Thomley, Manoj Sharma, and Vinayak K. Nahar. "Worldwide Rural Dermatology Health Services Research." In Sustainable Development Goals Series, 161–68. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-75984-1_16.

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Hu, Yi. "“China’s Road”: The Cooperative Medical Services as a “Paradigm”." In Rural Health Care Delivery, 169–75. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-39982-4_16.

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Conference papers on the topic "Rural health services":

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Po-Hsun Cheng, Jer-Junn Luh, Ming-Fong Shyu, Heng-Shuen Chen, Sao-Jie Chen, Jin-Shin Lai, and Feipei Lai. "A Healthcare Pattern Collection for Rural Telemedicine Services." In HEALTHCOM 2006 8th International Conference on e-Health Networking, Applications and Services. IEEE, 2006. http://dx.doi.org/10.1109/health.2006.246424.

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MERKYS, Gediminas, Daiva BUBELIENE, and Nijolė ČIUČIULKIENĖ. "SATISFACTION OF RURAL POPULATION WITH PUBLIC SERVICES IN THE REGIONS: ANALYSIS OF EDUCATIONAL INDICATORS." In RURAL DEVELOPMENT. Aleksandras Stulginskis University, 2018. http://dx.doi.org/10.15544/rd.2017.154.

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The key idea of the well-being concept strives to answer the question about how well the needs of people in a society are met in different spheres of social life - the physical, economic, social, educational, environmental, emotional, and spiritual – as well as individuals’ evaluations of their own lives and the way that their society operates (Gilbert, Colley, Roberts, 2016). One of the possible suggestions for answering the question: “How well are the needs of people in a society met?” could be the monitoring of citizen’s satisfaction with public services while applying a standardized questionnaire for population covering 193 primary indicators (health, social security, culture, public transport, utilities, environment, recreation and sport, public communication, education, etc). Even 23 indicators are about education that makes educational services a considerable part of all social service system. As the researchers aimed to analyze satisfaction of rural population with public services stressing the education issue, indicators about education dominated in the survey. The data were collected in 2016 - 2017 in 2 regional municipalities: municipalities: Jonava and Radviliskis (N=2368). The results of the analysis demonstrate that rural residents' satisfaction with formal general education services is relatively high. The only negative exception is the "the placement of a child in a pre-school institution based on the place of residence". Furthermore, rural residents poorly evaluated educational services that are related to non-formal education, adult education, the education of children with disabilities, child safety, meaningful xtracurricular activities of children and young people during all day, preventive programs. These major conclusions let the researchers state that local self-governmental institutions are not capable to cope with the quality challenges of some educational services without special intervention policy of the central government and the EU responsible structural units. A negative impact is also reinforced by a rapidly deteriorating demographic situation in Lithuanian rural areas.
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Shuliang, Zhao. "Health Services Workforce in Rural China: Baseline Description." In 2014 International Conference on Public Management (ICPM-2014). Paris, France: Atlantis Press, 2014. http://dx.doi.org/10.2991/icpm-14.2014.56.

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Venkateswarlu, D. S., K. S. Verma, and K. S. R. A. Murthy. "e Health networking to cater to Rural Health Care and Health Care for the Aged." In 2007 9th International Conference on e-Health Networking, Application and Services. IEEE, 2007. http://dx.doi.org/10.1109/health.2007.381649.

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Montalban, Joselito M., and Alvin B. Marcelo. "Information and communications technology needs assessment of Philippine rural health physicians." In 2008 10th International Conference on e-health Networking, Applications and Services (Healthcom). IEEE, 2008. http://dx.doi.org/10.1109/health.2008.4600123.

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Masi, Massimiliano, Rosario Pugliese, and Francesco Tiezzi. "A standard-driven communication protocol for disconnected clinics in rural areas." In 2011 IEEE 13th International Conference on e-Health Networking, Applications and Services (Healthcom 2011). IEEE, 2011. http://dx.doi.org/10.1109/health.2011.6026770.

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Nedelcheva, Nataliya. "HEALTH AND REGIONAL ECONOMIC DEVELOPMENT." In AGRIBUSINESS AND RURAL AREAS - ECONOMY, INNOVATION AND GROWTH 2021. University publishing house "Science and Economics", University of Economics - Varna, 2021. http://dx.doi.org/10.36997/ara2021.238.

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Maintaining a level of health services and creating conditions for sustainable development is a mandatory societal and ethical imperative, given the multifaceted and multi-layered influence. The thesis of the study is that the quality of health services and the resource potential of the regions can be used as an opportunity to bring the economy of the regions to life and improve the quality of life in them. The aim of the report is to reflect the link between the level of health and the development of the economy of the regions. To this end, the report draws attention to how improving the quality of health services and the high-tech health process can affect the region's economy and use health tourism as a tool for regional economic development and quality of life improvement.
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Quraishy, Z. B. "Revolutionalizing Rural Health Care Delivery Using Improved Health Information Systems - A Case from Indian Scenario." In HEALTHCOM 2006 8th International Conference on e-Health Networking, Applications and Services. IEEE, 2006. http://dx.doi.org/10.1109/health.2006.246425.

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Essien, Eyo E., and Edem E. Williams. "E-health services in rural communities in the developing countries." In Technology (ICAST). IEEE, 2009. http://dx.doi.org/10.1109/icastech.2009.5409722.

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Mostafa, Raqibul, G. M. A. Ehsanur Rahman, Gazi Mehedi Hasan, Alomgir Kabir, Atiqur Rahman, and Sanjid Ashik. "Proposed deployments to provide E-healthcare in Bangladesh: Urban and rural perspectives." In 2010 12th IEEE International Conference on e-Health Networking, Applications and Services (Healthcom 2010). IEEE, 2010. http://dx.doi.org/10.1109/health.2010.5556542.

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Reports on the topic "Rural health services":

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Mendoza, Irma, and Ricardo Vernon. Promoting reproductive health services in rural communities in Honduras. Population Council, 2001. http://dx.doi.org/10.31899/rh4.1160.

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Totten, Annette, Dana M. Womack, Marian S. McDonagh, Cynthia Davis-O’Reilly, Jessica C. Griffin, Ian Blazina, Sara Grusing, and Nancy Elder. Improving Rural Health Through Telehealth-Guided Provider-to-Provider Communication. Agency for Healthcare Research and Quality, December 2022. http://dx.doi.org/10.23970/ahrqepccer254.

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Objectives. To assess the use, effectiveness, and implementation of telehealth-supported provider-to-provider communication and collaboration for the provision of healthcare services to rural populations and to inform a scientific workshop convened by the National Institutes of Health Office of Disease Prevention on October 12–14, 2021. Data sources. We conducted a comprehensive literature search of Ovid MEDLINE®, CINAHL®, Embase®, and Cochrane CENTRAL. We searched for articles published from January 1, 2015, to October 12, 2021, to identify data on use of rural provider-to-provider telehealth (Key Question 1) and the same databases for articles published January 1, 2010, to October 12, 2021, for studies of effectiveness and implementation (Key Questions 2 and 3) and to identify methodological weaknesses in the research (Key Question 4). Additional sources were identified through reference lists, stakeholder suggestions, and responses to a Federal Register notice. Review methods. Our methods followed the Agency for Healthcare Research and Quality Methods Guide (available at https://effectivehealthcare.ahrq.gov/topics/cer-methods-guide/overview) and the PRISMA reporting guidelines. We used predefined criteria and dual review of abstracts and full-text articles to identify research results on (1) regional or national use, (2) effectiveness, (3) barriers and facilitators to implementation, and (4) methodological weakness in studies of provider-to-provider telehealth for rural populations. We assessed the risk of bias of the effectiveness studies using criteria specific to the different study designs and evaluated strength of evidence (SOE) for studies of similar telehealth interventions with similar outcomes. We categorized barriers and facilitators to implementation using the Consolidated Framework for Implementation Research (CFIR) and summarized methodological weaknesses of studies. Results. We included 166 studies reported in 179 publications. Studies on the degree of uptake of provider-to-provider telehealth were limited to specific clinical uses (pharmacy, psychiatry, emergency care, and stroke management) in seven studies using national or regional surveys and claims data. They reported variability across States and regions, but increasing uptake over time. Ninety-seven studies (20 trials and 77 observational studies) evaluated the effectiveness of provider-to-provider telehealth in rural settings, finding that there may be similar rates of transfers and lengths of stay with telehealth for inpatient consultations; similar mortality rates for remote intensive care unit care; similar clinical outcomes and transfer rates for neonates; improvements in medication adherence and treatment response in outpatient care for depression; improvements in some clinical monitoring measures for diabetes with endocrinology or pharmacy outpatient consultations; similar mortality or time to treatment when used to support emergency assessment and management of stroke, heart attack, or chest pain at rural hospitals; and similar rates of appropriate versus inappropriate transfers of critical care and trauma patients with specialist telehealth consultations for rural emergency departments (SOE: low). Studies of telehealth for education and mentoring of rural healthcare providers may result in intended changes in provider behavior and increases in provider knowledge, confidence, and self-efficacy (SOE: low). Patient outcomes were not frequently reported for telehealth provider education, but two studies reported improvement (SOE: low). Evidence for telehealth interventions for other clinical uses and outcomes was insufficient. We identified 67 program evaluations and qualitative studies that identified barriers and facilitators to rural provider-to-provider telehealth. Success was linked to well-functioning technology; sufficient resources, including time, staff, leadership, and equipment; and adequate payment or reimbursement. Some considerations may be unique to implementation of provider-to-provider telehealth in rural areas. These include the need for consultants to better understand the rural context; regional initiatives that pool resources among rural organizations that may not be able to support telehealth individually; and programs that can support care for infrequent as well as frequent clinical situations in rural practices. An assessment of methodological weaknesses found that studies were limited by less rigorous study designs, small sample sizes, and lack of analyses that address risks for bias. A key weakness was that studies did not assess or attempt to adjust for the risk that temporal changes may impact the results in studies that compared outcomes before and after telehealth implementation. Conclusions. While the evidence base is limited, what is available suggests that telehealth supporting provider-to-provider communications and collaboration may be beneficial. Telehealth studies report better patient outcomes in some clinical scenarios (e.g., outpatient care for depression or diabetes, education/mentoring) where telehealth interventions increase access to expertise and high-quality care. In other applications (e.g., inpatient care, emergency care), telehealth results in patient outcomes that are similar to usual care, which may be interpreted as a benefit when the purpose of telehealth is to make equivalent services available locally to rural residents. Most barriers to implementation are common to practice change efforts. Methodological weaknesses stem from weaker study designs, such as before-after studies, and small numbers of participants. The rapid increase in the use of telehealth in response to the Coronavirus disease 2019 (COVID-19) pandemic is likely to produce more data and offer opportunities for more rigorous studies.
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Reddy, P. H. A qualitative study of quality of care in rural Karnataka. Population Council, 1995. http://dx.doi.org/10.31899/rh1995.1018.

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The Third Five-Year Plan (1961–66) aimed at reducing the crude birth rate in India to 25 per 1,000 population by 1973, however this goal has not been achieved. Several other demographic goals were set later, to be achieved by specified years, but they were deferred or revised. One major reason for the failure to achieve these goals was thought to be the lack of adequate infrastructural facilities for the family welfare program, thus it was decided to improve the institution–population ratio. The primary objective of this study is to assess the quality of interaction between clients and providers, and the quality of family welfare services. More specifically, the study examines how family welfare program personnel interact with clients in a given setting, the quality of interaction, how frequently such interaction takes place, the provider's view of, and satisfaction with, the information and quality of family welfare services provided, and the client's view of, and satisfaction with, the information and quality of family welfare services received. The focus of the investigation is on the family welfare program—the maternal and child health and family planning programs.
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Shey Wiysonge, Charles. Which outreach strategies increase health insurance coverage for vulnerable populations? SUPPORT, 2016. http://dx.doi.org/10.30846/1608142.

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Health insurance refers to a health financing mechanism that involves the pooling of eligible, individual contributions in order to cover all or part of the cost of certain health services for all those who are insured. Health insurance scheme coverage in low-income countries is low, especially among vulnerable populations such as children, the elderly, women, low-income individuals, rural population, racial or ethnic minorities, immigrants, informal sector workers, and people with disability or chronic diseases. Consequently, thousands of vulnerable people suffer and die from preventable and treatable diseases in these settings.
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Robinson, Andy. Monitoring and Evaluation for Rural Sanitation and Hygiene: Framework. Institute of Development Studies (IDS), December 2021. http://dx.doi.org/10.19088/slh.2021.027.

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The monitoring and evaluation (M&E) Guidelines and Framework presented in this document (and in the accompanying M&E Indicator Framework) aim to encourage stakeholders in the rural sanitation and hygiene sector to take a more comprehensive, comparable and people focused approach to monitoring and evaluation. Many M&E frameworks currently reflect the interests and ambitions of particular implementing agencies – that is, community-led total sanitation (CLTS) interventions focused on open-defecation free (ODF) outcomes in triggered communities; market-based sanitation interventions focused on the number of products sold and whether sanitation businesses were profitable; and sanitation finance interventions reporting the number of facilities built using financial support. Few M&E frameworks have been designed to examine the overall sanitation and hygiene situation – to assess how interventions have affected sanitation and hygiene outcomes across an entire area (rather than just in specific target communities); to look at who (from the overall population) benefitted from the intervention, and who did not; to report on the level and quality of service used; or examine whether public health has improved. Since 2015, the Sustainable Development Goals (SDGs) have extended and deepened the international monitoring requirements for sanitation and hygiene. The 2030 SDG sanitation target 6.2 includes requirements to: • Achieve access to adequate sanitation and hygiene for all • Achieve access to equitable sanitation and hygiene for all • End open defecation • Pay special attention to the needs of women and girls • Pay special attention to those in vulnerable situations The 2030 SDG sanitation target calls for universal use of basic sanitation services, and for the elimination of open defecation, both of which require M&E systems that cover entire administration areas (i.e. every person and community within a district) and which are able to identify people and groups that lack services, or continue unsafe practices. Fortunately, the SDG requirements are well aligned with the sector trend towards system strengthening, in recognition that governments are responsible both for the provision of sustainable services and for monitoring the achievement of sustained outcomes. This document provides guidelines on the monitoring and evaluation of rural sanitation and hygiene, and presents an M&E framework that outlines core elements and features for reporting on progress towards the 2030 SDG sanitation target (and related national goals and targets for rural sanitation and hygiene), while also encouraging learning and accountability. Given wide variations in the ambition, capacity and resources available for monitoring and evaluation, it is apparent that not all of the M&E processes and indicators described will be appropriate for all stakeholders. The intention is to provide guidelines and details on useful and progressive approaches to monitoring rural sanitation and hygiene, from which a range of rural sanitation and hygiene duty bearers and practitioners – including governments, implementation agencies, development partners and service providers – can select and use those most appropriate to their needs. Eventually, it is hoped that all of the more progressive M&E elements and features will become standard, and be incorporated in all sector monitoring systems.
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Robinson, Andy. Monitoring and Evaluation for Rural Sanitation and Hygiene: Framework. Institute of Development Studies (IDS), December 2021. http://dx.doi.org/10.19088/slh.2021.025.

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APA, Harvard, Vancouver, ISO, and other styles
Abstract:
The monitoring and evaluation (M&E) Guidelines and Framework presented in this document (and in the accompanying M&E Indicator Framework) aim to encourage stakeholders in the rural sanitation and hygiene sector to take a more comprehensive, comparable and people focused approach to monitoring and evaluation. Many M&E frameworks currently reflect the interests and ambitions of particular implementing agencies – that is, community-led total sanitation (CLTS) interventions focused on open-defecation free (ODF) outcomes in triggered communities; market-based sanitation interventions focused on the number of products sold and whether sanitation businesses were profitable; and sanitation finance interventions reporting the number of facilities built using financial support. Few M&E frameworks have been designed to examine the overall sanitation and hygiene situation – to assess how interventions have affected sanitation and hygiene outcomes across an entire area (rather than just in specific target communities); to look at who (from the overall population) benefitted from the intervention, and who did not; to report on the level and quality of service used; or examine whether public health has improved. Since 2015, the Sustainable Development Goals (SDGs) have extended and deepened the international monitoring requirements for sanitation and hygiene. The 2030 SDG sanitation target 6.2 includes requirements to: • Achieve access to adequate sanitation and hygiene for all • Achieve access to equitable sanitation and hygiene for all • End open defecation • Pay special attention to the needs of women and girls • Pay special attention to those in vulnerable situations The 2030 SDG sanitation target calls for universal use of basic sanitation services, and for the elimination of open defecation, both of which require M&E systems that cover entire administration areas (i.e. every person and community within a district) and which are able to identify people and groups that lack services, or continue unsafe practices. Fortunately, the SDG requirements are well aligned with the sector trend towards system strengthening, in recognition that governments are responsible both for the provision of sustainable services and for monitoring the achievement of sustained outcomes. This document provides guidelines on the monitoring and evaluation of rural sanitation and hygiene, and presents an M&E framework that outlines core elements and features for reporting on progress towards the 2030 SDG sanitation target (and related national goals and targets for rural sanitation and hygiene), while also encouraging learning and accountability. Given wide variations in the ambition, capacity and resources available for monitoring and evaluation, it is apparent that not all of the M&E processes and indicators described will be appropriate for all stakeholders. The intention is to provide guidelines and details on useful and progressive approaches to monitoring rural sanitation and hygiene, from which a range of rural sanitation and hygiene duty bearers and practitioners – including governments, implementation agencies, development partners and service providers – can select and use those most appropriate to their needs. Eventually, it is hoped that all of the more progressive M&E elements and features will become standard, and be incorporated in all sector monitoring systems.
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Svynarenko, Radion, Guoping Huang, Theresa L. Profant, and Lisa C. Lindley. Effectiveness of End-of-Life Strategies to Improve Health Outcomes and Reduce Disparities in Rural Appalachia: An Analytic Codebook. Pediatric End-of-Life (PedEOL) Care Research Group, College of Nursing, University of Tennessee, Knoxville, 2023. http://dx.doi.org/10.7290/n89xhm.

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Appalachia is one of the most medically underserved areas in the nation. The region has provider shortages and limited healthcare infrastructure. Children and adolescents in this area are in poor health and do not receive the needed quality care. Implementation of section 2302 of the 2010 Patient Protection and Affordable Care Act (ACA) enabled children enrolled in Medicaid/Children's Health Insurance Program with a terminal illness to use hospice care while continuing treatment for their terminal illness. In addition to being more comprehensive than standard hospice care, this relatively new type of care is more culturally congruent with the end-of-life values of rural Appalachian families, who often view standard hospice as hastening death. The overall goal of this project was to investigate access to pediatric concurrent hospice care in Appalachia. Our central hypothesis was that concurrent care reduces rural/urban disparities in access to hospice care. Data from the Centers for Medicare and Medicaid Services (CMS) used in this project was used and included 1,788 children who resided in the Appalachian region– from January 1, 2011, to December 31, 2013. Observations with missing birth dates, death dates, and participants older than 21 years were removed from the final sample. Geographic Information Systems (GIS) databases were created to map the boundaries of the Appalachian region, hospice locations, and driving times to them.
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Matenga, Chrispin, and Munguzwe Hichaambwa. A Multi-Phase Assessment of the Effects of COVID-19 on Food Systems and Rural Livelihoods in Zambia. Institute of Development Studies (IDS), December 2021. http://dx.doi.org/10.19088/apra.2021.039.

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COVID-19 was declared a pandemic by the World Health Organization in March 2020. The speed with which the pandemic spread geographically, and the high rate of mortality of its victims prompted many countries around the world to institute ‘lockdowns’ of various sorts to contain it. While the global concern in the early months following the emergence of COVID-19 was with health impacts, the ‘lockdown’ measures put in place by governments triggered global socioeconomic shocks as economies entered recessions due to disruption of economic activity that the ‘lockdown’ measures entailed. Data suggests that the socioeconomic shocks arising from ‘lockdowns’ have been more severe in sub-Saharan Africa countries, generating dire livelihood consequences for most citizens who depend on the informal economy for survival. In Zambia, the effects of COVID-19 combined with a severe drought, and a decline in mining activity to contribute to a downward spiral in Zambia’s economy. This report aims to gain real-time insights into how the COVID-19 crisis was unfolding in Zambia and how rural people and food and livelihood systems were responding. The study focused on documenting and understanding the differential impacts of the pandemic at the household level in terms of changes in participation in farming activities, availability of services for agricultural production, labour and employment, marketing and transport services, food and nutrition security and poverty and wellbeing.
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Dudley, Lilian D. Do maternity waiting homes improve maternal and neonatal outcomes in low-resource settings? SUPPORT, 2011. http://dx.doi.org/10.30846/110509.

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The poor utilisation of maternal health services and antenatal care by women living in rural areas has been associated with high maternal and neonatal mortality. Maternity waiting homes have been advocated as a way of overcoming geographical barriers in such settings and improving access to care and maternal and neonatal outcomes.
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Hoang, Tu Anh, Pauline Oosterhoff, Lan Anh Le, and Phuong Nga Dinh. Equitable Access and Public Attitudes to Vaccination for Internal Migrants in Vietnam. Institute of Development Studies, February 2023. http://dx.doi.org/10.19088/ids.2023.011.

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This mixed methods participatory study explores equity and fairness in access to Vietnam’s Covid-19 vaccination programme, when the Covid-19 vaccine was scarce, with a focus on internal migrant workers. At the beginning of the pandemic large numbers of Vietnamese migrants from rural areas lost their jobs. Migrants are vital to the Vietnamese economy. Many factories that produce goods for export employ internal migrants. Before the pandemic, these workers faced inequalities of access to available health services and nutritious food. Although the Vietnamese state aspires to universal access to health, internal migrant workers living outside their village do not have long-term household book registration, which is the key to access many public services including health care and prevention. We found that migrant workers, especially those working in the export zones where factories produce for export, did have access to vaccination. However, there are intersectional inequalities between internal migrants based on other characteristics such as (dis)ability.

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