Bibliografie tematiche / Rural and remote health

Letteratura scientifica selezionata sul tema "Rural and remote health"

Autore: Grafiati
Pubblicato: 4 giugno 2021
Ultima modifica: 20 febbraio 2023

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Articoli di riviste sul tema "Rural and remote health"

1

Wakerman, John, John S. Humphreys, Robert W. Wells, Pim Kuipers, Philip Entwistle e Judith Jones. "Improving rural and remote health". Medical Journal of Australia 186, n. 9 (maggio 2007): 486. http://dx.doi.org/10.5694/j.1326-5377.2007.tb01014.x.

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Gregory, Gordon. "Progressing rural and remote health research". Australian Journal of Rural Health 18, n. 4 (2 agosto 2010): 134–36. http://dx.doi.org/10.1111/j.1440-1584.2010.01144.x.

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Munjal, Naveen Kuma, e Shiv Ratan Singh. "REMOTE HEALTH MONITORING SYSTEM FOR RURAL AREAS". International Journal of Technical Research & Science 5, n. 6 (15 giugno 2020): 1–7. http://dx.doi.org/10.30780/ijtrs.v05.i06.001.

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Wakerman, John. "Rural and remote health: a progress report". Medical Journal of Australia 202, n. 9 (maggio 2015): 461–62. http://dx.doi.org/10.5694/mja15.00398.

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5

Clark, Steve. "Networking rural and remote communities for health". Journal of Telemedicine and Telecare 2, n. 1 (2 marzo 1996): 95–98. http://dx.doi.org/10.1258/1357633961929448.

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6

Godden, DJ, e HM Richards. "Health Research in Remote and Rural Scotland". Scottish Medical Journal 48, n. 1 (febbraio 2003): 10–12. http://dx.doi.org/10.1177/003693300304800103.

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Togno, John, e Joe Hovel. "RURAL AND REMOTE INFORMATION TECHNOLOGIES". Australian Journal of Rural Health 3, n. 2 (maggio 1995): 93. http://dx.doi.org/10.1111/j.1440-1584.1995.tb00157.x.

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8

Maute, Manfred F., e Julia Richardson. "Rural and Remote Health Care in Canada: Rural and Urban Perspectives". International Journal of Knowledge, Culture, and Change Management: Annual Review 6, n. 10 (2007): 81–88. http://dx.doi.org/10.18848/1447-9524/cgp/v06i10/50289.

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Nicholson, Laura Anne. "Rural mental health". Advances in Psychiatric Treatment 14, n. 4 (luglio 2008): 302–11. http://dx.doi.org/10.1192/apt.bp.107.005009.

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A significant proportion of people live and work in rural areas, and rural mental health is important wherever psychiatry is practised. There are inherent difficulties in conducting rural research, due in part to the lack of an agreed definition of rurality. Mental health is probably better in rural areas, with the exception of suicide, which remains highest in male rural residents. A number of aspects of rural life (such as the rural community, social networks, problems with access, and social exclusion) may all have particular implications for people with mental health problems. Further issues such as the effect of rural culture on help-seeking for mental illness, anonymity in small rural communities and stigma may further affect the recognition, treatment and maintenance of mental health problems for people in rural areas. Providing mental health services to remote and rural locations may be challenging.
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Gregory, Gordon N. F. "The 4th Rural and Remote Health Scientific Symposium". Medical Journal of Australia 201, n. 10 (novembre 2014): 570. http://dx.doi.org/10.5694/mja14.01280.

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Tesi sul tema "Rural and remote health"

1

Porter, Suzette Adela Tindal. "Dental effectiveness in rural and remote Queensland". Thesis, Queensland University of Technology, 2000. https://eprints.qut.edu.au/35843/1/35843_Digitised%20Thesis.pdf.

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This research was stimulated by the knowledge that dental services to rural and remote consumers in Australia are unpredictable and will remain so into the future. Rural and remote consumers are disadvantaged in their access to dental services due to distance, scarcity of dentists, lack of choice· and variable quality of treatment and facilities. Nonetheless, it is clear that some rural and remote consumers are able to achieve sound oral health. This study examined these dental consumers in order to identify characteristics which may contribute to their success. Providing appropriate and adequate dental services to rural and remote towns is predicted to become more difficult and require greater travel due to both a reduction in the number of dentists and a smaller population base. Encouraging rural residents to become more effective as dental consumers may result in improved preventive practices, more positive attitudes to oral health and better dental status. Dental effectiveness is improved when the dentist-patient relationship is sound and when there is a source of routine and continuing dental care, features which should form part of public health policies and training of rural dentists.
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2

Prior, Maria E. "Added-value roles and remote communities an exploration of the contribution of health services to remote communities and of a method for measuring the contribution of institutions and individuals to community stocks of capital /". Thesis, Available from the University of Aberdeen Library and Historic Collections Digital Resources, 2009. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?application=DIGITOOL-3&owner=resourcediscovery&custom_att_2=simple_viewer&pid=33408.

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Johnston, Catherine. "Improving access to pulmonary rehabilitation in rural and remote Australia". Thesis, The University of Sydney, 2014. http://hdl.handle.net/2123/11738.

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Pulmonary rehabilitation, consisting of exercise training and education, is one of the most effective strategies for improving the health outcomes of people with chronic obstructive pulmonary disease (COPD) and reducing associated healthcare costs. Prior to the work presented in this thesis a description of the structure and content of pulmonary rehabilitation programs in Australia had not been published. In addition, whether existing programs met Australian recommendations for practice such as those contained in the Pulmonary Rehabilitation Toolkit, was unknown. Despite the significant benefits for both individuals with COPD and the community, access to pulmonary rehabilitation is limited, particularly for those in rural and remote regions. A lack of adequately trained healthcare professionals may contribute to difficulties with establishing and maintaining pulmonary rehabilitation. However, the effect of healthcare professional training on the availability of pulmonary rehabilitation had not been previously investigated. There were no published reports documenting existing knowledge and skill levels, evaluating training strategies to up-skill rural/remote healthcare professionals or evaluating the impact of such training on the delivery of pulmonary rehabilitation. The aims of the studies presented in this thesis were to: describe the current provision of pulmonary rehabilitation in Australia and the alignment of these pulmonary rehabilitation programs with evidence-based recommendations; determine the level of knowledge and skills of rural and remote healthcare professionals in the management of people with chronic lung disease; investigate the ability of an educational training program for healthcare professionals to improve knowledge and confidence and improve the availability and delivery of pulmonary rehabilitation in rural and remote regions and explore the attitudes, opinions and concerns of healthcare professionals regarding the delivery of pulmonary rehabilitation. The first study (Chapter 2) was a cross sectional, observational study using a purpose designed anonymous paper-based survey. The national database of pulmonary rehabilitation programs, maintained by Lung Foundation Australia (LFA), was used to identify known programs in all states and territories of Australia. All pulmonary rehabilitation programs listed on the database at that time were included (n=193). Healthcare professionals who coordinated pulmonary rehabilitation were invited to participate. This study had a response rate of 83% (n=163) and all states and territories in Australia were represented. The responses enabled the structure and content of Australian pulmonary rehabilitation programs to be elucidated. Most Australian pulmonary rehabilitation programs broadly met recommendations for practice contained in the Pulmonary Rehabilitation Toolkit in terms of included components (exercise training and education), program length, patient assessment and exercise training (duration, frequency and mode). Many respondents were not aware of major evidence-based practice guidelines (including the Pulmonary Rehabilitation Toolkit). Interestingly, despite not being aware of guidelines, most respondents indicated that they perceived a gap between current evidence and their practice in terms of exercise prescription and training. The studies presented in Chapters 4-7 were undertaken as individual components of a mixed methods study to evaluate the impact of the Breathe Easy Walk Easy (BEWE) program on healthcare professional knowledge and confidence, service delivery and patient outcomes in rural and remote Australian regions. The BEWE program was an interactive education and training program related to providing components of assessment and management (in particular pulmonary rehabilitation) for people with chronic respiratory disease. The BEWE program consisted of a training workshop, access to online resources, provision of community awareness-raising materials and ongoing telephone/email support. Details of the development of the BEWE program are presented in Chapter 1. Further information regarding the content and structure of the BEWE program along with relevant methods for the studies contained in Chapters 4-7, are presented in Chapter 3. The evaluation process was conducted by a researcher (the PhD candidate) who was independent of the development and delivery of the BEWE program. The study presented in Chapter 4 was a descriptive cross-sectional, observational survey design using a written anonymous questionnaire. Participants were healthcare professionals (n=31) who registered to attend the BEWE program initial workshop in either one rural or one remote Australian region. The main outcomes were participant attitudes, objective knowledge (case vignette-based) and self-rated experience, training, and levels of confidence. Participants were from a variety of professional backgrounds (allied health, medical, nursing) but were predominantly nurses (n=13) or physiotherapists (n=9). The main findings of this study were that that rural and remote healthcare professionals had low levels of experience, training, knowledge and confidence in providing components of management for people with COPD. Most participants reported that they had minimal or no experience or training in this area of practice. The scores in the measured knowledge quiz were generally poor, with mean knowledge score (number of correct answers out of 19) being 8.5 (SD=4.5). There were higher numbers of correct responses for questions relating to COPD disease pathophysiology and diagnosis than for questions relating specifically to pulmonary rehabilitation. In addition, most participants reported particularly low confidence in the delivery of pulmonary rehabilitation. Based on the findings of the study, the need for an education and training program for rural and remote healthcare professionals in the evidence-based management of people with COPD with an emphasis on pulmonary rehabilitation was evident. The effects of the delivery of an education and training program on healthcare professional knowledge and confidence in the management of people with COPD and on the availability of pulmonary rehabilitation were investigated and are presented in Chapter 5. This study was a quasi-experimental, before and after repeated measures design. Healthcare professionals (n=33) from various backgrounds who participated in the BEWE program were eligible to participate. The BEWE program was delivered in one rural and one remote region. Participant knowledge, confidence and attitudes were assessed via anonymous written questionnaire before, immediately after and at three and 12 months following the BEWE workshop. Participation in the BEWE program resulted in significant improvements in participants’ self-rated knowledge and confidence immediately after the workshop, and at three and 12 month follow-up. Measured knowledge (case vignette score out of 19) improved significantly immediately after the workshop compared to before (mean difference 7.6 correct answers, 95% CI 5.8 to 9.3). At 12-month follow-up, three locally run pulmonary rehabilitation programs had been established in participating regions. The availability of pulmonary rehabilitation following delivery of the BEWE program, as well as patient outcomes and the factors contributing to the change in service delivery were further explored and results are presented in Chapter 6. Data were collected regarding the provision of pulmonary rehabilitation services before and after delivery of the BEWE program and patient outcomes (six-minute walk test and health related quality of life) before and after pulmonary rehabilitation. Pulmonary rehabilitation was not available in any of the participating sites before the BEWE program. At 12-month follow-up three sites had established locally-run pulmonary rehabilitation programs which had a structure and content broadly meeting Australian practice recommendations for pulmonary rehabilitation. Initial patient outcome data for the six-minute walk test and the St George’s Respiratory Questionnaire demonstrated evidence of the effectiveness of these pulmonary rehabilitation programs in improving functional exercise capacity and health related quality of life. Providing targeted specific training, the retention of key staff and strong local healthcare organisational support were important factors which contributed to the successful establishment of pulmonary rehabilitation. A study involving interviews with key healthcare professionals involved in the delivery of pulmonary rehabilitation in rural and remote regions was conducted and is presented in Chapter 7. Those healthcare professionals who participated in the BEWE program and who were identified as key informants, were invited to participate in semi-structured interviews. The purpose of the interviews was to gain a deeper understanding of the participants’ attitudes and opinions regarding developing, establishing and delivering pulmonary rehabilitation in rural and remote regions. This study was designed to add perspective to the quantitative data rather than to inform the design of the evaluation process. Interviews occurred at three and 12 months following the BEWE workshop in the remote region and at 12 months following the BEWE workshop in the rural region. Interviews were recorded and transcribed verbatim. A process of thematic analysis was used to analyse the transcripts. Healthcare professional staffing levels, time and case load constraints, knowledge and confidence, ensuring sustainability, individual and community attitudes, and practical issues related to the setting, structure and content of pulmonary rehabilitation were identified as the main concerns of informants. The results of this study indicate that dedicated funding to support additional healthcare professional staffing and to assist with providing specific education and training may facilitate the availability and delivery of pulmonary rehabilitation in rural and remote regions. The body of work contained in this thesis has contributed to a greater knowledge of the practice and availability of pulmonary rehabilitation in the Australian rural and remote context and has provided evidence that the provision of a training program for healthcare professionals can facilitate the delivery of effective pulmonary rehabilitation in rural and remote Australian regions.
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Nimegeer, Amy. "Considering community engagement for remote and rural healthcare design in Scotland : exploring the journey from rhetoric to reality". Thesis, University of the Highlands and Islands, 2013. https://pure.uhi.ac.uk/portal/en/studentthesis/considering-community-engagement-for-remote-and-rural-healthcare-design-in-scotland(9418ba56-720c-41b6-b97f-f345cfad0ffa).html.

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The way healthcare services are delivered in remote and rural Scottish communities is in a state of reconfiguration. At the same time the NHS faces pressure to plan these new services in partnership with communities themselves. Evidence, however, suggests that this is not necessarily being done well. This study considered the contextual aspects of remote and rural Scottish communities that may impact on healthcare-related engagement, and examined current understanding of what constitutes a ‘good’ engagement process. It then went on to consider a two-year action research project (RSF) that took place in four remote and rural Scottish communities to engage local residents in an anticipatory process co-designing their own future healthcare services. Finally, this study examined ways in which individuals were able to wield power within the engagement described in the RSF project, by using a combination of participant observation and Foucauldian Discourse Analysis. As well as making a number of practical recommendations for future engagement practice in a remote and rural context, this study makes three key contributions. Firstly, it contributes further contextual knowledge about the challenges of engaging with remote and rural Scottish communities for local healthcare service design; a topic about which little has been written. Secondly, it contributes a novel method for anticipatory healthcare budgeting aimed at a remote and rural Scottish context, namely the RSF Game. Thirdly, it draws the conclusion that individual (non-elite) community members have the ability to use French and Raven’s bases of social power to impact the engagement process at all stages, and also posits that discourse can be used within rural engagement as a new ‘base of power’, which contributes to the debate around individual power and agency within remote and rural community engagement for healthcare, which few studies have examined.
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Lamb, Maxwell, Sean Vinh, Chandler Parris, Emily K. Flores e KariLynn Dowling-McClay. "Impact on Student Attitudes through Participation in Interprofessional Student Teams at a Remote Area Medical Event in Rural Appalachia". Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/asrf/2020/presentations/18.

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Interprofessional teamwork is being adopted as the best way to care for patients, but it is also important to determine how future healthcare providers view this model of patient care. What are their attitudes and beliefs after having the opportunity to work in an interprofessional team? The primary objective of this study was to determine changes in health profession students’ attitudes toward interprofessional collaboration through participation in a Remote Area Medical (RAM) event in rural Appalachia. Researchers hypothesized that working in interprofessional teams positively impacts students’ attitudes toward interprofessional practice. To explore these variables, RedCap was utilized to collect demographic information, generate a pre/post survey matching code, and administer previously validated interprofessional education (IPE) questionnaires to RAM clinic student volunteers (representing five ETSU health sciences colleges and various undergraduate programs) before and after the event. Students were allowed to voluntarily complete the pre-survey online prior to participating in the event or at sign-in and the post-survey at sign-out or online after the event. The Student Perceptions of Interprofessional Clinical Education-Revised Instrument, Version 2 (SPICE-R2), which is validated for use in pre- and post-surveys, utilized 5-point Likert-type questions (strongly disagree to strongly agree) to evaluate students’ perceptions of their role on the team and the team’s impact on healthcare and patient outcomes. The Interprofessional Collaborative Competency Attainment Scale-Revised (ICCAS-R), which is only validated for use in post-surveys, required students to simultaneously evaluate their ability to perform tangible interprofessional team skills before and after the event using 5-point Likert-type questions (poor to excellent). At the event, students were placed into interprofessional teams to provide care to patients. Faculty members from a variety of professions provided leadership to the teams and guidance as needed. The pre-survey had 107 responses and the post-survey had 108 responses. However, after matching the pre- and post-surveys with student-generated codes, there were 70 valid matched responses. Data analysis was conducted using SPSS version 25. There were no statistically significant changes in SPICE-R2 IPE constructs from the pre-survey to post-survey. However, high pre-survey scores indicated that this student cohort already had a high level of appreciation for interprofessional teams, with mean scores of 4.5 out of 5 for teamwork, 4 out of 5 for roles and responsibilities, and 4.36 out of 5 for healthcare outcomes. The mean overall composite score on the ICCAS-R increased from 3.65 out of 5 on the pre-event portion to 4.03 out of 5 on the post-event portion (p < 0.001) , indicating that students increased their self-evaluated ability to perform tangible skills used in the interprofessional team through participation in the RAM clinic. Findings of this research may allow educators in both classroom and healthcare settings to better understand how hands-on IPE experiences influence students’ interprofessional attitudes and beliefs.
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Block, Corey, Kim Bulkeley e Michelle Lincoln. "Occupational Therapy with Australian Indigenous children and their families: A rural and remote perspective". Thesis, Discipline of Occupational Therapy, 2016. http://hdl.handle.net/2123/14325.

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Background/aim: Occupational therapy service delivery must be adapted when working with Indigenous communities, as there is a diversity of beliefs, values and customs. There are currently no evidence-based models of therapy service delivery to rural and remote Indigenous children and their families. This study aims to explore occupational therapy service delivery to rural and remote Indigenous children and their families. Methods: Semi-structured telephone interviews were conducted with seven occupational therapists with experience with Australian rural and remote Indigenous children and their families. A thematic analysis was conducted on each interview with constant comparison to refine themes across interviews. Results: A total of six service delivery themes emerged from the data gathered in the interviews; flexible and accessible services; tailored services; culturally sensitive therapist; culturally inclusive services; occupational therapy awareness; and collaboration. These results linked with the need for long-term solutions, as the limited access to occupational therapy within these communities is a social injustice. Conclusion: The findings demonstrate that each Indigenous community is unique. Therapists work in collaboration with the community and use their critical reasoning skills to adjust practice accordingly. Significance of the study: This study contributes to growing knowledge about occupational therapy service provision in rural and remote Indigenous communities with children and their families. The findings will assist therapist in these communities to provide culturally aligned services. They also advocate for these communities by emphasising the basic human right violations that Indigenous communities are experiencing by not having access to consistent and culturally appropriate occupational therapy services.
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Lawford, Karen. "First Nations Women's Evacuation During Pregnancy from Rural and Remote Reserves". Thèse, Université d'Ottawa / University of Ottawa, 2011. http://hdl.handle.net/10393/20356.

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Pregnant First Nations women who live on reserves in rural and remote regions of Canada are routinely evacuated to urban cities to await labour and birth; this is commonly referred to as Health Canada’s evacuation policy. I produced two stand alone papers to investigate this policy. In the first, I investigated the development and implementation of the Canadian government’s evacuation policy. Archival research showed that the evacuation policy began to take shape in 1892 and was founded on Canada’s goals to assimilate and civilize First Nations. My second paper employed First Nations feminist theory to understand why the evacuation policy does not result in good health, especially for First Nations women. Because the evacuation policy is incongruent with First Nations’ epistemologies, it compromises First Nations’ health. I offer policy recommendations to promote First Nations health in a way that is consistent with First Nations’ epistemologies and goals towards self-determination and self-governance.
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Heaney, David. "Organisational change and remote and rural health care delivery : identifying the attributes of successful innovation". Thesis, University of Aberdeen, 2013. http://digitool.abdn.ac.uk:80/webclient/DeliveryManager?pid=211425.

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Aims To investigate the impact of organisational change on the delivery of health services in remote and rural Scotland using, as an example, changes in the organisation of out of hours primary care, and to identify the attributes of successful innovation in remote and rural health provision. Methods The thesis comprised a thematic literature review; in depth interviews with key stakeholders, and case studies based in remote communities. Results The literature review identified recurring attributes of successful innovation. Interviews with remote and rural GPs showed that working out of hours had been, or still was, an integral part of life as a GP. Most agreed there had been an impact on family life. Advantages and challenges of remote and rural working were identified; many GPs could not envisage a better way of delivering services. This was contested by managers. There were divergent views of the 2004 GMS contract. The GPs who opted out of 24 hour responsibility experienced a transformational change in working life. All in all, there was a lack of understanding, and trust, between organisations. NHS 24 and Scottish Ambulance Service were criticised. There had been little change in out of hours service delivery since 2005, and the present configuration was seen as expensive and unsustainable. Despite these acknowledged difficulties, the view was that difficult decisions had been avoided, and a long-term solution that fits the area was required. The case studies added detail and contextual understanding of delivery of services. This could vary even within a practice area. Service delivery on islands was different, with a stronger tie between community and practice, governed by transport logistics, and difficult to understand from an outside perspective. Conclusions. The delivery of out of hours services in remote and rural Scotland has been a difficult and contested issue. Context can have different impacts, even within a very small area. Failure to innovate was associated with lack of collaboration, lack of strategy, lack of understanding of local context, and avoidance of difficult decisions. The organisational change literature demonstrated that receptive contexts for change were not present.
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Vinh, Sean, Rebecca Maloney, Addison Lawson e Emily K. Flores. "Impact of Interprofessional Healthcare Student Teams at a Remote Area Medical Event in Rural Appalachia". Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/asrf/2019/schedule/79.

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Interprofessional collaboration in healthcare is vital to the nation’s health and interprofessional education is of significant interest in the current academic climate and practice environment. Remote Area Medical is a non-profit healthcare organization that partners with community hosts to provide dental, vision, and medical services to medically underserved patients in remote areas of the United States and abroad. RAM mobile clinics have served over 785,000 people since their founding in 1985, providing vital healthcare services free of charge through the volunteer services of healthcare professionals. RAM mobile clinics provide an excellent opportunity for interprofessional collaboration and interprofessional education as learners partner with volunteer professionals to serve the community. The RAM mobile clinic in Gray, Tennessee was first established in 2017 and implemented the innovate utilization of undergraduate and graduate health professional students from the East Tennessee State University Academic Health Sciences Center in student teams. Interprofessional student teams along with precepting faculty are flexible in location and services offered to best serve the needs of the mobile clinic at any given time. Interprofessional student teams work to improve patient utilization of services offered at the event and assist with medication histories and health screens while growing student interprofessional patient care skills in the process. The objective of this research is to describe the impact of interprofessional student teams on patient care at the Gray, Tennessee RAM mobile clinic during the first two years. Data was collected from the years 2017 and 2018 by the student volunteer coordinator then analyzed by student researchers. The interprofessional student teams consisted of 87 student volunteers that were training in Clinical and Rehabilitative Sciences, Medicine, Nursing, Public Health, or Pharmacy over the course of the three-day mobile clinic in 2017 and 109 different student volunteers in 2018. Student teams were precepted by interprofessional faculty and logged 2,332 interventions in 2017 and 1,130 interventions in 2018. The top two interventions in 2017 were Medication Histories and Blood Glucose Screens while the top two interventions in 2018 were Medication Histories and Health Screens. Variation in number of interventions logged and type of interventions logged can be explained by event characteristics that differed between the two years. Student participants commented positively on their engagement with one another and discussions they had to better understand each other’s professions between patient encounters. This research attempts to demonstrate that the impact of interprofessional student teams at a RAM mobile clinic is worth the investment of faculty resources in planning and execution to engage student learning while benefitting the patient population being served. This research also provided a hypothesis for additional research to be conducted around the 2019 Gray, Tennessee RAM mobile clinic.
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Clarke, Kaila-Lea. "Climate-related Stresses on Human Health in a Remote and Rural Region of Ontario, Canada". Thèse, Université d'Ottawa / University of Ottawa, 2012. http://hdl.handle.net/10393/23296.

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This thesis examines the susceptibility of human health to climate-related stresses in the rural municipality of Addington Highlands, Ontario. Human health is sensitive to climatic variations and change, and public health systems play a role in managing climate-related risks. Canada is generally deemed to have considerable capacity to adapt to vulnerabilities associated with climate change, yet there is variability among communities in their exposure and ability to manage health risks. This thesis examines the health-related vulnerability of the community of Addington Highlands. Drawing upon data gained from key informant interviews and newspaper articles, as well as other secondary data sources, the thesis documents climate-related health risks, outlines the programs and services available to deal with those risks, and assesses the capacity of the community to adapt to future climate conditions and risks. Conditions such as storms, heat stress and forest fires currently present health risks in the area, and they are expected to become more prevalent with climate change. The health risks of Lyme disease, West Nile virus and algal blooms are likely to increase in the future as the climate continues to change. Adaptation to these risks is evident in several of Addington Highlands public health and emergency management programs. The community’s adaptive capacity is strengthened by its social networks and institutional flexibility, but it is constrained by its aging population, limits to the availability and access to health care services, and challenges relating to the retention of service providers. An important strategy to assist adaptation to climate change risks to health is the promotion of public awareness, a strategy to which this research contributes. This thesis research serves to identify and better understand vulnerabilities, and help stimulate actions toward preparing Addington Highlands for possible future climate-related risks.
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Libri sul tema "Rural and remote health"

1

Carey, Timothy A., e Judith Gullifer, a cura di. Handbook of Rural, Remote, and very Remote Mental Health. Singapore: Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-10-5012-1.

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Australia's rural and remote health: A social justice perspective. 2a ed. Croydon, Vic: Tertiary Press, 2007.

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3

Phillips, Andrew. Rural, regional and remote health: A study on mortality. 2a ed. Canberra: Australian Institute of Health and Welfare, 2007.

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4

Australia. Department of Health and Ageing. Rural, regional and remote health: Mortality trends 1992-2003. Canberra: Australian Institute of Health and Welfare, 2006.

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Mental health in remote, rural developing areas: Concepts and cases. Washington, DC: American Psychiatric Press, 1995.

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6

Scottish Health Service Advisory Council. Working Group on Health Care Services in Remote and Island Areas. Health care services in remote and island areas in Scotland. Edinburgh: HMSO, 1995.

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7

Strong, Kathleen. Health in rural and remote Australia: The first report of the Australian Institute of Health and Welfare on rural health. Canberra: Australian Institute of Health and Welfare, 1998.

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Bullock, Sally. A snapshot of men's health in regional and remote Australia. Canberra: Australia Institue of Health and Welfare, 2010.

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9

Australian Institute of Health and Welfare. Rural, regional and remote health: A guide to remoteness classifications. Canberra: Australian Institute of Health and Welfare, 2004.

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10

Victoria. Department of Human Services. Remote area nurses: Emergency guidelines 2005. Melbourne: Dept of Human Services, 2005.

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Capitoli di libri sul tema "Rural and remote health"

1

Carey, T. A., e J. Gullifer. "Rural, Remote, and very Remote Mental Health". In Handbook of Rural, Remote, and very Remote Mental Health, 1–16. Singapore: Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-10-5012-1_1-1.

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Carey, Timothy A., e Judith Gullifer. "Rural, Remote, and very Remote Mental Health". In Handbook of Rural, Remote, and very Remote Mental Health, 1–16. Singapore: Springer Singapore, 2021. http://dx.doi.org/10.1007/978-981-15-6631-8_1.

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Mehl-Madrona, Lewis, e Patrick McFarlane. "Rural and Remote Psychiatry". In Handbook of Rural, Remote, and very Remote Mental Health, 1–24. Singapore: Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-10-5012-1_15-1.

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Mehl-Madrona, Lewis, e Patrick McFarlane. "Rural and Remote Psychiatry". In Handbook of Rural, Remote, and very Remote Mental Health, 327–50. Singapore: Springer Singapore, 2021. http://dx.doi.org/10.1007/978-981-15-6631-8_15.

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Simpson, Susan, Lisa Richardson e Corinne Reid. "Telemental Health in Rural and Remote Contexts". In Handbook of Rural, Remote, and very Remote Mental Health, 1–20. Singapore: Springer Singapore, 2019. http://dx.doi.org/10.1007/978-981-10-5012-1_37-1.

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Simpson, Susan, Lisa Richardson e Corinne Reid. "Telemental Health in Rural and Remote Contexts". In Handbook of Rural, Remote, and very Remote Mental Health, 233–51. Singapore: Springer Singapore, 2021. http://dx.doi.org/10.1007/978-981-15-6631-8_37.

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White, Ross G., Nargis Islam e Rosco Kasujja. "Global Mental Health Perspectives on Rural and Remote Mental Health Provision". In Handbook of Rural, Remote, and very Remote Mental Health, 1–25. Singapore: Springer Singapore, 2019. http://dx.doi.org/10.1007/978-981-10-5012-1_3-1.

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White, Ross G., Nargis Islam e Rosco Kasujja. "Global Mental Health Perspectives on Rural and Remote Mental Health Provision". In Handbook of Rural, Remote, and very Remote Mental Health, 43–66. Singapore: Springer Singapore, 2021. http://dx.doi.org/10.1007/978-981-15-6631-8_3.

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Burke, S. E. L. "Environmental Impacts on Mental Health". In Handbook of Rural, Remote, and very Remote Mental Health, 1–18. Singapore: Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-10-5012-1_32-1.

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Burke, S. E. L. "Environmental Impacts on Mental Health". In Handbook of Rural, Remote, and very Remote Mental Health, 657–74. Singapore: Springer Singapore, 2021. http://dx.doi.org/10.1007/978-981-15-6631-8_32.

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Atti di convegni sul tema "Rural and remote health"

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Pathinarupothi, Rahul Krishnan, e Ekanath Rangan. "Large scale remote health monitoring in sparsely connected rural regions". In 2016 IEEE Global Humanitarian Technology Conference (GHTC). IEEE, 2016. http://dx.doi.org/10.1109/ghtc.2016.7857354.

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Palade, Ioana. "HEALTH PROFESSIONAL’S RETENTION IN RURAL AND REMOTE AREAS. A CASE STUDY ON RURAL AREAS OF BUCOVINA, ROMANIA". In 38th International Academic Conference, Prague. International Institute of Social and Economic Sciences, 2018. http://dx.doi.org/10.20472/iac.2018.038.027.

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Minoi, Jacey-Lynn, e Alvin W. Yeo. "Remote health monitoring system in a rural population: Challenges and opportunities". In 2014 IEEE Conference on Biomedical Engineering and Sciences (IECBES). IEEE, 2014. http://dx.doi.org/10.1109/iecbes.2014.7047641.

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Jabirullah, Mohammad, Rakesh Ranjan, Mirza Nemath Ali Baig e Anish Kumar Vishwakarma. "Development of e-Health Monitoring System for Remote Rural Community of India". In 2020 7th International Conference on Signal Processing and Integrated Networks (SPIN). IEEE, 2020. http://dx.doi.org/10.1109/spin48934.2020.9071209.

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Gambi, Ennio, Giorgio Rascioni, Damiano Falcone e Susanna Spinsante. "A Digital Television Based Solution for Remote Health Care of Rural People". In 2008 International Conference on Consumer Electronics (ICCE). IEEE, 2008. http://dx.doi.org/10.1109/icce.2008.4587910.

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Hosseini, Mohammad, Richard R. Berlin, Yu Jiang e Lui Sha. "Adaptive Clinical Data Communication for Remote Monitoring in Rural Ambulance Transport". In 2017 IEEE/ACM International Conference on Connected Health: Applications, Systems and Engineering Technologies (CHASE). IEEE, 2017. http://dx.doi.org/10.1109/chase.2017.85.

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Lankoande, Martin, Salifou Napon, Julien Sawadogo, Noe Zagrhe, Gerard Zongo, Patrick Guiguimde, Bienvenu Ky et al. "Outreach surgery in margin to the 57th West African college of surgeon congress: An example of essential, safe and life-saving surgery to promote for remote areas". In 2017 International Rural and Elderly Health Informatics Conference (IREHI). IEEE, 2017. http://dx.doi.org/10.1109/ireehi.2017.8350382.

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Mulliner, S. J. "Research study into the impact of telemedicine on rural GP practices". In IEE Colloquium on Technologies Supporting the Remote Delivery of Health and Care Services. IEE, 1997. http://dx.doi.org/10.1049/ic:19970190.

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Langovska, Lilita, e Sarmite Rozentale. "Remote work during the COVID-19 Pandemic: - Problems and Solutions on the example of Vidzeme region in Latvia". In 22nd International Scientific Conference. “Economic Science for Rural Development 2021”. Latvia University of Life Sciences and Technologies. Faculty of Economics and Social Development, 2021. http://dx.doi.org/10.22616/esrd.2021.55.033.

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The aim of the research was to study the experience of companies in the transition to remote work during the COVID-19 pandemic. The development of information and communication technologies in the 21st century has transformed everyday work and life, and it was expected that, over time, teleworking would become a common practice in most companies. However, it was slower than initially expected due to various social and organizational factors. The COVID-19 pandemic accelerated the shift to forced remote work, creating problems and challenges for both employers and employees. This proves that new approaches and solutions are not only possible, but also useful and necessary. In order to find out what challenges employers have faced in the transition to remote work and what experience they have gained in order to solve them, two focus group discussions were organized with employers of Vidzeme region from different sectors. In order to compare the experience of employers and employees, a survey of 495 remote-working respondents was conducted between September and October 2020. The research data were collected in the framework of the National Research Programme project “Life with COVID-19", during the first wave of the pandemic. The study reveals that the main challenges were to adapt business processes to the constraints of the emergency and the work organization of remote work, which requires new knowledge and skills such as how to sell, communicate, motivate, teach remotely and ICT skills. Teleworking during the COVID-19 pandemic posed challenges such as occupational safety risks, health risks, separating work from leisure time and acquiring new knowledge and skills in a short time.
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Aemro, Yohannes Biru, Pedro Moura e Anibal T. de Almeida. "DC-Microgrids As a Means of Rural Development in East African Countries". In ASME 2018 Power Conference collocated with the ASME 2018 12th International Conference on Energy Sustainability and the ASME 2018 Nuclear Forum. American Society of Mechanical Engineers, 2018. http://dx.doi.org/10.1115/power2018-7405.

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According to the World Health Organization, nearly 3 billion people burn wood, crop wastes, charcoal, coal and animal dung to meet their day to day energy needs and among these nearly 1.3 billion people do not have electricity access. More than 80% of the population suffering from energy poverty are living in rural areas of developing countries, such as in East Africa. On the other hand, the potential of renewable energy resources in East African countries is huge. However, such resources are usually intermittent and therefore the use of renewable energy sources to provide modern energy access with a good reliability level, for the remote locations with lack of energy access, is still an issue. With this regard, one of the emerging technologies to solve accessibility of energy in rural and remote areas is DC-microgrids. This paper assessed the use of off-grid systems in different developing countries and presents the results in improving energy access, especially in rural and remote locations. The results indicate that the experience of some Asian countries and Tanzania in East Africa could be a good example for other East African countries to invest in off-grid systems and address energy access problems in their rural and remote locations. On the other hand, there are challenges related to financing and lack of trained man power in East African countries.
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Rapporti di organizzazioni sul tema "Rural and remote health"

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Waid, Chelsea, Sebastian Steven, Laleah Sinclair, Liam Priest, Sam Petrie, Dean B. Carson e Paul A. Peters. • Report: Interventions for Rural and Remote Youth Mental Health. Spatial Determinants of Health Lab, Carleton University, novembre 2019. http://dx.doi.org/10.22215/sdhlab/2019.4.

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Roberts, Jay B., e Ashok Bapat. Rural Health, Center of Excellence for Remote and Medically Under-served Area (CERMUSA). Fort Belvoir, VA: Defense Technical Information Center, maggio 2007. http://dx.doi.org/10.21236/ada604497.

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Mahling, Alexa, Michelle LeBlanc e Paul A. Peters. Report: Rural Resilience and Community Connections in Health: Outcomes of a Community Workshop. Spatial Determinants of Health Lab, Carleton University, dicembre 2020. http://dx.doi.org/10.22215/sdhlab/2020.1.

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Canadians living in rural communities are diverse, with individual communities defined by unique strengths and challenges that impact their health needs. Understanding rural health needs is a complex undertaking, with many challenges pertaining to engagement, research, and policy development. In order to address these challenges, it is imperative to understand the unique characteristics of rural communities as well as to ensure that the voices of rural and remote communities are prioritized in the development and implementation of rural health research programs and policy. Effective community engagement is essential in order to establish rural-normative programs and policies to improve the health of individuals living in rural, remote, and northern communities. This report was informed by a community engagement workshop held in Golden Lake, Ontario in October 2019. Workshop attendees were comprised of residents from communities within the Madawaska Valley, community health care professionals, students and researchers from Carleton University in Ottawa, Ontario, and international researchers from Australia, Sweden, and Austria. The themes identified throughout the workshop included community strengths and initiatives that are working well, challenges and concerns faced by the community in the context of health, and suggestions to build on strengths and address challenges to improve the health of residents in the Madawaska Valley.
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Totten, Annette, Dana M. Womack, Marian S. McDonagh, Cynthia Davis-O’Reilly, Jessica C. Griffin, Ian Blazina, Sara Grusing e Nancy Elder. Improving Rural Health Through Telehealth-Guided Provider-to-Provider Communication. Agency for Healthcare Research and Quality, dicembre 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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Svynarenko, Radion, Guoping Huang, Theresa L. Profant e 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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Vodden, K., A. Cunsolo, S. L. Harper, A. Kipp, N. King, S. Manners, B. Eddy et al. Rural and remote communities. Natural Resources Canada/CMSS/Information Management, 2021. http://dx.doi.org/10.4095/328394.

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Owens, Kathleen, e James F. Bates. Rural Health. Fort Belvoir, VA: Defense Technical Information Center, agosto 1998. http://dx.doi.org/10.21236/ada423007.

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Peters, Paul A., Heidi Hodge e Dean Carson. Infographic: Rural Health Systems. Designing Flexible Policy for Rural Health. Spatial Determinants of Health Lab, Carleton University, maggio 2019. http://dx.doi.org/10.22215/sdhlab/kt/2019.3.

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Morris, S., M. LeBlanc, S. Petrie, D. Carson, S. Steven e P. Peters. Infographic: Telepediatrics in Rural and Remote Regions. Spatial Determinants of Health Lab, Carleton University, agosto 2019. http://dx.doi.org/10.22215/sdhlab/kt/2019.4.

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Morris, Sydney, Sebastian Steven e Michele LeBlanc. Report: Telepaediatrics in Rural and Remote Australia and Canada. Spatial Determinants of Health Lab, Carleton University, novembre 2019. http://dx.doi.org/10.22215/sdhlab/2019.5.

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