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Letteratura scientifica selezionata sul tema "Rural medicine"

Autore: Grafiati

Pubblicato: 4 giugno 2021

Ultima modifica: 26 luglio 2024

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Articoli di riviste sul tema "Rural medicine"

Norris, Merideth. "Rural medicine". Osteopathic Family Physician 3, n. 4 (luglio 2011): 133. http://dx.doi.org/10.1016/j.osfp.2011.05.003.

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Cao, Sissi, e Han Yan. "Championing rural medicine". University of Western Ontario Medical Journal 83, n. 1 (23 dicembre 2014): 51–52. http://dx.doi.org/10.5206/uwomj.v83i1.4515.

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Dr Ken Milne is an emergency department physician, Chief of Emergency and Chief of Staff at South Huron Hospital Association in Exeter, Ontario. He has been an advocate for advancing the practice of rural medicine throughout his career. Originally from a farm just outside of London, Dr Milne completed both his undergraduate and graduate degrees at Western University before attending medical school in Calgary. He returned to Western in 1997 for family medicine training and began his medical career in Goderich, where he currently resides with his wife and 3 children. In addition to being a clinician, Dr Milne has been conducting research on rural medicine for the last 17 years and helped establish what is now Discovery Week, an integral part of the Schulich School of Medicine’s first-year curriculum. He is also the creator of the knowledge translation project “The Skeptic’s Guide to Emergency Medicine” (SGEM), which disseminates evidence-based information online so patients can receive the best care. We met with Dr Milne over Google Hangouts to talk about his colourful career, the unique aspects of rural medicine and the challenges he faces working in a remote location.

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Curran, Shane. "Rural emergency medicine". Emergency Medicine 13, n. 3 (settembre 2001): 390. http://dx.doi.org/10.1046/j.1035-6851.2001.00248.x-i2.

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MacPherson, Melissa J. "Rural and remote medicine". University of Western Ontario Medical Journal 83, n. 1 (23 dicembre 2014): 4. http://dx.doi.org/10.5206/uwomj.v83i1.4467.

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WAKATSUKI, Toshikazu. "Future of Rural Medicine." JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE 40, n. 6 (1992): 1106–12. http://dx.doi.org/10.2185/jjrm.40.1106.

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Kramlinger, Anne Marie. "Textbook of Rural Medicine". Mayo Clinic Proceedings 77, n. 3 (marzo 2002): 300. http://dx.doi.org/10.4065/77.3.300.

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Evans, Kayte. "Textbook of Rural Medicine". Australian Journal of Rural Health 10, n. 1 (febbraio 2002): 75–76. http://dx.doi.org/10.1046/j.1440-1584.2002.t01-2-00431.x.

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Pfaff, Colin. "Rural medicine in Nepal". South African Family Practice 46, n. 3 (aprile 2004): 33–34. http://dx.doi.org/10.1080/20786204.2004.10873058.

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Lanphear, J. H. "Rural medicine/urban responsibilities". JAMA: The Journal of the American Medical Association 256, n. 18 (14 novembre 1986): 2567–68. http://dx.doi.org/10.1001/jama.256.18.2567.

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Lanphear, Joel H. "Rural Medicine/Urban Responsibilities". JAMA: The Journal of the American Medical Association 256, n. 18 (14 novembre 1986): 2567. http://dx.doi.org/10.1001/jama.1986.03380180129037.

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Tesi sul tema "Rural medicine"

Jensen, Samantha, e Amanda Stoltz. "Assessing Resident Physician Knowledge about Breastfeeding Medicine in a Rural Family Medicine Clinic". Digital Commons @ East Tennessee State University, 2021. https://dc.etsu.edu/asrf/2021/presentations/51.

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Title: Assessing Resident Physician Knowledge about Breastfeeding Medicine in a Rural Family Medicine Clinic Authors: Samantha Jensen, MD and Amanda Stoltz, MD, Bristol Family Medicine Residency Program, Department of Family Medicine, James H. Quillen College of Medicine, East Tennessee State University, Johnson City, TN Introduction: Many residents and faculty encourage the long-term goal of breastfeeding, and our residency program provides extensive training in obstetrics and newborn nursery. However, there is little structure and direct guidance for breastfeeding medicine already built in to the family medicine residency training. We aimed to develop a dedicated breastfeeding medicine longitudinal curriculum to improve the effectiveness of family medicine physician residents as teachers and advocates by improving residents’ fund of knowledge, provide structure for encouraging breastfeeding at prenatal visits, and incorporate breastfeeding into our family medicine practice by improving the on-site locations for breastfeeding and pumping. Method: The method of research was pre-lecture and post-lecture surveys comprised of 15 questions, including knowledge-based questions, assessment of confidence level, and a question on perceived barriers to breastfeeding. Participants attending two educational sessions during the study, and additional educational sessions have continued after study conclusion. The post-lecture survey was completed 12 weeks after first lecture. Lecture topics included an overview of breastfeeding medicine, how to encourage breastfeeding at prenatal appointments, contraindications, maternal nutritional supplements, formula supplementation, galatogogues, and the storage of breastmilk. Results: Results were compiled from the responses of 20 pretests and 9 posttest surveys. Results showed an increase in correct responses to the knowledge portion 61.15% pretest versus 77.69% posttest (t(28) 3.41, p<0.01). Resident physician confidence also increased by the conclusion of the study (t=28, p<.01). Conclusions: It can be concluded that educational lectures increase knowledge and confidence in resident physicians with regards to breastfeeding medicine. Areas for future study include specific research focusing on methods to increase access to resources for breastfeeding mothers.

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Beebe, Michele Morgen. "Use of complementary and alternative medicine among rural Montanans". Thesis, Montana State University, 2004. http://etd.lib.montana.edu/etd/2004/beebe/BeebeM0805.pdf.

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Pal, Deb Kumar. "Control of childhood epilepsy in rural India". Thesis, University College London (University of London), 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.298246.

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Meyers, Emily Breanne. "Rural Health and Radiology: Health and Ethical Implications for Rural Citizens". NEOMED College of Graduate Studies / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=ne2gs1619525106309102.

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Hagemeier, Nicholas E., Sarah Blevins, Kyle Hagen, Emily Sorah, Richa Shah e Kelly Ferris. "Integration of Rural Community Pharmacies into a Rural Family Medicine Practice-Based Research Network: A Descriptive Analysis". Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/1476.

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Purpose: Practice-based research networks (PBRN) seek to shorten the gap between research and application in primary patient care settings. Inclusion of community pharmacies in primary care PBRNs is relatively unexplored. Such a PBRN model could improve care coordination and community-based research, especially in rural and underserved areas. The objectives of this study were to: 1) evaluate rural Appalachian community pharmacy key informants’ perceptions of PBRNs and practice-based research; 2) explore key informants’ perceptions of perceived applicability of practice-based research domains; and 3) explore pharmacy key informant interest in PBRN participation. Methods: The sample consisted of community pharmacies within city limits of all Appalachian Research Network (AppNET) PBRN communities in South Central Appalachia. A descriptive, cross-sectional, questionnaire-based study was conducted from November 2013 to February 2014. Bivariate and multivariate analyses were conducted to examine associations between key informant and practice characteristics, and PBRN interest and perceptions. Findings: A 47.8% response rate was obtained. Most key informants (88%) were very or somewhat interested in participating in AppNET. Enrichment of patient care (82.8%), improved relationships with providers in the community (75.9%), and professional development opportunities (69.0%) were perceived by more than two-thirds of respondents to be very beneficial outcomes of PBRN participation. Respondents ranked time constraints (63%) and workflow disruptions (20%) as the biggest barriers to PBRN participation. Conclusion: Key informants in rural Appalachian community pharmacies indicated interest in PBRN participation. Integration of community pharmacies into existing rural PBRNs could advance community level care coordination and promote improved health outcomes in rural and underserved areas. Type: Original Research

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Shirely, Kaitlyn, Margaret Smith, Kacie Denton, Blair Brandt, Ivy A. Click e Joseph Gravel. "Social Determinants of Health in Rural Tennessee Clinics". Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/6383.

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Click, Ivy A., Jeri Ann Basden, Joy L. Bohannon, Heather Anderson e Fred Tudiver. "Opioid Prescribing in Rural Family Practices: A Qualitative Study". Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/6366.

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Background: Rural Tennessee, especially rural East Tennessee has seen a dramatic increase in rates of controlled drug prescriptions and controlled drug overdose deaths in recent years. However, little is known about the individual decisions to prescribe or continue prescriptions with relation to addiction concerns. Objectives: The purpose of this study was to learn more about what factors lead to physicians’ prescribing control drugs for non-cancer pain through the use of focus groups. Methods: A qualitative study, using focus groups, in five family medicine clinics in East Tennessee and Southwest Virginia. The investigators used a semi-structured interview guide designed to facilitate group discussions about prescription drug abuse and misuse. Results: There were four main themes identified by the focus groups: (1) prescribers’ changing prescribing patterns over time; (2) factors that influence controlled drug prescribing; (3) use and barriers to using state prescription drug monitoring programs (PDMPs); (4) prescribing controlled drugs to women of childbearing age. Each theme had several subthemes. Conclusions: The balance between treating the patient's symptoms and causing potential harm is a challenge. The patient's pain cannot be ignored, but the potential harm of opioid therapy is not taken lightly. As the public health concern of prescription drug abuse in rural Appalachia continues to spread, prescribers are aware of their connection to the problem, and ultimately the solution.

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Lawrenson, Ross Alexander. "Screening for undiagnosed diabetes in rural New Zealand". Thesis, Imperial College London, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.263224.

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Kennedy, Craig. "Impact of telemedicine in a rural community /". St. Lucia, Qld, 2001. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe16114.pdf.

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Harris, Kimberly D. "Acceptance of computer-based telemedicine in three rural Missouri counties /". free to MU campus, to others for purchase, 1999. http://wwwlib.umi.com/cr/mo/fullcit?p9945181.

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Più fonti

Libri sul tema "Rural medicine"

Paco e Julián, a cura di. Un médico rural. Logroño (La Rioja, Spain): Pepitas de Calabaza, 2021.

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Rohde, Jon E. The rural private practitioner. Delhi: Oxford University Press, 1995.

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Aguilar, Salvador. Veinte años de medicina rural. [Oaxaca, México]: Instituto Oaxaqueño de las Culturas, 1994.

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Georgina, Velázquez Díaz, Flores Alvarado Angel e Programa IMSS-COPLAMAR, a cura di. La medicina tradicional en México: Experiencia del Programa IMSS-COPLAMAR. México, D.F: Instituto Mexicano del Seguro Social, 1988.

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Wichmann, Matthias. Rural Surgery: Challenges and Solutions for the Rural Surgeon. Berlin, Heidelberg: Springer-Verlag Berlin Heidelberg, 2011.

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Barbara, Yawn, Bushy Angeline e Yawn Roy A, a cura di. Exploring rural medicine: Current issues and concepts. Thousand Oaks, Calif: Sage Publications, 1994.

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1962-, Wilkinson David, a cura di. The handbook of rural medicine in Australia. South Melbourne, Vic., Australia: Oxford University Press, 2004.

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Clifford, Robert. An arrow full of quivers: A collection of short stories, anecdotes, deep thoughts, fables and bits of fun. London: Warner Books, 1996.

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Arnedo, Cruz Felipe. Anecdotario de un médico rural. [Buenos Aires]: C.F. Arnedo, 1991.

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Hutten-Czapski, P. Manual of rural practice. Shawville, Québec: Society of Rural Physicians of Canada, 2006.

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Capitoli di libri sul tema "Rural medicine"

Hu, Yi. "Abolishment of Traditional Chinese Medicine". In Rural Health Care Delivery, 51–62. Berlin, Heidelberg: Springer Berlin Heidelberg, 2013. http://dx.doi.org/10.1007/978-3-642-39982-4_6.

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Sankaran, Sujatha. "The Rural-Urban Divide". In Health Equity in Hospital Medicine, 79–81. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-44999-4_14.

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Smith, Bev. "AIDS: Religion and Medicine in Rural Kenya". In AIDS Education, 239–49. Boston, MA: Springer US, 1996. http://dx.doi.org/10.1007/978-1-4757-9122-8_34.

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Teoh, Eng Soon. "Medicinal Orchid Usage in Rural Africa". In Orchids as Aphrodisiac, Medicine or Food, 305–62. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-18255-7_17.

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Benefice, E. "Growth and Motor Performances of Rural Senegalese Children". In Medicine and Sport Science, 117–31. Basel: KARGER, 1998. http://dx.doi.org/10.1159/000061750.

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Boeras, Debrah I., Blanche C. Collins e Rosanna W. Peeling. "The Use of Drones in the Delivery of Rural Healthcare". In Revolutionizing Tropical Medicine, 615–32. Hoboken, NJ, USA: John Wiley & Sons, Inc., 2019. http://dx.doi.org/10.1002/9781119282686.ch35.

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Hill, Carole E. "Popular Medicine, Health Beliefs, and Cultural Models". In Community Health Systems in the Rural American South, 112–42. New York: Routledge, 2021. http://dx.doi.org/10.4324/9780429044250-5.

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Fatehi, Farhad, Monica Taylor, Liam J. Caffery e Anthony C. Smith. "Telemedicine for Clinical Management of Adults in Remote and Rural Areas". In Revolutionizing Tropical Medicine, 439–61. Hoboken, NJ, USA: John Wiley & Sons, Inc., 2019. http://dx.doi.org/10.1002/9781119282686.ch26.

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Cohen, Steven A., Mary L. Greaney, Elizabeth Erdman e Elena N. Naumova. "Geospatial Tools for Social Medicine: Understanding Rural-Urban Divide". In Geospatial Technology for Human Well-Being and Health, 185–201. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-71377-5_10.

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Matthew, John, William Fink e Lauri Snetsinger. "Seven Years in a Young Man’s Life: Collaborative Care in Rural Vermont". In Collaborative Medicine Case Studies, 341–50. New York, NY: Springer New York, 2008. http://dx.doi.org/10.1007/978-0-387-76894-6_28.

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Atti di convegni sul tema "Rural medicine"

Fredrickson, Erin. "Delivering Rural Obstetric Training for Family Medicine Residents". In NAPCRG 50th Annual Meeting — Abstracts of Completed Research 2022. American Academy of Family Physicians, 2023. http://dx.doi.org/10.1370/afm.21.s1.4136.

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PÕDER, Anne. "ENTREPRENEURSHIP ACTIVITIES AND ENTREPRENEURSHIP COMPETENCIES OF ESTONIAN UNIVERSITY GRADUATES FROM BIO-ECONOMY FIELDS". In RURAL DEVELOPMENT. Aleksandras Stulginskis University, 2018. http://dx.doi.org/10.15544/rd.2017.219.

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Constant and rapid global economic and social developments and environmental processes create considerable new challenges, but also new opportunities for bio-economy. Entrepreneurs have a crucial role harnessing the new opportunities and addressing the challenges through innovation. The aim of the present paper is to study the entrepreneurship activities and entrepreneurial competencies of Estonian university graduates in the fields connected with bio-economy. The paper studies the data from a survey of three Estonian universities carried out in 2016 in the program “Systemic Development of Entrepreneurship education throughout all educational levels”. The analysis focuses on the share of entrepreneurs, assessments of the entrepreneurship competencies among the alumni, who graduated university in the fields of agriculture, forestry, fisheries; life-sciences, and veterinary medicine, and on their comparison with alumni of the other curricula. Chi-square test, ANOVA are used the compare the entrepreneurship activities, competencies of alumni of different curricula. The results show that the graduates’ field of study had significant impact on their entrepreneurship activities after the graduation, and on the attainment of entrepreneurship competencies. A quarter of the agriculture, forestry and fisheries, and a fifth of veterinary alumni were entrepreneurs, although a significantly smaller share of them in comparison with graduates of other fields had received entrepreneurship education during their studies. The share of entrepreneurs was lowest among all the fields of study in case of life-sciences alumni. The study demonstrates the need to integrate entrepreneurship education into the agricultural and life-sciences education and to address the attainment of key competencies in university’s curricula.

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Edoh, Thierry. "Smart medicine transportation and medication monitoring system in EPharmacyNet". In 2017 International Rural and Elderly Health Informatics Conference (IREHI). IEEE, 2017. http://dx.doi.org/10.1109/ireehi.2017.8350381.

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Isechi, A., C. Oda, R. Shinkura, S. Akiba, H. Fujikawa e K. Yamazaki. "Experiment of Internet-based tele-medicine in Amami rural islands". In 2004 International Symposium on Applications and the Internet Workshops. 2004 Workshops. IEEE, 2004. http://dx.doi.org/10.1109/saintw.2004.1268589.

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Husain, Fadly, e Baiq Farhatul Wahidah. "Identification of Medicinal Animals in Traditional Medicine in Rural Central Java (A Preliminary Result of Ethno-Zootherapeutical Study)". In Proceedings of the International Conference on Rural Studies in Asia (ICoRSIA 2018). Paris, France: Atlantis Press, 2019. http://dx.doi.org/10.2991/icorsia-18.2019.29.

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Mwang’onda, Arthur Nathaniel, Teleza Kanthonga e Chiedza Hwata. "Enhancing Medicine Supply Chain Efficiency in Rural African Healthcare through IoT-Enabled Smart Mobile Medicine Storage". In 2023 First International Conference on the Advancements of Artificial Intelligence in African Context (AAIAC). IEEE, 2023. http://dx.doi.org/10.1109/aaiac60008.2023.10465549.

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Guha, Sujoy K. "Biomedical equipment systems for rural health care". In 1992 14th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE, 1992. http://dx.doi.org/10.1109/iembs.1992.5761735.

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Zhao, Zhongwei. "The Study on Chinese Rural-urban Income Gap Forecast". In 2015 International Conference on Education, Management, Information and Medicine. Paris, France: Atlantis Press, 2015. http://dx.doi.org/10.2991/emim-15.2015.47.

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Van Slyke, Mark A., Douglas F. Eggli, Fred W. Prior, William Salmon, Gregory Pappas, Fred Vanatta, Warren Goldfetter e Said Hashem. "Model for collaboration: a rural medicine and academic health center teleradiology project". In Medical Imaging 1996, a cura di R. Gilbert Jost e Samuel J. Dwyer III. SPIE, 1996. http://dx.doi.org/10.1117/12.239268.

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Guha. "Biomedical Equipment Systems for Rural Health Care". In Proceedings of the Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE, 1992. http://dx.doi.org/10.1109/iembs.1992.593836.

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Rapporti di organizzazioni sul tema "Rural medicine"

Andreae, Lynn J., Susan J. Andreae, Andrea L. Cherrington, Joshua S. Richman e Monika M. Safford. Testing a Coaching Program to Help Adults with Diabetes Living in Rural Alabama Take Their Medicine as Directed. Patient-Centered Outcomes Research Institute (PCORI), novembre 2020. http://dx.doi.org/10.25302/11.2020.ad.130603565ic.

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Carnahan, Ryan, Grant Brown, Marianne Smith, Elena Letuchy, Linda Rubenstein, Bryan Gryzlak, Susan Schultz et al. Evaluating a Training Program for Rural Doctors and Nursing Home Staff on Safe Medicine Use for Patients with Dementia and Nursing Home Residents. Patient-Centered Outcomes Research Institute (PCORI), giugno 2020. http://dx.doi.org/10.25302/06.2020.cer.1131.

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Juarez, Jessica. Development of a curriculum for use with a bovine dystocia simulator to educate and engage learners about animal agriculture and rural veterinary medicine. Ames (Iowa): Iowa State University, gennaio 2020. http://dx.doi.org/10.31274/cc-20240624-539.

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Basagoitia, Andrea. Do home- or community-based programmes for treating malaria improve health outcomes? SUPPORT, 2017. http://dx.doi.org/10.30846/170313.

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Prompt access to diagnosis and treatment with effective antimalarial drugs is a central component of malaria control. Home- or community-based programmes for managing malaria are one strategy that has been proposed to overcome the geographical barrier to malaria treatment. In these programmes people living in rural settings, such as mothers, volunteers, or community health workers, are trained to recognise fever and provide antimalarial medicines at a low cost or for free.

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Gowrisankaran, Gautam, Claudio Lucarelli, Philip Schmidt-Dengler e Robert Town. Can Amputation Save the Hospital? The Impact of the Medicare Rural Flexibility Program on Demand and Welfare. Cambridge, MA: National Bureau of Economic Research, marzo 2013. http://dx.doi.org/10.3386/w18894.

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Puig Gabarró, Pau, Raúl Katz, Hernán Galperin, Fernando Callorda, Enrique Iglesias Rodriguez, Antonio García Zaballos, Marcos Robles e Ramiro Valencia. Medición del impacto socioeconómico del desarrollo de infraestructura de última milla en América Latina y el Caribe. Banco Interamericano de Desarrollo, giugno 2022. http://dx.doi.org/10.18235/0004326.

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El objetivo del presente estudio es estimar el impacto socioeconómico del despliegue de infraestructura digital de última milla en América Latina y el Caribe. Para medir el impacto económico y social de este tipo de infraestructura, el análisis diferencia según el contexto geográfico (urbano y rural), el género y el nivel educativo, y detalla los efectos y los canales de transmisión que vinculan el despliegue de infraestructura de última milla con algunos beneficios socioeconómicos. En particular, los resultados de este estudio demuestran que la banda ancha mejora la creación de empleo, el pasaje a la formalidad y el nivel salarial para toda la población. En tanto, los hallazgos indican que la diferencia entre la población con mayor calificación y aquella con menos habilidades se plantea en términos del nivel de impacto. Los resultados también revelan que el despliegue de banda ancha puede generar un aumento de la desigualdad entre géneros, entre población urbana y población rural, y entre individuos con más años de educación formal e individuos con menos años de educación formal si no se encuentra acompañado de políticas públicas que permitan acceder a un aprovechamiento igualitario de dicha tecnología. Esta evidencia concuerda con la hallada en estudios precedentes que destacan la complementariedad entre banda ancha y nivel de calificación y habilidades en la estimación de beneficios. Por ello, la contribución de las políticas públicas debe ser considerada como un mecanismo compensatorio para contrarrestar los efectos no esperados. El conjunto de resultados constituye una rica base empírica que podría ayudar a los gobiernos de la región a tomar decisiones de políticas públicas teniendo en cuenta la importancia de extender el despliegue de última milla al contexto rural.

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Gillen, Emily, Nicole M. Coomer, Christopher Beadles e Amy Mills. Constructing a Measure of Anesthesia Intensity Using Cross-Sectional Claims Data. RTI Press, ottobre 2019. http://dx.doi.org/10.3768/rtipress.2019.mr.0040.1910.

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With intensifying emphasis on episodes of care and bundled payments for surgical admissions, anesthesia expenditures are increasingly important in assessing variation in expenditures for surgical episodes. When comparing anesthesia expenditures across surgical settings, adjustment for anesthesia case complexity and duration of anesthesia services, also known as anesthesia service intensity, is desirable. A single anesthesia intensity measure allows researchers to make more direct comparisons between anesthesia outcomes across settings and services. We describe a process for creating a claims-based anesthesia intensity measure using Medicare claims. We create the measure using two fields: base units associated with American Medical Association Current Procedural Terminology codes on the anesthesia claim and time units associated with the service. We rescaled the time component of the anesthesia intensity measure to equally represent base units and time units. For illustration, we applied the measure to Medicare anesthesia expenditures stratified by rural/urban location. We found that adjustments for intensity were greater in urban settings because the level of intensity is greater. Compared with rural settings, unadjusted expenditures in urban settings are roughly 26 percent higher, whereas adjusted expenditures in urban settings are only 20 percent higher. Even absent longitudinal data, researchers can adjust anesthesia outcomes for intensity using our cross-sectional claims-based intensity method.

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Gillen, Emily, Olivia Berzin, Adam Vincent e Doug Johnston. Certified Electronic Health Record Technology Under the Quality Payment Program. RTI Press, gennaio 2018. http://dx.doi.org/10.3768/rtipress.2018.pb.0014.1801.

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The 2016 Quality Payment Program (QPP) is a Medicare reimbursement reform designed to incentivize value-based care over volume-based care. A core tenet of the QPP is integrated utilization of certified electronic health record technology (CEHRT). Adopting and implementing CEHRT is a resource-intensive process, requiring both financial capital and human capital (in the form of knowledge and time). Adoption can be especially challenging for small or rural practices that may not have access to such capital. In this issue brief, we discuss the role of CEHRT in the QPP and offer policy recommendations to help small and rural practices improve their health information technology (IT) capabilities with regards to participation in value-based care. The QPP requires practices to have health IT capabilities, both as a requirement for a complete performance score and to facilitate reporting. Practices that are unable to implement CEHRT will have difficulty complying with the new reimbursement system, and will likely incur financial losses. We recommend monetary support and staff training to small and rural practices for the adoption of CEHRT, and we recommend assistance to help practices comply with the requirements of the QPP and coordinate with other small and rural practices for reporting purposes.

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Puig Gabarró, Pau, Raúl Katz, Hernán Galperin, Fernando Callorda, Enrique Iglesias Rodriguez, Antonio García Zaballos, Marcos Robles e Ramiro Valencia. Medición del impacto socioeconómico del desarrollo de infraestructura de última milla en El Salvador. Inter-American Development Bank, aprile 2022. http://dx.doi.org/10.18235/0004197.

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Este documento busca adentrarse en la medición del impacto económico y social del desarrollo de infraestructura de última milla en El Salvador, diferenciando el análisis por contexto geográfico (urbano y rural), género y años de educación formal, detallando los efectos y los canales de transmisión que vinculan el despliegue de banda ancha con los beneficios socioeconómicos. Acceder a esta información puede ayudar al gobierno de El Salvador a tomar decisiones de políticas públicas sobre la conveniencia de extender el despliegue de última milla. Los resultados demuestran la importancia de acompañar el despliegue de banda ancha con políticas públicas que promuevan un beneficio equitativo de la tecnología. En primer lugar, se destaca la necesidad de realizar acciones de alfabetización digital en áreas rurales a fin de apoyar el aprovechamiento de la banda ancha en el tejido productivo. Del mismo modo, resalta la trascendencia de implementar iniciativas específicas para reducir la brecha por nivel educativo en el uso de Internet, en particular, mediante el impulso de la alfabetización digital en la población con menos años de escolarización formal.

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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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