Suchergebnisse

Introduction -- Potential challenges and opportunities in rural communities -- Leveraging resources to advance equity in rural areas -- Building greater prosperity in rural communities -- Equitable access to health and health care -- Final reflections

Background: Governments and third-sector organizations (TSOs) require support to reduce suicide mortality through funding of suicide prevention services and innovative research. One way is for researchers to engage individuals and services in multisectoral collaborations, to collaboratively design, develop and test suicide prevention services and programmes. However, despite widespread support, to date, it remains unclear as to the extent to which stakeholders are being included in the research process, or if they are, how these partnerships occur in practice. To address this gap, the authors conducted a systematic review with the aim of identifying evidence of multisectoral collaborations within the field of suicide prevention, the types of stakeholders involved and their level of involvement. Methods: The authors conducted a strategic PRISMA-compliant search of five electronic databases to retrieve literature published between January 2008 and July 2021. Hand-searching of reference lists of key systematic reviews was also completed. Of the 7937 papers retrieved, 16 papers finally met the inclusion criteria. Because of data heterogeneity, no meta-analysis was performed; however, the methodological quality of the included studies was assessed. Results: Only one paper included engagement of stakeholders across the research cycle (co-ideation, co-design, co-implementation and co-evaluation). Most stakeholders were represented by citizens or communities, with only a small number of TSOs involved in multisectoral collaborations. Stakeholder level of involvement focused on the co design or co-evaluation stage. Conclusion: This review revealed a lack of evidence of multisectoral collaborations being established between researchers and stakeholders in the flied of suicide prevention research, even while such practice is being espoused in government policies and funding guidelines. Of the evidence that is available, there is a lack of quality studies documenting the collaborative research process. Also, results showed ...

This monograph, a coherent and consistent historical narrative about Romania's modernization, focuses on one section of the country's elites of the late nineteenth century, namely the health professionals, and on the imagery they constructed as they interacted with the peasant and his world. Doctors ventured out of cities and became a familiar sight on dusty country roads in of Moldavia and Wallachia. Beyond a charitable impulse they did so thru patriotism as the rural world became ever more prominent within the national ideology. Furthermore, new health legislation required the district general practitioner (medicul de plasă) to visit the villages in his catchment area twice a month. Based on solid original research, the book describes rural conditions of the time and the efforts aiming to improve peasants' way of life with abundant "es from doctors' public health reports and memoirs. The book sheds light on a variety of microscale realities of social life in the medical discourse on the peasant and the rural world in the mirror of medical discourse. Themes include general hygiene, clothing, dwellings, nutrition, drinking habits and healing practices of the peasantry, in the eye of medical specialists. Related official measures, laws, regulations, norms about public health are also discussed in the frame of wider modernizing processes

From the pioneering Danville surgeon Ephraim McDowell, the first doctor to successfully perform abdominal surgery, and Luke Blackburn, dubbed the "Hero of Hickman" and elected governor in 1879 after his efforts to combat yellow fever, to contemporary Kentucky doctors performing groundbreaking reconstructive surgery and artificial heart implants, Healing Kentucky tells the story of the two-hundred-year struggle to provide good health care to all Kentuckians. Nancy Disher Baird describes Lexington schoolteacher Linda Neville's mission to treat the eye disease trachoma in rural Kentucky, Louise C

This insightful work on rural health in the United States examines the ways immigrants, mainly from Latin America and the Caribbean, navigate the health care system in the United States. Since 1990, immigration to the United States has risen sharply, and rural areas have seen the highest increases. Thurka Sangaramoorthy reveals that that the corporatization of health care delivery and immigration policies are deeply connected in rural America. Drawing from fieldwork that centers on Maryland's sparsely populated Eastern Shore, Sangaramoorthy shows how longstanding issues of precarity among rural health systems along with the exclusionary logics of immigration have mutually fashioned a "landscape of care" in which shared conditions of physical suffering and emotional anxiety among immigrants and rural residents generate powerful forms of regional vitality and social inclusion. Sangaramoorthy connects the Eastern Shore and its immigrant populations to many other places around the world that are struggling with the challenges of global migration, rural precarity, and health governance. Her extensive ethnographic and policy research shows the personal stories behind health inequity data and helps to give readers a human entry point into the enormous challenges of immigration and rural health.

Abstract
Social workers and other healthcare professionals face increasing pressure to expand access, efficiency, and quality of healthcare to rural patients. Telehealth has become a viable and necessary tool to address gaps in healthcare for rural areas. Unfortunately, little is known about the benefits and challenges of using these services to meet the needs of rural communities. This mixed-methods study examines telehealth implementation among healthcare organizations in a predominantly rural state. Seventeen providers from 11 organizations were interviewed. Most had used live video conferencing, and about a third used mobile technologies, but fewer providers had experience with store-and-forward or remote patient monitoring. Analyses of qualitative data collected via interviews revealed two main themes among benefits of telehealth implementation: (1) increased inter- and intra-agency coordination and (2) savings in time, travel, and efficiency. Three main themes emerged among barriers to telehealth: (1) organizational capacity, (2) patient skills and comfort, and (3) provider knowledge and skills. Recommendations are provided for social workers and other healthcare professionals related to expanding utilization of telehealth services to improve access to healthcare for rural populations.

Social and economic functions of folk illness and folk medicine are fairly well known for rural contexts but still lack codification for urban milieus. In this exploratory paper, folk health practices are examined in terms of their response to urban socioeconomic characteristics. Such practices appear to serve functions of acculturation, guilt displacement resulting from failure to achieve, and subgroup identity maintenance, among others. Folk practices are resilient, readily shifting to adjunct functions of healing under pressure from effective modern medical and welfare systems. [medical anthropology, urban anthropology, curanderismo, ethnology, health]

Rural communities face particular issues in accessing healthcare. These issues include: • Dispersed communities meaning that people have to travel further to access healthcare; • A lack of connectivity and the absence of physical networks that enable the easy exchange of knowledge, ideas and best-practice; • Smaller GP practices, health centres and related specialist support services, so that staff may feel professionally isolated; • Restrictions on capacity due to problems with the recruitment and retention of professionals; • A greater reliance on volunteer services; • Population demographics that include relatively more older people than in urban centres. Cumbria is a rural, it represents 50% of the land mass of the North West yet has less than 7% of the population. The county has some dispersed urban centres with varying levels of connectivity, but these are significant distances from each other and face the same issues of isolation and access to services as the rest of the county. The Cumbria Rural Health Forum was formed in September 2013 by a consortium of over 30 organisations interested in and responsible for the delivery of public health, health and social care in Cumbria, to provide leadership in developing common themes around rurality and to work strategically to improve the quality of services for rural communities in Cumbria. The Forum is developing the Cumbria Strategy for Digital Technologies in Health and Social Care, which is the subject of this paper. The approach is believed to be unique, focusing on patient outcomes, professional skill needs and with sponsorship from organisations from the public, private and voluntary sector. Similar strategies, for example in Scotland , have tended to be government led and focused on centralised service infrastructure. Our approach will build on identified demand and aspirations, to develop a dynamic roadmap that can be implemented locally by those who shape it, considering models such as Asset Based Community Development.

The specialty of Family Medicine enjoys a special position in the medical practice of the West, serving as one of the key primary care specialties. Family physicians act as providers of first contact catering to the medical needs of the entire family in all aspects of preventive, curative and rehabilitative stages of illness and to health maintenance. The growth of this specialty, however, has lagged behind in Pakistan for various reasons. Having both a high burden of communicable and non-communicable diseases in Pakistan; family physicians should form the frontline force in dealing with these health issues. Several success stories of Family Medicine forming the base of medical services have been noted, validating its presence and propagation. The World Health Organisation also supported this in its 2008 report that discusses primary care for all. Growth of family practice needs to be encouraged at both undergraduate and postgraduate levels to ensure adequate training and provision of quality of medical care to our society. The need of the hour is that both medical institutions and the government develop policies to strengthen Family Medicine and incentivise family practice in rural and urban settings to cater to the needs of society at large.

"This insightful work on rural health in the United States examines the ways immigrants, mainly from Latin America and the Caribbean, navigate the health care system in the United States. Since 1990, immigration to the United States has risen sharply, and rural areas have seen the highest increases. Thurka Sangaramoorthy reveals that that the corporatization of health care delivery and immigration policies are deeply connected in rural America. Drawing from fieldwork that centers on Maryland's sparsely populated Eastern Shore, Sangaramoorthy shows how longstanding issues of precarity among rural health systems along with the exclusionary logics of immigration have mutually fashioned a 'landscape of care' in which shared conditions of physical suffering and emotional anxiety among immigrants and rural residents generate powerful forms of regional vitality and social inclusion"--

This edited volume presents a comprehensive analysis of the public and federal policy, clinical trends, and empirical literature relevant to the provision of health care services in rural and frontier areas. Leading experts from different professional disciplines examine the economic and social problems of rural and frontier areas, collaborative methods for service delivery, and the specific needs of special populations. Contributors also explain the unique cultural characteristics of rural areas compared with urban areas and offer a detailed look at the differences between frontier and rural areas. The book unites a broad spectrum of information and elucidates the distinctive health care challenges that service providers and residents of rural and frontier areas face. (PsycINFO Database Record (c) 2004 APA, all rights reserved)

Wound care represents a major health burden in Africa. The types and causes of wounds in Africa are numerous; however, the interventions to these injuries are easily accessed in hospitals in the urban cities, while in most rural communities, the primary source of interventions is traditional medicine (TM). In recent times, there are incidences of preferences to the use of TM in the management of especially challenging wounds even when conventional interventions are available. In some African communities, there are incidences of quasi integration of conventional and traditional African medicine (TAM) in wound care. In the typical traditional African approach to wound care, diverse practices such as the use of herbal medicine, divination, and other physical interventions are common. There appears to be a favorable future for wound management using TAM with the increasing popularity due to various affirmative reasons other than poverty. The recognition, patronage, and uses of TAM for wound care as an alternative or complimentary to the conventional approach is expected to continue, hence, the need for the different regional governments in consonance with the WHO to promote the standardization, regulation, and other factors that will assure the safety and efficacy of the various practices and products of TAM.