Association between multimorbidity and utilization of medical and long-term care among older adults in a rural mountainous area in Japan
CONCLUSION: Multimorbidity was dominant among late-stage older adults living in depopulated mountainous areas of Japan, and the number of morbidities was associated with higher economic costs of medical and long-term care services. Mitigating the impact of multimorbidity among older adults in depopulated regions of Japan is an urgent challenge. Future research should investigate the degree and effectiveness of social protections for vulnerable older adults living in remote areas.PMID:38655230 | PMC:PMC11033674 | DOI:10.2185/jrm.2023-049 (Source: Rural Remote Health)
Source: Rural Remote Health - April 24, 2024 Category: Rural Health Authors: Yuki Kuwabara Toshihiro Hamada Tsubasa Nakai Maya Fujii Aya Kinjo Yoneatsu Osaki Source Type: research

Feasibility of regional center telehealth visits utilizing a rural research network in people with Parkinson's disease
CONCLUSIONS: Regional center research visits in PwPD in medically underserved areas are feasible and could help improve access to care and research participation in these traditionally underrepresented populations.PMID:38655451 | PMC:PMC11036429 | DOI:10.1017/cts.2024.498 (Source: Rural Remote Health)
Source: Rural Remote Health - April 24, 2024 Category: Rural Health Authors: Tuhin Virmani Lakshmi Pillai Veronica Smith Aliyah Glover Derek Abrams Phillip Farmer Shorabuddin Syed Horace J Spencer Aaron Kemp Kendall Barron Tammaria Murray Brenda Morris Bendi Bowers Angela Ward Terri Imus Linda J Larson-Prior Mitesh Lotia Fred Prio Source Type: research

Mapping simulation-based activities for health professionals in rural and remote contexts in high-income countries: a scoping review protocol
JBI Evid Synth. 2024 Apr 24. doi: 10.11124/JBIES-23-00415. Online ahead of print.ABSTRACTOBJECTIVE: This scoping review will aim to map the existing academic literature on simulation-based activities that are designed with and delivered for health professionals in geographically rural and remote contexts in high-income countries.INTRODUCTION: Simulation-based health care activities are implemented in health services to increase patient safety because they allow health professionals to prepare, learn, practice, rehearse, and improve clinical performance and teamwork. Simulation-based activities are increasingly being used i...
Source: Rural Remote Health - April 24, 2024 Category: Rural Health Authors: Naomi Tarus Smith Julia Muller Spiti James Padley Ellen Davies Source Type: research

Pediatric anesthesia in Australia and New Zealand and health inequity among First Nations and Maori children
Paediatr Anaesth. 2024 Apr 24. doi: 10.1111/pan.14898. Online ahead of print.ABSTRACTAustralia and New Zealand are two countries in the Southern Pacific region. They share many pediatric anesthesia similarities in terms of medical organizational systems, education, training, and research, however there are important differences between the two nations in relation to geography, the First Nations populations and the history of colonization. While the standards for pediatric anesthesia and the specialty training requirements are set by the Australian and New Zealand College of Anesthetists and the Society for Pediatric Anesth...
Source: Rural Remote Health - April 24, 2024 Category: Rural Health Authors: Edith Waugh Jane Thomas Brian J Anderson Paul Lee-Archer Source Type: research

Policy Reform on the Qualification Pathway of Internationally Educated Nurses in Greenland and Its Relationship With the Danish System: A Qualitative Discourse Analysis
This article aimed to analyze existing policies and propose recommendations for an independent registration process for IENs in Greenland. A qualitative discourse analysis was used to critically discuss existing policies and regulations governing nursing registration in Greenland. Relevant legislation, government reports, and official documents were reviewed. Legislative regulations protect the title of registered nurse in both Greenland and Denmark. To work in Greenland, an IEN must have a residence permit. With recent health agreements between Greenland and Denmark, both countries have streamlined the permit acquisition ...
Source: Rural Remote Health - April 24, 2024 Category: Rural Health Authors: Floro Cubelo Source Type: research

Primary Health Care Interventions for Potentially Preventable Ear, Nose, and Throat Conditions in Rural and Remote Areas: A Systematic Review
Conclusions: The study findings may inform future programs and policy development to address detection and management of ENT conditions in rural and remote primary care settings, and supports the need for further research on innovative models of care targeting potentially preventable hospitalizations through primary and secondary level prevention.PMID:38646793 | DOI:10.1177/01455613241245198 (Source: Rural Remote Health)
Source: Rural Remote Health - April 22, 2024 Category: Rural Health Authors: Susan O'Neill Stephen Begg Nerida Hyett Evelien Spelten Source Type: research

Healthy rural hearts: The feasibility of a telehealth nutrition randomised controlled trial for rural people at risk of cardiovascular disease
DISCUSSION: The positive findings related to acceptability and implementation outcomes suggest that the Healthy Rural Hearts intervention was acceptable, practical, and able to be implemented within this population living in rural NSW. This, combined with the small to medium effect size in the proportion of total energy derived from nutrient-dense core foods compared to the control group indicates that long-term intervention effectiveness on other cardiovascular disease outcomes is important to evaluate in the future.PMID:38646802 | DOI:10.1177/1357633X241247245 (Source: Rural Remote Health)
Source: Rural Remote Health - April 22, 2024 Category: Rural Health Authors: Jaimee Herbert Tracy Schumacher Leanne J Brown Erin D Clarke Clare E Collins Source Type: research

Editorial: Navigating low-value care in regional, rural and remote Australia
Aust J Rural Health. 2024 Apr;32(2):213-215. doi: 10.1111/ajr.13123.NO ABSTRACTPMID:38646880 | DOI:10.1111/ajr.13123 (Source: Rural Remote Health)
Source: Rural Remote Health - April 22, 2024 Category: Rural Health Authors: Rae Thomas Vinay Gangathimmaiah Marlow Coates Michelle Guppy Source Type: research

The burden of Finke Desert race-related trauma: A 10-year retrospective descriptive analysis
CONCLUSION: This review has quantified the trauma burden of the event for the first time, enabling local and interstate stakeholders' ability to plan an adequate and sustainable response while also enabling the future effectiveness evaluation of recent safety reforms.PMID:38641912 | DOI:10.1111/ajr.13124 (Source: Rural Remote Health)
Source: Rural Remote Health - April 20, 2024 Category: Rural Health Authors: Matthew G Cehic Casey Knight David Morris James Van Essen Nitin Bither Kanishka Williams Source Type: research

Acceptability of virtual psychiatric consultations for routine follow-ups post COVID-19 pandemic for people with intellectual disabilities: cross-sectional study
CONCLUSIONS: This study offers insights into the factors that influence preferences about what type of neuropsychiatric appointment is most suitable for people with intellectual disabilities.PMID:38639214 | DOI:10.1192/bjo.2024.21 (Source: Rural Remote Health)
Source: Rural Remote Health - April 19, 2024 Category: Rural Health Authors: Samuel Tromans Sarah Rybczynska-Bunt Sarah Mitchell Susan Cummins David Cox Jennifer Downing Paul H Lee Lucy Teece Tony Marson Rohit Shankar Source Type: research

Significant healthcare resource utilisation in the management of skin and soft tissue infections in the Torres Strait, Australia
CONCLUSION: Healthcare costs associated with SSTIs in the Torres Strait are substantial. The implementation of effective preventative and primary care interventions may enable resources to be reallocated to address other health priorities in the Torres Strait.PMID:38632695 | DOI:10.22605/RRH8572 (Source: Rural Remote Health)
Source: Rural Remote Health - April 18, 2024 Category: Rural Health Authors: Haylee Fox Allison Hempenstall Pelista Pilot Emily Callander Simon Smith Malcolm I McDonald Josh Hanson Source Type: research

Handle with Care: Transformative Learning as Pedagogy in an Under-Resourced Health Care Context
Teach Learn Med. 2024 Apr 18:1-10. doi: 10.1080/10401334.2024.2332885. Online ahead of print.ABSTRACTIssue: A significant component of health professions education is focussed on students' exposure to the social determinants of health and the challenges that patients within the health care system face. An appropriate way to provide such exposure is through distributed clinical training. This usually entails students training in smaller groups along the continuum of care, away from tertiary academic hospitals. This also means students are away from their existing academic and social support systems. It is evident that knowl...
Source: Rural Remote Health - April 18, 2024 Category: Rural Health Authors: Jana M üller Rhoda Meyer Jason Bantjes Elize Archer Ian Couper Source Type: research

Facing the digital frontier: exploring user acceptance of electronic health records in an urban, rural and remote setting in the Philippines
CONCLUSION: Co-producing interventions with primary care providers is crucial in sustaining EHR systems. Rather than developing a technology based on the surveillance needs of policymakers, an EHR developed from the grassroots was shown to be well-received by end-users.PMID:38637020 | PMC:PMC11029422 | DOI:10.1136/bmjoq-2023-002621 (Source: Rural Remote Health)
Source: Rural Remote Health - April 18, 2024 Category: Rural Health Authors: Regine Ynez H De Mesa Cara Lois T Galingana Carol Stephanie C Tan-Lim Mark Anthony U Javelosa Janelle Micaela S Panganiban Noleen Marie C Fabian Ysabela Calderon Mia P Rey Nannette Bernal-Sundiang Josephine T Sanchez Leonila F Dans Ray U Casile Antonio L Source Type: research

Significant healthcare resource utilisation in the management of skin and soft tissue infections in the Torres Strait, Australia
CONCLUSION: Healthcare costs associated with SSTIs in the Torres Strait are substantial. The implementation of effective preventative and primary care interventions may enable resources to be reallocated to address other health priorities in the Torres Strait.PMID:38632695 | DOI:10.22605/RRH8572 (Source: Rural Remote Health)
Source: Rural Remote Health - April 18, 2024 Category: Rural Health Authors: Haylee Fox Allison Hempenstall Pelista Pilot Emily Callander Simon Smith Malcolm I McDonald Josh Hanson Source Type: research

Handle with Care: Transformative Learning as Pedagogy in an Under-Resourced Health Care Context
Teach Learn Med. 2024 Apr 18:1-10. doi: 10.1080/10401334.2024.2332885. Online ahead of print.ABSTRACTIssue: A significant component of health professions education is focussed on students' exposure to the social determinants of health and the challenges that patients within the health care system face. An appropriate way to provide such exposure is through distributed clinical training. This usually entails students training in smaller groups along the continuum of care, away from tertiary academic hospitals. This also means students are away from their existing academic and social support systems. It is evident that knowl...
Source: Rural Remote Health - April 18, 2024 Category: Rural Health Authors: Jana M üller Rhoda Meyer Jason Bantjes Elize Archer Ian Couper Source Type: research