scholarly journals USING COMMUNITY-BASED MODELS TO PROVIDE INTEGRATED CARE FOR RURAL OLDER ADULTS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S553-S553
Author(s):  
Martha R Crowther ◽  
Cassandra D Ford
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Rural Communities ◽  
Mental Health Problems ◽  
Health Care Systems ◽  
Physical And Mental Health ◽  
Community Based ◽  
Psychosocial Services ◽  
Care Systems ◽  
Rural Older Adults

Abstract Rural elders are one of the most at-risk populations for experiencing physical and mental health problems. In many rural communities, there are no psychosocial services available to meet the needs of the rural elderly. To provide rural older adults with integrated healthcare, we build upon our existing community-based infrastructure that has fostered community capacity for active engagement in clinical activities and has served as a catalyst to increase participation of rural older adults in clinical services. Our rural community model draws upon the role of culture in promoting health among rural older adults to provide rural service delivery. This model is built upon our network of partnerships with surrounding communities, including potential research participants, community-based organizations, community leaders, and community health-care systems and providers. By engaging the community we can create a sustainable system that will encourage rural older adults to utilize the health care system at a higher rate.

scholarly journals Telehealth as an Element of Home and Community-Based Services in a Pandemic: An Intrinsic Case Study in Two Rural Areas

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 742-742
Author(s):  
Nancy Karlin ◽  
Joyce Weil
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Rural Communities ◽  
Rural Areas ◽  
Older Persons ◽  
Care Delivery ◽  
Health Care Systems ◽  
Community Based ◽  
Care Systems ◽  
Community Based Services

Abstract COVID-19 has changed the face of health care delivery. Using technology as a way to ensure Home and Community-Based Services (HCBS) as an option for older adults in rural areas is of increasing interest as a result of the pandemic. Literature suggests older adults do not adopt telehealth and/or medicine practices due to barriers (e.g., Internet and computer availability) and do not use telemedicine as a form of communication with medical staff. However, the combination of needing health care during the pandemic and having federal coverage via Medicare for telehealth virtual visit. Still studies suggest older adults may lack the necessary information about how to adopt telehealth and telemedicine and that they do not see their benefits. Additionally, the cost of technology, limited Internet access and rural connectivity issues persist. This study evaluates the potential for telehealth/medicine use in rural communities through two case studies of rural older persons in the Eastern Plains of Colorado and rural Western Nebraska. Results indicate, for older persons responding to the telehealth/medicine questions, there is support for its potential use with some using teleconferencing, health portals, along with the expectation that telehealth/medicine would be part of new health care systems. Resistance was met by some older adults in the Colorado sample who preferred face-to-face contact alongside other concerns about potential usage barriers such as the lack of Internet services or consistent connectivity. These participants indicated a lack of awareness in finding out how to access this form of medical support.

An Occupational Therapy Course on Community Practice

1995 ◽  
Vol 62 (2) ◽  
pp. 76-81 ◽  
Author(s):  
Constance Vanier ◽  
Michèle Hébert
Keyword(s):  
Health Care ◽  
Occupational Therapy ◽  
Health Care Systems ◽  
Skill Training ◽  
Community Services ◽  
The Other ◽  
Community Practice ◽  
Community Based ◽  
Care Systems ◽  
The University

This article outlines a course on occupational therapy community practice offered at the University of Ottawa and discusses its assets and limitations in terms of preparing students for the shift to community-based health services. The shift to community services in the health care systems of Ontario and Québec is described. Then the curricular components needed to prepare students for community practice are summarized. Finally, the community practice course at the University of Ottawa including its goal, objectives, class topics and evaluations is outlined. The strength of the community practice course described is that it includes many of the curricular components needed for community practice. On the other hand, limitations include the lack of skill training in some areas, its place in the last year of the programme, and its optional nature. Changes planned for the course and other recommendations for curricula are also discussed.

Embedding Implementation Research in Community-Based Health Care Systems

2019 ◽  
Vol 28 (2) ◽  
pp. 114-116
Author(s):  
Andrew J. Knighton ◽  
Todd L. Allen ◽  
Rajendu Srivastava
Keyword(s):  
Health Care ◽  
Implementation Research ◽  
Health Care Systems ◽  
Community Based ◽  
Care Systems

An Exploration of the Experiences of Migrant Women

2012 ◽  
Vol 2 (3) ◽  
pp. 9-23
Author(s):  
Jane Fitzpatrick
Keyword(s):  
Health Care ◽  
Rural Communities ◽  
Urban Areas ◽  
Health Care Systems ◽  
Safety Education ◽  
Employment Opportunities ◽  
Seeking Safety ◽  
Wide Range ◽  
Care Systems ◽  
National Boundaries

Women across the world migrate for a wide range of reasons. Some gravitate to urban centres in their own countries seeking safety, education, health care, and employment opportunities. Others travel across national boundaries seeking reprieve from the atrocities of war and extreme poverty. Migration within countries is on the rise, as people move in response to adverse conditions such as lack of resources, services and education, and employment opportunities. In addition they may want to escape from violence or natural disasters. This movement of people from rural to urban areas has resulted in an explosive growth of cities around the globe. This paper draws on a research case study undertaken with the Kewapi language group in Port Moresby and the Batri Villages of the Southern Highlands in Papua New Guinea. It seeks to highlight the perspectives of women traveling vast distances from their home communities in order to seek education and health care. It explores the implications for developing effective service user focused health care systems designed to meet the needs of mobile and vulnerable women. The study suggests that if women and their families from remote rural communities are encouraged and facilitated in participating in health promoting initiatives they can dramatically improve their life and health experiences and that of their community.

Migrant Women

2014 ◽  
pp. 121-135
Author(s):  
Jane Fitzpatrick
Keyword(s):  
Health Care ◽  
Rural Communities ◽  
Urban Areas ◽  
Health Care Systems ◽  
Safety Education ◽  
Employment Opportunities ◽  
Seeking Safety ◽  
Care Systems ◽  
Education And Employment ◽  
International Boundaries

Women across the world migrate for a wide range of reasons. Some gravitate to towns and cities in their own countries seeking safety, education, health care, and employment opportunities. Others cross international boundaries, fleeing from the atrocities of war and extreme poverty. Migration within countries is also on the rise, as people move seeking resources, services, education, and employment opportunities. In addition, they may want to escape from violence or natural disasters. This movement of people from rural to urban areas has resulted in an explosive growth of cities around the globe. Women migrate to enhance their life experiences and that of their children and kinsfolk. This chapter draws on a research case study undertaken with the Kewapi language group in Port Moresby and the Batri Villages of the Southern Highlands in Papua New Guinea. It highlights the perspectives of women migrating from their home communities in order to seek education and health care. It explores the implications for developing user-focused health care systems designed to meet the needs of mobile and vulnerable women. The study suggests that if women and their families from remote rural communities participate in health promoting initiatives, they can dramatically improve their life and health experiences and that of their community.

Technology as a Bridge between Health Care Systems and Older Adults

2013 ◽  
pp. 59-79 ◽  
Author(s):  
Daniel Morrow ◽  
Jessie Chin
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Health Care Providers ◽  
Distributed Cognition ◽  
Common Ground ◽  
Health Care Systems ◽  
Personal Health Record ◽  
Patient Portals ◽  
Access To Health ◽  
Care Systems

The authors explore the role of technology in supporting collaboration between health care providers and older adults. They focus on two technologies that help link patients to their providers by giving them access to health information and services: 1) patient portals to Electronic Health Records, and 2) Personal Health Record systems. Theories of distributed cognition and common ground are used to frame a review of the small but growing body of research that investigates which older adults use or do not use these technologies, and why. The findings, while sparse, suggest that older adults with lower levels of health literacy stand to benefit the most from this technology, but they tend to have fewer cognitive, literacy, and other psychosocial resources needed to take advantage of the technology. This discrepancy is due in part to systems that are not designed with older adults’ needs and abilities in mind. The authors conclude with recommendations for improving the use of these tools to support patient/provider collaboration by making them easier to use, and by integrating them with other communication media to support the broader context of the patient/provider relationship.

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