Intraosseous access: An essential tool for general practitioners and anaesthetists in rural areas

2022 ◽  
Author(s):  
Ahan Majmudar ◽  
Richard Watts ◽  
John Raj ◽  
Venkatesan Thiruvenkatarajan
Keyword(s):  
General Practitioners ◽  
Rural Areas ◽  
Intraosseous Access ◽  
Essential Tool

scholarly journals Out-of-hours workload among Norwegian general practitioners – an observational study

2020 ◽  
Author(s):  
Ingrid Keilegavlen Rebnord ◽  
Tone Morken ◽  
Kjell Maartmann-Moe ◽  
Steinar Hunskaar
Keyword(s):  
General Practitioners ◽  
Rural Areas ◽  
Linear Regression Analysis ◽  
Working Hours ◽  
Clinical Work ◽  
Working Time ◽  
Medical Work ◽  
Out Of Hours ◽  
Electronic Survey ◽  
Regular Work

Abstract Background: Repeated studies of working hours among Norwegian regular general practitioners (RGPs) have shown that the average total number of weekly working hours has remained unchanged since 1994 and up until 2014. For both male and female RGPs, the mean total weekly working hours amounted to almost 50 hours in 2014. In recent years, Norwegian RGPs have become increasingly dissatisfied. They experience significantly increased workload without compensation in the form of more doctors or better payment. A study from the Norwegian Directorate of Health in 2018 (the RGP study) showed that Norwegian RGPs worked 55.6 hours weekly (median 52.5). 25% of the respondents worked more than 62.2 hours weekly. Based on data from the RGP study we investigated Norwegian RGP’s out-of-hours (OOH) work, how the working time was distributed, and to what extent the OOH work affected the regular working hours.Methods: In early 2018, an electronic survey was sent to all 4640 RGPs in Norway. Each RGP reported how many minutes that were spent that particular day on various tasks during seven consecutive days. Working time also included additional tasks in the municipality, other professional medical work and OOH primary health care. Differences were analysed by independent t-tests, and regression analyses. Results: 1876 RGPs (40.4%) responded, 640 (34.1%) had registered OOH work. Male RGPs worked on average 1.5 hours more doing regular work than did females (p=0.001) and on average 2.3 hours more OOH work than females (p=0.079). RGPs with no OOH work registered a mean of 1.0 hours more clinical work than RGPs working OOH (p=0.043). There was a large variation in OOH working hours. A linear regression analysis showed that male RGPs and RGPs in rural areas had the heaviest OOH workload. Conclusions: One in three Norwegian RGPs undertook OOH work during the registration week in the RGP study. OOH work was done in addition to a sizeable regular workload as an RGP. We found small gender differences. OOH work was not compensated with reduced regular RGP work.

scholarly journals Burnout and work satisfaction in general practitioners practicing in rural areas: results from the HaMEdSi study [Corrigendum]

2019 ◽  
Vol Volume 11 ◽  
pp. 543-544
Author(s):  
Charles Christian Adarkwah ◽  
Annette Schwaffertz ◽  
Joachim Labenz ◽  
Annette Becker ◽  
Oliver Hirsch
Keyword(s):  
General Practitioners ◽  
Rural Areas ◽  
Work Satisfaction

scholarly journals Analysis of the Role of General Practitioners Services in Rural Areas during the COVID-19 Epidemic

2021 ◽  
Vol 4 (2) ◽  
pp. 35
Author(s):  
Zuohua Liu  ◽  
Feiya Li ◽  
Zihan Liu ◽  
Qiuxia Wu ◽  
Xiangyu Li ◽  
...  
Keyword(s):  
General Practitioner ◽  
General Practitioners ◽  
Rural Areas ◽  
Prevention And Control ◽  
Health Resources ◽  
Central Committee ◽  
Weak Links ◽  
Public Health Emergencies ◽  
Crowd Control ◽  
And Control

Since the outbreak of the COVID-19, various regions of China have been rapidly deployed under the leadership of the Central Committee of the Party to actively prevent and control the COVID-19. The rural areas of my country have weak links to the prevention and management of public health emergencies. Problems include lack of medical and health resources and farmers’ low awareness of epidemic prevention. Situations that correspond to the prevention and management of the COVID-19 are more serious. As the patient’s first contact and “gatekeeper” in the fight against the epidemic, the general practitioner is responsible for the “first visit-subsequent ongoing intervention”. This article is about the prevention and control of the COVID-19 epidemics and epidemic prevention in terms of dissemination of knowledge, informed crowd control, joint prevention and control, and standardized management of people. This is a summary of the efforts of general practitioners. Quarantine at home, interactive referrals to medical consortiums, special care for contracted families. The function during the management period aims to analyze the role played by general practitioners during the epidemic and to provide new ideas for the prevention and management of the epidemic. Provide more targeted general practitioner-style services in rural areas to promote the implementation and improvement of health and poverty alleviation. The health level of the rural population provides a theoretical standard.

Current Distribution and Trends in the Location Pattern of Pediatricians, Family Physicians, and General Practitioners Between 1976 and 1979

PEDIATRICS ◽  
1982 ◽  
Vol 70 (5) ◽  
pp. 780-789 ◽  
Author(s):  
Peter P. Budetti ◽  
Phillip R. Kletke ◽  
John P. Connelly
Keyword(s):  
United States ◽  
Child Health ◽  
General Practitioners ◽  
Current Distribution ◽  
Rural Areas ◽  
Family Physicians ◽  
The United States ◽  
Location Pattern ◽  
Small Communities ◽  
Urban Concentration

The literature suggests that pediatricians in the United States are concentrated in the more densely populated regions and states, whereas family physicians and general practitioners are more likely to settle in rural areas. The rapidly increasing supply of all child health physicians had led many to hypothesize that the traditional geographic preferences of pediatricians would expand to include smaller communities. Data for 1976 to 1979 confirm the urban concentration of pediatricians and the more even distribution of family physicians and general practitioners. These data also demonstrate a marked imbalance of pediatricians within county groups, resulting in some areas of shortage even within highly metropolitan communities. Evidence of a trend toward increased dispersion of pediatricians into urban shortage areas is presented, but there is no indication that enough pediatricians will settle in rural areas to meet the needs of children in those small communities.

THE DISTRIBUTION OF MEDICAL CARE

PEDIATRICS ◽  
1950 ◽  
Vol 6 (3) ◽  
pp. 509-513
Keyword(s):  
Medical Care ◽  
General Practitioners ◽  
Low Income ◽  
Rural Areas ◽  
Economic Factor ◽  
Urban Centers ◽  
Number Of Children ◽  
Quality Of Health Services ◽  
Metropolitan Counties

There have been extraordinary advances in medical care and prevention of disease among infants and children. Morbidity and mortality rates have shown remarkable declines in recent years following the introduction of new therapeutic agents. The fact still remains, however, that there are wide gaps in the distribution of medical care. There are sections of the country where the infant mortality is higher than the national average of a generation ago. In isolated rural areas, the physicians' services for children are less, both in quantity and quality, than in on near urban centers. In the outlying areas, not only specialists but also general practitioners were found to be relatively few; there were only one-third as many general practitioners for the same number of children in isolated counties as in greater metropolitan counties. The economic factor has an all-pervading influence. Where per capita income is low, the quantity and quality of health services are proportionately low. Thus, even in the more favored metropolitan areas, there are gaps in services for families of low income.

Health Information Exchange between Specialists and General Practitioners Benefits Rural Patients

2021 ◽  
Vol 12 (03) ◽  
pp. 564-572
Author(s):  
Masaharu Nakayama ◽  
Ryusuke Inoue ◽  
Satoshi Miyata ◽  
Hiroaki Shimizu
Keyword(s):  
Health Information ◽  
General Practitioners ◽  
Rural Areas ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Intervention Group ◽  
Control Group ◽  
Moderate Risk ◽  
All Cause Mortality ◽  
Risk Patients

Abstract Background Health information exchange (HIE) may improve diagnostic accuracy, treatment efficacy, and safety by providing treating physicians with expert advice. However, most previous studies on HIE have been observational in nature. Objectives To examine whether collaboration between specialists and general practitioners (GPs) in rural areas via HIE can improve outcomes among patients at low-to-moderate risk of cardiovascular disease, kidney disease, and stroke. Methods In this randomized controlled trial, the Miyagi Medical and Welfare Information Network was used for HIE. We evaluated the clinical data of 1,092 patients aged ≥65 years living in the rural areas of the Miyagi Prefecture and receiving care from GPs only. High-risk patients were immediately referred to specialists, whereas low-to-moderate risk patients were randomly assigned to an intervention group in which GPs were advised by specialists through HIE (n = 518, 38% male, mean age = 76 ± 7 years) or a control group in which GPs received no advice by specialists (n = 521, 39% male, mean age = 75 ± 7 years). Results In the intention-to-treat analysis, all-cause mortality and cumulative incidence of serious adverse events (e.g., hospital admission or unexpected referral to specialists) did not differ between the groups. However, per-protocol analysis controlling for GP adherence with specialist recommendations revealed significantly reduced all-cause mortality (p = 0.04) and cumulative serious adverse event incidence (p = 0.04) in the intervention group compared with the control group. Conclusion HIE systems may improve outcomes among low-to-moderate risk patients by promoting greater collaboration between specialists and GPs, particularly in rural areas with few local specialists.

scholarly journals Reasons for encounter and health problems managed by general practitioners in the rural areas of Beijing, China: A cross-sectional study

PLoS ONE ◽  
2017 ◽  
Vol 12 (12) ◽  
pp. e0190036 ◽  
Author(s):  
Yanli Liu ◽  
Chao Chen ◽  
Guanghui Jin ◽  
Yali Zhao ◽  
Lifen Chen ◽  
...  
Keyword(s):  
General Practitioners ◽  
Rural Areas ◽  
Cross Sectional Study ◽  
Health Problems ◽  
Sectional Study ◽  
Cross Sectional ◽  
Beijing China ◽  
Reasons For Encounter
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