A rural approach to quality improvement for small rural hospitals: Lessons from rural Texas

2019 ◽  
Vol 33 (2) ◽  
pp. 75-79
Author(s):  
Robert S. Steele ◽  
Elizabeth F. Wenghofer ◽  
Tammy Wagner ◽  
Peter Yu ◽  
Nancy W. Dickey
Keyword(s):  
Rural Areas ◽  
Effective Means ◽  
Medical Knowledge ◽  
Continuing Professional Development ◽  
Pilot Project ◽  
Quality And Safety ◽  
Northern Ontario ◽  
Professional Isolation ◽  
Survey Responses ◽  
Rural Physician

This article describes the Rural Physician Peer Review Program (RPPR©) developed by the Texas A&M Rural and Community Health Institute and presents it as an example of a program that could be implemented in rural Canada as an effective means of continuing professional development (CPD) for rural Canadian physicians. RPPR© post review survey responses from 574 physician participants across rural Texas indicate that they are highly satisfied with RPPR© and that their competency in medical knowledge and patient care improves as a result of participation. A pilot project with two to four northern Ontario hospitals would enable RPPR© to be modified to ensure applicability and feasibility in the northern Ontario context to create an RPPR© “North.” New and innovative approaches to CPD for rural northern physicians need to be continually explored to decrease professional isolation, improve recruitment and retention, and ultimately improve the quality and safety of healthcare in rural areas.

Biotelemetry and Computer Analysis of Electrocardiograms

1969 ◽  
Vol 08 (03) ◽  
pp. 120-127 ◽  
Author(s):  
P. R. Amlinger
Keyword(s):  
Computer Analysis ◽  
Rural Areas ◽  
Applied Research ◽  
Research Effort ◽  
Pilot Project ◽  
Modern Medicine ◽  
Modern Technology ◽  
Long Distance ◽  
Regional Medical ◽  
Medical Program

Routine transmission of electrocardiograms and their computer interpretation via long-distance telephone lines has been proven feasible in the Automated Electrocardiogram Project of the Missouri Regional Medical Program. Though this Pilot Project — the first on a state-wide basis — is still viewed as an applied research effort rather than a service, such biotelemetry is rapidly gaining acceptance as a medium to bring modern medicine, through modern technology, to urban and remote rural areas as well, where it is most needed.The computer executes all the wave measuraments and calculations with incredible speed. It takes over a most boring, repetitive part of the physician’s work. However, it can only follow the instructions of the diagnostic program, compiled by expert cardiologists. Thus, it is an ever-ready, never-tiring servant for the physician and his patients.

scholarly journals Screening for type 2 diabetes in the Iranian national programme: a preliminary report

2003 ◽  
Vol 9 (5-6) ◽  
pp. 1122-1127 ◽  
Author(s):  
F. Azizi ◽  
M. M. Guoya ◽  
P. Vazirian ◽  
P. Dolatshati ◽  
S. Habbibian
Keyword(s):  
Type 2 Diabetes ◽  
Rural Areas ◽  
Control Strategies ◽  
Pilot Project ◽  
National Programme ◽  
Large Cities ◽  
Islamic Republic Of Iran ◽  
Heavy Burden ◽  
And Control

Diabetes mellitus is a significant threat to public health. It is estimated that more than 1.5 million people with diabetes live in the Islamic Republic of Iran. We report on the preliminary results of the national programme for the prevention & control of type 2 diabetes which began in 1996. The pilot project has so far been instituted in 17 provinces. Of 595 717 people aged 30 years and over, 247 518 were classed as at risk and 3.6% had diabetes, 4.3% of women and 2.6% of men. Diabetes prevalence varied from 1.3% in rural areas to 14.5% in large cities. Early detection and control strategies are aimed at diminishing the heavy burden of diabetes

scholarly journals Participatory Land Administration in Indonesia: Quality and Usability Assessment

Land ◽  
2020 ◽  
Vol 9 (3) ◽  
pp. 79 ◽  
Author(s):  
Trias Aditya ◽  
Eva Maria-Unger ◽  
Christelle vd Berg ◽  
Rohan Bennett ◽  
Paul Saers ◽  
...  
Keyword(s):  
Data Collection ◽  
Spatial Data ◽  
Rural Areas ◽  
Effective Means ◽  
Land Registration ◽  
Usability Assessment ◽  
Polygon Area ◽  
Usability Analysis ◽  
Awareness Programs ◽  
Seamless Connection

This paper presents the results from a quality and usability analysis of participatory land registration (PaLaR) in Indonesia’s rural areas, focusing on data quality, cost, and time. PaLaR was designed as a systematic community-centered land titling project collecting requisite spatial and legal data. PaLaR was piloted in two communities situated in Tanggamus and Grobogan districts in Indonesia. The research compared spatial data accuracy between two approaches, PaLaR and the normal systematic land registration approach (PTSL) with respect to point accuracy and polygon area. Supplementary observations and interviews were undertaken in order to evaluate the effectiveness of the spatial and legal data collection, as well as logical consistency of the data collected by the community committee, using a mobile application. Although the two pilots showed a lower spatial accuracy than the normal method (PTSL), PaLaR better suited local circumstances and still delivered complete spatial and legal data in a more effective means. The accuracy and efficiency of spatial data collection could be improved through the use of more accurate GNSS antennas and a seamless connection to the national land databases. The PaLaR method is dependent on, amongst other aspects, inclusive and flexible community awareness programs, as well as the committed participation of the community and local offices.

Introducing lesson study in promoting a new mathematics curriculum in Irish post-primary schools

2014 ◽  
Vol 3 (3) ◽  
pp. 236-251 ◽  
Author(s):  
Anne Brosnan
Keyword(s):  
School Leadership ◽  
Mathematics Teachers ◽  
Lesson Study ◽  
Primary Schools ◽  
Mathematics Curriculum ◽  
Continuing Professional Development ◽  
Pilot Project ◽  
Lessons Learned ◽  
Content Type ◽  
Initial Resistance

Purpose – The purpose of this paper is to investigate and review how the practices of Lesson Study fare in enhancing the professional capabilities of mathematics teachers when introduced as part of a pilot project in reforming the post-primary mathematics curriculum in Ireland. Design/methodology/approach – Totally, 250 mathematics teachers teaching Junior and Senior Cycle mathematics in 24 post-primary schools constitute the population of this study. The schools which participated are representative of the range of all post-primary schools in Ireland. Findings – Lesson Study has an important role to play in the continuing professional development of teachers in the 24 post-primary schools and beyond in Ireland. An investigation of the maths teachers’ engagement with Lesson Study reveals some considerable initial resistance. Reasons for this resistance are examined and the lessons learned from the steps taken to deal with this are reviewed. Lesson Study is an innovation that teachers need to understand deeply and to practice regularly through mutual support if they are to avail of it fruitfully. Accordingly, further approaches need to be explored, not least the important role of school leadership, to adapt Lesson Study more fully and more productively to the professional cultures of teaching in Ireland. Originality/value – An analytic and evaluative account of the challenges and complexities involved in introducing Lesson Study to post-primary schools in Ireland is presented for the first time.

Causes of suboptimal colorectal cancer screening (CRCS) in U.S. immigrants.

2011 ◽  
Vol 29 (4_suppl) ◽  
pp. 380-380
Author(s):  
N. C. Shahidi ◽  
B. Homayoon ◽  
W. Y. Cheung
Keyword(s):  
Health System ◽  
Rural Areas ◽  
Healthcare Access ◽  
Occult Blood ◽  
Composite Score ◽  
California Health Interview Survey ◽  
Fecal Occult Blood ◽  
Clinical Factors ◽  
Fecal Occult ◽  
Survey Responses

380 Background: Research shows that CRCS in U.S. immigrants is low, but causes for this poor uptake are unclear. Our aims were to 1) compare CRCS among U.S. born citizens (USB), naturalized citizens (NAC) and non-citizens (NOC), 2) evaluate clinical factors associated with CRCS, and 3) explore health system barriers to CRCS for immigrants. Methods: Screening eligible patients were identified from the 2007 California Health Interview Survey. CRCS was defined as a fecal occult blood test within 1 year, a sigmoidoscopy within 5 years or a colonoscopy within 10 years. Using logistic regression, we determined the effect of immigrant status and other clinical factors on CRCS. We devised a 3-point composite scoring system based on survey responses to questions about health system barriers (where 0=worst and 3=best). Stratified analyses based on residence (urban vs rural), healthcare coverage (insured vs uninsured), English proficiency (good vs. poor), and composite score were conducted to assess their relationship with CRCS. Results: We identified 30,434 respondents: USB 83%, NAC 13%, NOC 4%; mean age 66, 65, 61 years; male 39%, 41%, 48%; white 85%, 38%, 29%, respectively. Only 67% of USB, 61% of NAC and 46% of NOC underwent CRCS (p<0.001). Old age, male, high income earners, non-smokers, being married and those who visited their physicians frequently were more likely to receive CRCS (all p<0.05). When compared to USB, NAC and NOC were associated with decreased odds of CRCS (OR 0.88, 95%CI 0.73-1.05 and OR 0.67, 95%CI 0.52-0.87, respectively; global p=0.009). Stratified analyses revealed that the association between immigrants and decreased CRCS was more evident for immigrants who lived in rural areas, lacked insurance, or those who were not proficient in English (Table). Immigrants with a composite score ≤2 also reported worse CRCS. Conclusions: CRCS remains suboptimal, especially in new U.S. immigrants. Inferior healthcare access and language barriers are potential drivers of this disparity. Addressing these system issues for immigrants may promote CRCS in this population. [Table: see text] No significant financial relationships to disclose.

Lifestyle Medicine

2011 ◽  
Vol 6 (1) ◽  
pp. 26-30 ◽  
Author(s):  
Garry Egger ◽  
Sam Egger
Keyword(s):  
Clinical Medicine ◽  
Medical Knowledge ◽  
Continuing Professional Development ◽  
Annual Conference ◽  
Health Practice ◽  
Lifestyle Medicine ◽  
Australian Health ◽  
Disease Patterns ◽  
Professional Development Training ◽  
Developed World

Changes in disease patterns from predominantly infectious to predominantly chronic diseases in Australia, in line with economic development throughout the developed world, have led to the need for changes in conventional health practice. This has resulted in a movement toward an evidence-based discipline of lifestyle medicine incorporating aspects of both public health and clinical medicine, aimed at moderating lifestyle and environmentally based etiologies. A professional association, postgraduate and continuing professional development training, working text, interactive Web site, and annual conference, as described here, are designed to complement conventional medical knowledge and practices. Changes to the Australian health system, which operates on a dual public/private model have made this approach more feasible and continue to be adapted to allow a more comprehensive approach to lifestyle-related health problems.

scholarly journals Modelling of anaerobic digester biogas production: case study of a pilot project in Morocco

2013 ◽  
Vol 3 (4) ◽  
pp. 381-391 ◽  
Author(s):  
Youssef Abarghaz ◽  
Khiyati Mohammed El Ghali ◽  
Mustapha Mahi ◽  
Christine Werner ◽  
Najib Bendaou ◽  
...  
Keyword(s):  
Rural Areas ◽  
Environmental Science ◽  
Biogas Production ◽  
Oxygen Demand ◽  
Principal Component ◽  
Pilot Project ◽  
Gas Production ◽  
Input Material ◽  
Demand Reduction ◽  
Volume Measurements

An anaerobic digestion pilot system was implemented in June 2010 in the Moroccan village of Dayet Ifrah. The input material consists of toilet wastewater and cattle manure. Biogas is produced under anaerobic conditions. It is used for heating and cooking. This biogas system could be an useful sanitation technology due to its ability to treat wastewater. The biogas system was monitored over 86 days in summer 2012 to measure gas production. The average gas production recorded was about 1,870 l per day. This amount is sufficient for a farming family composed of 17 people. Our work seeks to find the most appropriate formula to predict biogas production under Moroccan conditions. We compared and ranked different formulas by applying principal component analysis and the ELECTRE III method. The variables studied were the chemical oxygen demand reduction and biogas volume measurements. The results show that the formula of Vedrenne is the most appropriate equation to predict biogas production in Moroccan rural areas (see Vedrenne (2007) ‘Study of Anaerobic Degradation Processes and Methane Production During Storage of Manure’. Environmental Science Thesis. ENSA, Rennes).

scholarly journals Public awareness of malaria at the beginning of a national malaria elimination program in China

2015 ◽  
Vol 9 (04) ◽  
pp. 416-420 ◽  
Author(s):  
Jianhai Yin ◽  
Zhigui Xia ◽  
Rubo Wang ◽  
Qingfeng Zhang ◽  
Wen Fang ◽  
...  
Keyword(s):  
Malaria Elimination ◽  
Rural Areas ◽  
Public Awareness ◽  
Age Groups ◽  
Malaria Prevention ◽  
Type I ◽  
Cross Sectional ◽  
The Public ◽  
Elimination Programme ◽  
Survey Responses

Introduction: This study aimed to investigate the baseline level of malaria awareness in residents in 20 malaria-endemic provinces from October 2010 to January 2011 at the beginning of the implementation of the China National Malaria Elimination Programme (NMEP). Methodology: A structured questionnaire about basic malaria knowledge was administrated to residents in rural areas from 20 provinces, municipalities, and autonomous regions. Results: A total of 182,085 residents no younger than 15 years of age took part in the cross-sectional investigation; 3,232 were excluded because of incomplete survey responses. Of the respondents, 56.86% were aware of malaria, 18.03% responded correctly to all five questions, and 5.57% answered all the questions incorrectly. Malaria awareness among different age groups was statistically significant (p < 0.001), males had a better understanding of malaria than did females (p < 0.001), and Type I counties had a better understanding than did Type II counties (p < 0.001). Conclusions: The level of malaria awareness was low among residents at the beginning of the NMEP, especially about malaria pathogenicity and preventive methods. Health education campaigns should be developed and implemented to increase the public perceptions about malaria prevention and treatment, and to promote malaria elimination in China.

scholarly journals School Road Safety Education in Uganda: Progress and Lessons Learned

2021 ◽  
Vol 32 (1) ◽  
pp. 45-51
Author(s):  
Tumwine Nkuruho ◽  
Cuthbert Isingoma ◽  
Teresa Senserrick
Keyword(s):  
Rural Areas ◽  
Road Safety ◽  
Primary Schools ◽  
National Curriculum ◽  
Pilot Project ◽  
Evidence Base ◽  
Road Accident ◽  
Lessons Learned ◽  
Safety Education ◽  
Safety Skills

The Uganda Road Accident Reduction Network Organisation (URRENO) is a non-profit, non-government organisation (NGO) mandated in 1997. From a modest pilot project funded by the World Bank in 2003, it has become a leader in the development, implementation and advocacy for road safety education in primary schools across Uganda. Through URRENO efforts, the pilot program was adopted as the national curriculum and was shown to improve students’ road safety skills and behaviours and reduce their involvement in crashes from 15% to 5%. Many other related worthwhile initiatives followed, including: improvements in pedestrian facilities; integrated road safety publicity and enforcement campaigns; and expansion of road safety NGOs to supplement Government efforts. Lessons learned of value for like organisations include: striving to collect and analyse data to attain a project evidence base; building strong partnerships with influential individuals, community groups, businesses and Government stakeholders; adopting participatory approaches in which stakeholders and beneficiaries play significant roles in project implementation; and building capacities and empowering beneficiaries. URRENO continues in its efforts to strengthen and further roll-out the road safety education curriculum across Uganda, following evidence that transfers of trained teachers has contributed to decayed expertise and attention to road safety, particularly among schools in rural areas. URRENO will continue to strive to empower young people to learn and strengthen their capacity in road safety, to grow out of dependence and become independent safe road users.

scholarly journals CONSTRAINTS FACED BY THE RESPONDENTS IN AVAILING THE BENEFITS OF DWCRA IN SRIKAKULAM DISTRICT OF ANDHRA PRADESH

2021 ◽  
Vol 8 (9) ◽  
pp. 155-162
Author(s):  
Yalla Meera ◽  
Dipak Kumar Bose ◽  
Syed H. Mazhar ◽  
Jahanara Jahanara
Keyword(s):  
Rural Areas ◽  
National Development ◽  
Pilot Project ◽  
State Governments ◽  
Self Employment ◽  
Participation Of Women ◽  
Basic Services ◽  
Women And Children ◽  
Activity Groups ◽  
Almost All

Women and Children constitute 67.7 per cent of the country’s total population as per the census 2001. Women exclusively accounted for million constituting 48.3 percent of the country’s population. By virtue of these figures, they shall be considered as an important target group. Hence, it becomes an essentiality to empower women economically and socially for promoting national development. Development of Women and Children in Rural Areas (DWCRA) was launched as sub scheme of IRDP. It was initially started as pilot project in 50 selected districts in all states during 1982- 1983. During, the IX plan almost all state governments started implementing DWCRA activities in rural areas. The objectives of this programme are to organize women into socio-economic activity groups with the dual purpose of providing self- employment opportunities and social strength to them. Besides, providing financial support for income generating activities, DWCRA also increases women’s access to basic services of health, education, children’s nutrition, safe drinking water, sanitation and environment. Though there are many achievements to its credit, still there is wider space to accommodate many innovative ideas elicited through the participation of women over the years for improving the programme periphery.

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