scholarly journals New Partner Recruitment to Rural Versus Urban Ob-Gyn Practices

2017 ◽  
Vol 4 ◽  
pp. 233339281772398 ◽  
Author(s):  
Michael F. Fialkow ◽  
Carrie M. Snead ◽  
Jay Schulkin
Keyword(s):  
Rural Communities ◽  
Pacific Northwest ◽  
Health Care Systems ◽  
Rural Practice ◽  
Family Status ◽  
Rural And Urban ◽  
The Pacific ◽  
Care Systems ◽  
New Recruits ◽  
Significant Health

Purpose: The purpose of this pilot study was to investigate the recruitment efforts of practicing obstetrics and gynecology (ob-gyns) from rural and urban practices. Method: The authors surveyed practicing ob-gyns from 5 states in the Pacific Northwest in 2016 about their background, practice setting, practice profile, partner recruitment, and retention. Results: Seventy-three patients completed the study (53.2% response rate). Thirty-seven percent of respondents work in an urban practice and 43% have a rural practice, with the remainder in a suburban setting. A majority of the respondents attempted to recruit a new partner in the past 5 years. Respondents were most interested in experience and diversity in new recruits. Urban respondents, however, were more interested in hiring those with specialized skills (χ2 = 7.842, P = .02) than rural providers who were more interested in partners familiar with their community (χ2= 7.153, P = .03). Reasons most often cited to leave their practice were reimbursement, limited social/marital options, and workload, other than rural providers who more often also cited lack of access to specialty care (χ2= 13.256, P = .001). Rural providers were more likely to cite marital and family status as an advantage to recruitment, whereas urban and suburban providers were more often neutral. Conclusions: Reduced access to care has led to significant health disparities for women living in rural communities. Understanding which providers are most likely to be successful in these settings might help preserve access as our health-care systems evolves.

scholarly journals UNDERSTANDING NON-MEDICAL COSTS FOR HEALTH CARE: EVIDENCE FROM INPATIENT CARE FOR OLDER PEOPLE IN CHINA

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S733-S733
Author(s):  
Wei Yang
Keyword(s):  
Health Care ◽  
Older People ◽  
Health Care Systems ◽  
Significant Proportion ◽  
Medical Costs ◽  
Urban China ◽  
Substantial Part ◽  
Rural And Urban ◽  
Care Systems ◽  
Health Payment

Abstract Non-medical costs can constitute a substantial part of total health care costs, especially for older people. Costs associated with carers, travel, food and accommodation for family members accompanying and caring for older people during their medical visits can be hefty. This study seeks to examine the effects of non-medical costs on catastrophic health payments and health payment-induced poverty among older people in rural and urban China. Using data from the China Health and Retirement Longitudinal Survey 2015, this study finds that inpatient costs account for a significant proportion of household expenditure, and non-medical costs can account for approximately 18% of total costs. That share is highest for those who belong to the lowest wealth groups. Non-medical costs increase the chances of older people incurring catastrophic health payments and suffering from health payment-induced poverty. Such effects are more concentrated among the poor than the rich. The results also show that the rural population are more likely to incur catastrophic health payments and suffer from health payment induced poverty compared to the urban population. This paper urges policy makers to consider reimbursing the non-medical costs of patient care, improving health care systems in general and for the rural populations specifically.

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 Coronavirus: COVID-19 Transmission in Pacific Small Island Developing States

2020 ◽  
Vol 17 (15) ◽  
pp. 5409 ◽  
Author(s):  
Walter Leal Filho ◽  
Johannes M. Lütz ◽  
David N. Sattler ◽  
Patrick D. Nunn
Keyword(s):  
Health Care Systems ◽  
International Exchange ◽  
Small Island ◽  
Small Island Developing States ◽  
Spread Rate ◽  
First Case ◽  
The Pacific ◽  
Care Systems ◽  
Economic And Social Impacts

Background: Pacific Small Island Developing States (SIDS) have health care systems with a limited capacity to deal with pandemics, making them especially vulnerable to the economic and social impacts of the coronavirus (COVID-19). This paper examines the introduction, transmission, and incidence of COVID-19 into Pacific SIDS. Methods: Calculate the rate of transmission (the average number of new cases per day between the first recorded case and the most recent day) and connectivity (daily direct flights to the leading airport in each selected island group) using flight history and COVID-19 transmission data. Results: Correlational analyses show that connectivity is positively related with (a) first-case dates and (b) spread rate in Pacific SIDS. Conclusion: Connectivity plays a central role in the spread of COVID-19 in Pacific SIDS. The continued entry of people was a significant factor for spread within countries. Efforts to prevent transmission by closing borders reduced transmission but also created significant economic hardship because many Pacific SIDS rely heavily on tourism and international exchange. The findings highlight the importance of exploring the possibility that the COVID-19 spread rate may be higher than official figures indicate, and present pathways to mitigate socio-economic impacts. The practical implications of the findings reveal the vulnerability of Pacific SIDS to pandemics and the key role of connectivity in the spread of COVID-19 in the Pacific region.

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.

An Exploration of the Experiences of Migrant Women

2012 ◽  
pp. 954-967
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 ◽  
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.

Place and Spirituality in the Pacific Northwest

2017 ◽  
Author(s):  
Madeline Duntley
Keyword(s):  
Native American ◽  
Pacific Northwest ◽  
Arid Zone ◽  
Mountain Range ◽  
Christian Missions ◽  
Inland Empire ◽  
Rural And Urban ◽  
The Pacific ◽  
Architecture And Literature ◽  
Revitalization Movements

The challenges and benefits of the Pacific Northwest’s rugged but scenic terrain have received ample treatment in studies of religiosity in this region. The interplay of place and spirituality was first chronicled in detailed case studies of Christian missions and missionaries, rural and urban immigrants, and histories of the various Native American tribal groups of the Northwest Coast and Inland Empire. Currently, the focus is on trends unique to this region, such as interdenominational and interfaith ecumenicity in environmental and social justice campaigns, earth-based spiritual activism and conservation, emergent “nature spirituality,” the rise of religious non-affiliation (the so-called religious “nones”), and indigenous revitalization movements. Recent interest in cultural geography has produced several general works seeking to define the Pacific Northwest aesthetic and regional ethos, especially as depicted in the so-called “Northwest Schools” in art, architecture, and literature. Because the Cascade Mountain range bisects the Pacific Northwest into two radically different climate zones, literature on spirituality in the region often follows this natural topography and limits its locative lens to either the coastal zone (including the area stretching from Seattle to Southern Oregon) or the Inland Empire (the more arid zone east of the mountains from Spokane to Eastern Oregon). When the Pacific Northwest region is referred to more broadly as “Cascadia,” it includes Washington, Oregon, Idaho, northernmost California and Canada’s British Columbia.

scholarly journals Preparing Physicians for Rural Practice: Availability of Rural Training in Rural-Centric Residency Programs

2019 ◽  
Vol 11 (5) ◽  
pp. 550-557 ◽  
Author(s):  
Davis G. Patterson ◽  
C. Holly A. Andrilla ◽  
Lisa A. Garberson
Keyword(s):  
Health Care Systems ◽  
Core Competencies ◽  
Rural Practice ◽  
Full Time ◽  
Specific Content ◽  
Residency Programs ◽  
Rural Clinic ◽  
Rural Residency ◽  
Care Systems ◽  
Rural Training

ABSTRACT Background Exposing residents to rural training encourages future rural practice, but unified accreditation of allopathic and osteopathic graduate medical education under one system by 2020 has uncertain implications for rural residency programs. Objective We describe training locations and rural-specific content of rural-centric residency programs (requiring at least 8 weeks of rurally located training) before this transition. Methods In 2015, we surveyed residency programs that were rurally located or had rural tracks in 7 specialties and classified training locations as rural or urban using Rural-Urban Commuting Area (RUCA) codes. Results Of 1849 residencies in anesthesiology, emergency medicine, general surgery, internal medicine, obstetrics and gynecology, pediatrics, and psychiatry, 119 (6%) were rurally located or offered a rural track. Ninety-seven programs (82%) responded to the survey. Thirty-six programs required at least 8 weeks of rural training for some or all residents, and 69% of these rural-centric residencies were urban-based and 53% were osteopathic. Locations were rural for 26% of hospital rotations and 28% of continuity clinics. Many rural-centric programs (35%) reported only urban ZIP codes for required rural block rotations; 54% reported only urban ZIP codes for required rural clinic sessions, and 31% listed only urban ZIP codes in reporting rural full-time training locations. Programs varied widely in coverage of rural-specific training in 6 core competencies. Conclusions In multiple specialties important for rural health care systems, little rurally located residency training and rural-specific content was available. Substantial proportions of training locations reported to be rural were actually urban according to a common rural definition.

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