scholarly journals Improving access to cardiac rehabilitation in rural and remote areas: a protocol for a community-based qualitative case study

2021 ◽  
Vol 28 (12) ◽  
pp. 1-13
Author(s):  
Patricia E Field ◽  
Richard C Franklin ◽  
Ruth Barker ◽  
Ian Ring ◽  
Peter Leggat ◽  
...  

Background/Aims Heart disease is the largest single cause of death and contributes to poor quality of life and high healthcare costs in Australia. There are higher rates of heart disease in rural and remote areas, with the highest rates in Aboriginal and Torres Strait Islander people. Cardiac rehabilitation is known to improve health outcomes for people with heart disease but referral rates remain low (30.2% overall and 46% following acute coronary syndrome) in Australia. Further, access to cardiac rehabilitation in rural and remote areas is affected by there being few centre-based services, and poor use of home-based services. The aim of this protocol is to investigate: (i) understanding of cardiac rehabilitation by health staff, community leaders and community participants discharged from hospital following treatment for heart disease; (ii) access and support for cardiac rehabilitation in rural and remote areas via health service availability in each community. Methods A qualitative case study methodology, using an interpretive descriptive framework, will be used together with content analysis that will encompass identification of themes through a deductive/inductive process. Conclusions To improve access to services and health outcomes in rural and remote areas, a strong evidence base is essential. To achieve this, as well as having appropriate methodology, it is necessary to build relationships and trust with local communities and healthcare providers. This research protocol describes a qualitative community-based case study, together with processes to build sound relationships required for effective data collection through semi-structured interviews or focus groups. Each step of the pre-research planning data collection and analysis is described in detail for the guidance of future researchers.

2021 ◽  
Vol 2 (2) ◽  
pp. 129-138
Author(s):  
Ida S�m�vo Tognisse ◽  
Ahmed Dooguy Kora ◽  
Jules Degila

One of the major problems the telecommunication industry faces in providing connectivity to the unconnected, particularly in rural and remote areas, is the lack of infrastructure in these areas. Indeed, deploying a network in an isolated area can be more expensive for an operator than in an urban area, while the return on investment is not possible. This is the primary cause of the coverage divide. To remedy this, in this work, we propose a techno-economic analysis of infrastructure sharing. First, we develop a mathematical model of the overall cost of extending a mobile network in rural areas. Different scenarios involving infrastructure sharing at varying levels of deployment are then presented. Then, using the models proposed in each scenario, we make a case study to deduce the most economically advantageous scenario for operators to extend their networks to remote areas. This case involves the sharing of passive infrastructure and also the sharing of active resources in a cloud-RAN. Based on the proposed model, our simulation results show that while passive sharing is beneficial, active sharing using cloud-RAN as technology increases this benefit. This work also indicates and highlights the technical constraints to be respected in the sharing for this scenario.


Author(s):  
Patricia Field ◽  
Richard C. Franklin ◽  
Ruth Barker ◽  
Ian Ring ◽  
Peter Leggat ◽  
...  

AAESPH Review ◽  
1976 ◽  
Vol 1 (7) ◽  
pp. 82-90
Author(s):  
Dennis McCrea ◽  
Robin Beck ◽  
Eugene Edgar

Procedures for medical/educational assessment of severely/profoundly handicapped children in a rural area are discussed. Special attention is given to the aspects of full cooperation between the medical and educational team members. Methods for including local medical and educational personnel are discussed as well as a sample case study.


Sensors ◽  
2021 ◽  
Vol 21 (5) ◽  
pp. 1627
Author(s):  
Giovanni Battista Gaggero ◽  
Mario Marchese ◽  
Aya Moheddine ◽  
Fabio Patrone

The way of generating and distributing energy throughout the electrical grid to all users is evolving. The concept of Smart Grid (SG) took place to enhance the management of the electrical grid infrastructure and its functionalities from the traditional system to an improved one. To measure the energy consumption of the users is one of these functionalities that, in some countries, has already evolved from a periodical manual consumption reading to a more frequent and automatic one, leading to the concept of Smart Metering (SM). Technology improvement could be applied to the SM systems to allow, on one hand, a more efficient way to collect the energy consumption data of each user, and, on the other hand, a better distribution of the available energy through the infrastructure. Widespread communication solutions based on existing telecommunication infrastructures instead of using ad-hoc ones can be exploited for this purpose. In this paper, we recall the basic elements and the evolution of the SM network architecture focusing on how it could further improve in the near future. We report the main technologies and protocols which can be exploited for the data exchange throughout the infrastructure and the pros and cons of each solution. Finally, we propose an innovative solution as a possible evolution of the SM system. This solution is based on a set of Internet of Things (IoT) communication technologies called Low Power Wide Area Network (LPWAN) which could be employed to improve the performance of the currently used technologies and provide additional functionalities. We also propose the employment of Unmanned Aerial Vehicles (UAVs) to periodically collect energy consumption data, with evident advantages especially if employed in rural and remote areas. We show some preliminary performance results which allow assessing the feasibility of the proposed approach.


Sign in / Sign up

Export Citation Format

Share Document