scholarly journals Telemedicine

2014 ◽  
Vol 5 (2) ◽  
pp. 95-102 ◽  
Author(s):  
Nicholas J. Cannon ◽  
Kimberly Jurski ◽  
Gregory W. Ulferts
Keyword(s):  
Health Care ◽  
Rural Communities ◽  
Health Services ◽  
Health Care Professionals ◽  
Rural Areas ◽  
Care Delivery ◽  
Geographic Area ◽  
Quantitative Evidence ◽  
Number Of Patients ◽  
Rural Patients

Telemedicine has been advocated as a solution to overcome barriers to access health services faced by rural patients. The almost 60 million Americans living in rural areas are significantly underserved by the nation’s physicians and rural communities have traditionally experienced a shortage of physicians. Compounding this problem of physician shortage is the fact that services must be provided to patients over a wide geographic area. Telemedicine programs are being used to address health services shortages in rural areas by applying telecommunications technology to deliver health services similar to those which would be provided in face-to-face consultations between patients and health care professionals. Adoption of telemedicine as an option for delivery of services has been slow and is largely limited to specialty services. Where adopted, telemedicine has been received positively by both patients and physicians. Telemedicine can improve access to care for rural patients by increasing the number of patients who can access care and by providing services usually unavailable to rural patients. Despite evidence of the effectiveness of telemedicine programs, wider adoption of a telemedicine alternative suffers from a lack of reliable financial data for implementation, ongoing management, and for comparison to traditional delivery systems. Telemedicine is poised to become an important method of rural health care delivery, but as the trend toward the application of technology to the delivery of health services gains greater momentum, health managers require serious quantitative evidence on which to base resource allocation and management decisions. 

scholarly journals Workshop: Health workforce meets HSR: Tackling regional inequalities in health service provision

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Services ◽  
Health Workforce ◽  
Health Care Professionals ◽  
Rural Areas ◽  
Hospital Care ◽  
Health Service Provision ◽  
Care Practices ◽  
Do So

Abstract Background Many countries across Europe are facing considerable challenges in providing accessible and high quality care regardless of where people live. A major element is the difficulty that countries face to attract and retain health care professionals to work in remote and rural areas. This applies to primary care services as well as to hospital care, and to the care provided by physicians and other health professionals, including nurses. A widely shared question is therefore how to safeguard access to health care in rural areas and to solve recruitment and retention problems in such regions, both of medical and nursing staff. The workshop will build on last year’s joint workshop of the Sections on HSR and HWR that ended with questions related to how to organize accessible and equitable health services including the workforces required to do so. Objectives This workshop will provide a snapshot of studies from across the European region, with a particular focus on differences between rural and urban health care practices and the types of solutions being used to reduce regional disparities in provision of care. This often refers to retention and recruitment strategies, but the session will also address other types of solutions in the organization of care that can help ensure accessible care, including in vulnerable regions and settings. Tackling this challenge will therefore require a joint approach, tapping into experience from health workforce research as well as wider health services research, bringing together research into the organization and management of healthcare and into the health human resources providing this care, operated from different angles and being informed by different research traditions and data sources. Based on statements, we will discuss the topic of how to organize accessible and equitable health services including the workforces required to do so after the presentations. Key messages Workforce policies should focus on retaining primary care workforce in rural areas and integrated policies should attract new primary care practices. Both in primary care and hospital care new solutions are being sought which should help resolve regional differences in access to care and attractiveness for the health workforce.

Leadership, training, and educational opportunities

2015 ◽  
Author(s):  
Raymond F. Patterson
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Professionals ◽  
Health Care Professionals ◽  
Criminal Responsibility ◽  
Systems Of Care ◽  
Care Delivery ◽  
Forensic Practice

Correctional settings hold a range of opportunities for Psychiatrists to assume leadership roles. The increase in the number of detainees and inmates who require mental health services has created numerous administrative and clinical opportunities for psychiatrists. The ‘front end’ of arrest and pretrial determinations has been a longstanding component of forensic practice, related to competence, criminal responsibility, and probation. Following incarceration, assessment of mental health needs, access to care, and provision of treatment as well as quality improvement partially constitute the jail and prison components of mental health services. The ‘aftercare’ aspect of mental health services in correctional psychiatry involves individuals released on parole with need and/or requirement for mental health treatment. The leadership role for psychiatrists working in correctional environments is distinctly different from typical psychiatric venues where the psychiatrist and other mental health professionals are ‘in control;’ in correctional environments, the dynamics are different and require collaboration and advocacy. Within correctional systems it is essential that ‘correctional culture’ be understood by the psychiatric/mental health leadership. With effective psychiatric leadership, mental health care delivery and its coordination with correctional management of prisoners both stand to be improved. The need for dedicated and qualified leadership for mental health services and appropriate education and training in correctional mental health practices provide remarkable opportunities for psychiatrists. Psychiatrists and other health care professionals must be educated and trained to provide the necessary leadership for these extraordinarily complex systems of care and confinement.

scholarly journals Outpatient Cancer Care Delivery in the Context of E-Oncology: A French Perspective on “Cancer outside the Hospital Walls”

Cancers ◽  
2019 ◽  
Vol 11 (2) ◽  
pp. 219 ◽  
Author(s):  
François Bertucci ◽  
Anne-Gaëlle Le Corroller-Soriano ◽  
Audrey Monneur-Miramon ◽  
Jean-François Moulin ◽  
Sylvain Fluzin ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Care Delivery ◽  
Health Care Facilities ◽  
Point Of View ◽  
Care Providers ◽  
Public Authorities ◽  
Number Of Patients ◽  
Areas Of Interest

In oncology, the treatment of patients outside of hospitals has become imperative due to an increasing number of patients who are older and live longer, along with issues such as medical desertification, oncologist hyperspecialization, and difficulties in financing mounting health expenditures. Treatments have become less “invasive”, with greater precision and efficiency. Patients can therefore receive most of their care outside of hospitals. The development of e-health can address these new imperatives. In this letter, we describe the different e-health tools and their potential clinical impacts in oncology, as already reported at every level of care, including education, prevention, diagnosis, treatment, and monitoring. A few randomized studies have yet demonstrated the clinical benefit. We also comment on issues and limits of “cancer outside the hospital walls” from the point of view of patients, health care professionals, health facilities, and public authorities. Care providers in hospitals and communities will have to adapt to these changes within well-coordinated networks in order to better meet patient expectations regarding increasing education and personalizing management. Ultimately, controlled studies should aim to definitively demonstrate areas of interest, benefits, and incentives, for not only patients, but also caregivers (formal and informal) and health care providers, health care facilities, and the nation.

scholarly journals Mental Health Care Delivery for Older Adults in Rural Greece: Unmet Needs

2019 ◽  
Vol 10 (04) ◽  
pp. 721-724
Author(s):  
Vaios Peritogiannis ◽  
Charalampos Lixouriotis
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Care ◽  
Rural Areas ◽  
Primary Care Physicians ◽  
Care Delivery ◽  
The Elderly

AbstractMental disorders may go unrecognized and undertreated in older adults. This is the rationale for the launch of specialized mental health services for the elderly in high resourced settings. Rural areas, however, do not receive adequate mental health care owing to socioeconomic and geographical reasons, and this is the case of rural Greece, where research on mental health of the elderly is scarce. This article discusses the challenges of providing mental health care for older adults in rural Greece and the available options. Care can be delivered through the existing rural mental health services that are the mobile mental health units and through the primary care physicians. Training in psychogeriatrics for the personnel of the former and in mental health for the latter is warranted.

scholarly journals Demographic and Clinical Characteristics of Patients with Dementia in Greece

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Eleni Jelastopulu ◽  
Evangelia Giourou ◽  
Konstantinos Argyropoulos ◽  
Eleftheria Kariori ◽  
Eleftherios Moratis ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Rural Areas ◽  
Urban Areas ◽  
Clinical Characteristics ◽  
Population Aging ◽  
Care Delivery ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cross Sectional

Introduction. Dementia’s prevalence increases due to population aging. The purpose of this study was to determine the demographic profile of Greek patients with dementia and the differences in management between the urban and rural population. Methods. A cross sectional study was carried out including 161 randomly selected specialists from different regions in Greece who filled in a structured questionnaire relating to patients with dementia, regarding various sociodemographic and clinical characteristics. Results. A total of 4580 patients (52% males) with dementia were recorded. Mean age was 73.6 years and 31% lived in rural areas. The Mini Mental Status Examination (MMSE) was used in 87% of cases. In the urban areas the diagnosis of dementia was made in an earlier stage of the disease in comparison to the rural areas (P=0.013). Higher comorbidity and a higher percentage of low education were evident in rural residents (P<0.001), while higher medication usage was observed in urban patients (P=0.04). Conclusions. The results implicate the need for improvement in health care delivery in Greek rural areas and health care professionals’ training to achieve a proper treatment of dementias and increase the quality of life among the elderly habitants of remote areas.

scholarly journals The Indonesian Government's Efforts to Improve Health Services and Facilities in Rural Areas Related to Health Laws

2021 ◽  
Vol 2 (1) ◽  
pp. 48-52
Author(s):  
Imam Muhaji
Keyword(s):  
Health Care ◽  
Rural Communities ◽  
Health Services ◽  
Rural Areas ◽  
Secondary Data ◽  
Remote Communities ◽  
The Government ◽  
Health Situation ◽  
Health Legislation ◽  
Health Laws

Indonesian citizens must have the ability to access appropriate health care and facilities. Rural regions, on the other hand, suffer from a lack of resources and infrastructure owing to a variety of reasons. This village's health situation is clearly not in compliance with the existing health regulations. As a result, scholars are involved in examining federal efforts linked to health legislation to enhance health care and infrastructure in remote communities. This paper employs the secondary data approach as well as literature analysis. According to the findings, certain regions do not have enough health care and infrastructure. The government has made efforts to develop these health services and facilities so far; nevertheless, these efforts are insufficient, and further effort is needed so that all rural communities will benefit from the outcomes.

A telehealth project for supporting an isolated physiotherapist in a rural community of Hokkaido

2000 ◽  
Vol 6 (2_suppl) ◽  
pp. 35-37 ◽  
Author(s):  
C Jin ◽  
A Ishikawa ◽  
Y Sengoku ◽  
T Ohyanagi
Keyword(s):  
Health Care ◽  
Rural Communities ◽  
Rural Community ◽  
Health Care Professionals ◽  
Rural Areas ◽  
Vicious Circle ◽  
General Rehabilitation ◽  
Almost All ◽  
Medical University ◽  
The Town

Almost all towns and villages in the rural areas of Hokkaido suffer shortages of health-care professionals, particularly therapists (e.g. physiotherapists, occupational and speech therapists). A therapist in a rural community must work as a general rehabilitation therapist. This adds to the stress of both the responsibility and the isolation and it seems to be the major reason why therapists do not generally stay in rural communities. A telehealth project to overcome this vicious circle in Hokkaido was started at Sapporo Medical University in 1997, and the town of Betsukai joined the project. This outlines the support given to an isolated physiotherapist working in Betsukai, as part of a larger rehabilitation project. Regular videoconferences helped the physiotherapist gain confidence in her work in the rural community.

Depression and the Use of Conventional and Nonconventional Interventions by Rural Patients

2003 ◽  
Vol 9 (5) ◽  
pp. 151-158 ◽  
Author(s):  
Norma Cuellar ◽  
Shelly Cochran ◽  
Christie Ladner ◽  
Becky Mercier ◽  
Amy Townsend ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Rural Areas ◽  
Epidemiologic Studies ◽  
Care Providers ◽  
Treatment And Prevention ◽  
Treatment Of Depression ◽  
Rural Patients ◽  
Predictors Of Depression

BACKGROUND: Depression is a serious condition that is often ignored or overlooked by health care professionals. Improvement in the recognition, treatment, and prevention of this disease is a public health priority, especially in rural areas. PURPOSE: The purposes of this study were (a) to determine if participants in rural areas from four sub-groups—patients with breast cancer, caregivers, patients with myocardial infarction, and patients who have had a stroke—were depressed, and (b) to compare and identify conventional and nonconventional interventions being implemented for depression. DESIGN: A comparative descriptive design was used. Using the Center for Epidemiologic Studies Depression Index, the authors questioned 120 participants. RESULTS: Forty-four (37%) of the participants in this study reported depression; 70% were not being treated with antidepressants. Unemployment and marital status were significant predictors of depression. No differences among groups were identified in the treatment of depression. CONCLUSION: Health care providers should be aware that screening and treatment for depression are necessary, especially in rural areas where isolation, poverty, and lack of mental health services are common.

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.

COVID 19 and Special Care Dentistry: A Narrative Review

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 1473-1476
Author(s):  
Ashwika Datey ◽  
Soumya Singhai ◽  
Gargi Nimbulkar ◽  
Kumar Gaurav Chhabra ◽  
Amit Reche
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Services ◽  
Care Delivery ◽  
Special Care ◽  
World Health ◽  
Healthcare Sector ◽  
Health Care Needs ◽  
Oral Diseases ◽  
Care Needs

The COVID 19 outbreak has been declared a pandemic by the world health organisation. The healthcare sector was overburdened and overstretched with the number of patient increasing and requiring health services. The worst-hit population always are the people with special needs, whether it is children, pregnant females or the geriatric population. The need for the emergency kind of health services was so inflated that the other special population which required them equally as those patients with the COVID 19 suffered a lot. Dentistry was not an exception, and even that is also one of the important components of the health care delivery system and people requiring oral health care needs were also more. Those undergoing dental treatments would not have completed the treatment, and this would have resulted in various complications. In this situation, some dental emergency guidelines have been released by Centres for Disease Control (CDC) for the urgent dental care those requiring special care dentistry during the COVID 19 pandemic. Children with special care needs were considered more vulnerable to oral diseases; hence priority should have been given to them for dental treatments moreover in the future also more aggressive preventive measures should be taken in order to maintain oral hygiene and prevent many oral diseases. Guardians/caregivers should be made aware and motivated to maintain the oral health of children with special health care needs. This review mainly focuses on the prevention and management of oral diseases in children's with special care needs.

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