scholarly journals Grey Nomad’ Travellers’ Use of Remote Health Services in Australia: A Qualitative Enquiry of Hospital Managers’ Perspectives 

2021 ◽  
Author(s):  
Margaret Yates ◽  
Lin Perry ◽  
Jenny Onyx ◽  
Tracy Levett-Jones
Keyword(s):  
Chronic Illness ◽  
Health Services ◽  
Healthcare Professionals ◽  
Healthcare Services ◽  
Rural And Remote ◽  
Remote Areas ◽  
Healthcare Needs ◽  
Recreational Vehicles ◽  
Rural And Remote Areas ◽  
The Impact

Abstract Background For more than the last two decades, older Australians travelling domestically in self-sufficient accommodation and recreational vehicles for extended periods of time have been referred to as ‘Grey Nomads’. By 2021 more than 750,000 such recreational vehicles were registered in Australia. Tourism data for the year to September 2017 show 11.8 million domestic camping and caravanning trips in Australia, 29% of which were people aged 55 and over. As the ‘baby boomer’ generation increasingly comes to retirement, the size of this travelling population is growing. This growing group of domestic travellers are potential healthcare consumers in remote areas but relatively little is known about their travel, healthcare needs or care seeking practices. Grey nomads have been described as reflective of the age-comparable sector of the Australian population in that many live with chronic illness. Early concerns were raised that they may “burden” already stretched rural and remote healthcare services but relatively little is known about the impact of these travellers.Methods The aim of this study was to explore the utilisation of healthcare services in rural and remote locations in Australia by grey nomads, from the perspective of healthcare professionals working in these settings. The study objective was to interview healthcare professionals to seek their experience and details of service delivery to grey nomads. In March 2020 [prior to state border closures due to the COVID-19 pandemic] a field study was conducted to identify the impact of grey nomads on healthcare services in remote New South Wales and Queensland. A qualitative approach was taken to explore the perspectives of nursing healthcare managers working in remote towns along a popular travel route. With appropriate Research Ethics Committee approval, managers were purposively sampled and sample size was determined by data saturation. Thirteen managers were contacted and twelve interviews were scheduled to take place face to face in the healthcare facilities at mutually convenient times. A semi-structured interview schedule was developed in line with the research aim. The interviews were audio-recorded, transcribed and thematic analysis was undertaken concurrently with data collection for ongoing refinement of questions and to address emerging issues. Results These nursing managers described a strong service and community ethos. They regarded travellers’ healthcare needs no differently to those of local people and described their strong commitment to the provision of healthcare services for their local communities, applying an inclusive definition of community. Traveller presentations were described as predominantly exacerbations of chronic illness such as chest pain, medication-related attendances, and accidents and injuries. No hospital activity data for traveller presentations were available as no reports were routinely generated. Travellers were reported as not always having realistic expectations about what healthcare is available in rural and remote areas and arriving with mixed levels of preparedness. Most travellers were said to be well-prepared for their travel and self-management of their health. However, the healthcare services that can be provided in rural and remote areas needed to be better understood by travellers from metropolitan areas and their urban healthcare providers.Conclusion Participants did not perceive travellers as a burden on health services but recommendations were made regarding their expectations and preparedness. Australia’s national transition to electronic health records including a patient - held record was identified as a future support for continuity of care for travellers and to facilitate treatment planning. With no current information to characterise traveller presentations, routinely collected hospital data could be extracted to characterise this patient population, their presentations and the resources required to meet their care needs.

IMPACT OF DIGITAL MARKETING: THE PRESENT SCENARIO IN TELANGANA STATE – AN EMPERICAL STUDY

2021 ◽  
Vol 8 (65) ◽  
pp. 15164-15172
Author(s):  
S. Pratap ◽  
Aziz Fatima
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Digital Marketing ◽  
Rural And Remote ◽  
Remote Areas ◽  
Wide Range ◽  
Rural And Remote Areas ◽  
Telangana State ◽  
The Impact ◽  
Made In

In present scenario of COVID-19, the effect of pandemic on Digital Marketing is visible not only in urban areas but also in rural areas. Customers are searching for various products and services through Google by which they can purchase wide range of products and services to fill their needs and desires at relatively low price. The freedom to select numerous products is available by browsing various websites. Hence this study focuses on Impact of digital marketing particularly in the selected rural areas of Telangana state. This state been formed recently but in the IT sector it is receiving much attention throughout the globe, as many MNC’s are establishing their operations in this state. Therefore, an attempt has been made in this study to find out how the Impact of digital marketing is trickling down in the rural and remote areas of newly formed Telangana state. Hence this study focuses the impact of digital marketing in the selected areas of Telangana state.

scholarly journals Place4Carers: a mixed-method study protocol for engaging family caregivers in meaningful actions for successful ageing in place

BMJ Open ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. e037570 ◽  
Author(s):  
Guendalina Graffigna ◽  
Serena Barello ◽  
Niccolò Morelli ◽  
Eleonora Gheduzzi ◽  
Massimo Corbo ◽  
...  
Keyword(s):  
Literature Review ◽  
Family Caregivers ◽  
Community Based Participatory Research ◽  
Healthcare Services ◽  
Rural And Remote ◽  
Ageing In Place ◽  
Remote Areas ◽  
Scoping Literature Review ◽  
Rural And Remote Areas ◽  
Older Citizens

IntroductionEngaging family caregivers could be a critical asset to make the ‘ageing-in-place’ imperative a reality. This is particularly evident in rural and remote areas, where caregivers can fill the gaps that exist due to the fragmentation of the welfare system. However, there is little knowledge about the expectations that family caregivers have from healthcare services in rural and remote areas.Place4Carers (P4C) project aims to co-produce an innovative organisational model of social and healthcare services for family caregivers of older citizens living in Vallecamonica (Italy). The project is expected to facilitate ageing-in-place for older citizens, thus helping caregivers in their daily care activities.Methods and analysisP4C is a community-based participatory research project featuring five work packages (WPs). WP1 consists of a survey of unmet needs of caregivers and older people receiving services in Vallecamonica. WP2 consists of a scoping literature review to map services that provide interventions of support to caregivers living in remote areas and promote engagement. WP3 organises co-creation workshops with caregivers to co-design, co-manage, and co-assess ideas and proposals for shaping caregiver-oriented services and organisational models. WP3 enriches the results of WP1 (survey) and WP2 (scoping literature review), and aims to co-create new ideas for intervention support with and for caregivers in relation to the objectives, features and characteristics of a new service able to address the caregivers’ needs and expectations. WP4 tests the service ideas co-created in WP3 through piloting an intervention based on ideas co-created with caregivers. Finally, WP5 assesses the transferability of the intervention to other similar contexts.Ethics and disseminationThe study has been approved by the Ethics Committees of the Department of Psychology of Università Cattolica del Sacro Cuore and Politecnico of Milan. Results will be disseminated through peer-reviewed journals, scientific meetings and meetings with the general population.

scholarly journals More rural and Aboriginal students for health related university courses - are we making progress?

2003 ◽  
Vol 26 (2) ◽  
pp. 73 ◽  
Author(s):  
Gil-Soo Han ◽  
Julie Mahnken ◽  
Sally Belcher
Keyword(s):  
Rural Communities ◽  
Health Services ◽  
Health Professionals ◽  
Rural Population ◽  
Rural And Remote ◽  
Remote Areas ◽  
Aboriginal Students ◽  
University Courses ◽  
Rural And Remote Areas ◽  
Health Related

The shortage of health professionals in rural and remote areas has been a serious concern. Rural healthprofessionals are constantly leaving for urban practice. The training and recruitment of health professionals whomay be prepared to serve rural communities for a lengthy period is a challenge if a nation is committed to theprovision of equitable health services to its rural population.

Needs, Challenges, and Opportunities in Establishing and Maintaining Medical Education in Karnali Academy of Health Sciences (KAHS)

2019 ◽  
Vol 2 (2) ◽  
pp. 79-80
Author(s):  
Kiran Regmi ◽  
Kapil Amgain
Keyword(s):  
Medical Education ◽  
Health Services ◽  
Health Workforce ◽  
World Health ◽  
World Health Report ◽  
Rural And Remote ◽  
Recruitment And Retention ◽  
Remote Areas ◽  
The World ◽  
Rural And Remote Areas

 The constitution of Nepal (2015), article 35 (Right relating to health) stated that every citizen shall have the right to free basic health services from the State, and no one shall be deprived of emergency health services. According to the World Bank report (collection of development indicators compiled from various official sources, 2016), Nepal has 81% rural and remote populations. Health service delivery is a complex reality for the rural and remote populations and faces enormous challenges. One of them is insufficient and uneven distribution of health workforce. The World Health Report concluded that "the severity of the health workforce crisis is in some of the world's poorest countries, of which 6 are in South East Asia out of 57 countries having critical shortages of health workforce."1Even after 13 years situation has not much improved. Nepal faces a critical shortage of trained health workforce, especially in rural and remote areas. Health workforce recruitment and retention in rural and remote areas is a difficult task challenged by the preferences and migration of health workforce to urban areas in country, or even abroad for better life and professional development.2 One of the most effective strategies for health workforce recruitment and retention for rural and remote areas could be that of establishing and maintaining Medical Education in rural and remote areas decentralized from urban academic medical centers.

Trace and evaluation systems for health services quality in rural and remote areas: a systematic review

2017 ◽  
Vol 26 (2) ◽  
pp. 127-135 ◽  
Author(s):  
Xiuxia Li ◽  
Lili Wei ◽  
Wenru Shang ◽  
Xin Xing ◽  
Min Yin ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Services ◽  
Services Quality ◽  
Rural And Remote ◽  
Evaluation Systems ◽  
Remote Areas ◽  
Rural And Remote Areas

scholarly journals The effect of heat events on prehospital and retrieval service utilisation in rural and remote areas: a scoping review

2021 ◽  
Author(s):  
Elen O’Donnell ◽  
Bridget Honan ◽  
Simon Quilty ◽  
Rebecca Schultz
Keyword(s):  
Extreme Heat ◽  
Service Utilisation ◽  
Rural And Remote ◽  
Remote Areas ◽  
On Demand ◽  
Excess Heat Factor ◽  
Rural And Remote Areas ◽  
Service Activity ◽  
The Impact ◽  
Heat Events

AbstractIntroductionIt is well established that heatwaves increase demand for emergency transport in metropolitan areas, however little is known about the impact of heat events on demand for prehospital retrieval services in rural and remote areas, or how heatwaves are defined in this context.Inclusion criteriaPapers were eligible for inclusion if they reported on the impact of a heat event on the activity of a prehospital and retrieval service in a rural or remote area.MethodsA search of PubMed, Cochrane, Science Direct, CINAHL and Google Scholar databases was undertaken on 18 August 2020, using search terms related to emergency medical transport, extreme heat and rural or remote. Data relevant to the impact of heat on retrieval service activity was extracted, as well as definitions of extreme heat.ResultsTwo papers were identified, both from Australia. Both found that heat events increased the number of road ambulance call-outs. Both studies used the Excess Heat Factor to define heatwave periods of interest.ConclusionsThis review found almost no primary literature on demand for prehospital retrieval services in rural and remote areas, and no data specifically related to aeromedical transport. The research did recognise the disproportionate impact of heat-related increase in service demand on rural and regional health services. With the effects of climate change already being felt, there is an urgent need for more research and action in this area.

The Effect of Heat Events on Prehospital and Retrieval Service Utilization in Rural and Remote Areas: A Scoping Review

2021 ◽  
pp. 1-6
Author(s):  
Elen O’Donnell ◽  
Bridget Honan ◽  
Simon Quilty ◽  
Rebecca Schultz
Keyword(s):  
Extreme Heat ◽  
Rural And Remote ◽  
Remote Areas ◽  
On Demand ◽  
Excess Heat Factor ◽  
Rural And Remote Areas ◽  
Service Activity ◽  
Aeromedical Transport ◽  
The Impact ◽  
Heat Events

Abstract Introduction: It is well-established that heatwaves increase demand for emergency transport in metropolitan areas; however, little is known about the impact of heat events on demand for prehospital retrieval services in rural and remote areas, or how heatwaves are defined in this context. Inclusion Criteria: Papers were eligible for inclusion if they reported on the impact of a heat event on the activity of a prehospital and retrieval service in a rural or remote area. Methods: A search of PubMed, Cochrane, Science Direct, CINAHL, and Google Scholar databases was undertaken on August 18, 2020 using search terms related to emergency medical transport, extreme heat, and rural or remote. Data relevant to the impact of heat on retrieval service activity were extracted, as well as definitions of extreme heat. Results: Two papers were identified, both from Australia. Both found that heat events increased the number of road ambulance call-outs. Both studies used the Excess Heat Factor (EHF) to define heatwave periods of interest. Conclusions: This review found almost no primary literature on demand for prehospital retrieval services in rural and remote areas, and no data specifically related to aeromedical transport. The research did recognize the disproportionate impact of heat-related increase in service demand on Australian rural and regional health services. With the effects of climate change already being felt, there is an urgent need for more research and action in this area.

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