scholarly journals Quality of Telehealth Services in Delivery of Paediatric Surgical Care in Australia: A Systematic Literature Review

2021 ◽  
Vol 3 (3) ◽  
pp. 1-5
Author(s):  
Josephine De Costa ◽  
Keyword(s):  
Literature Review ◽  
Surgical Care ◽  
Paediatric Surgery ◽  
Equitable Access ◽  
Rural And Remote ◽  
Remote Areas ◽  
Rural And Remote Areas ◽  
Access To Medical Care ◽  
Improve Access

Telehealth services are commonly used in many aspects of medicine to improve access to medical care for populations in rural and remote regions, and can and do play an important role in ensuring equitable access to paediatric surgery in Australia’s more rural and remote areas.

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 Learning and Use of eHealth Among Older Adults Living at Home in Rural and Nonrural Settings: Systematic Review (Preprint)

2020 ◽  
Author(s):  
Ella Airola
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Literature Review ◽  
Health Care Providers ◽  
Cultural Context ◽  
Care Providers ◽  
Impaired Hearing ◽  
Rural And Remote ◽  
Remote Areas ◽  
Rural And Remote Areas

BACKGROUND Care policies emphasize deinstitutionalization and <i>aging in place</i> in response to demographic changes. Different eHealth technologies are one way to achieve this aim. However, there is a need to better understand older adults’ needs for eHealth services, and thus, these health solutions require further exploration. OBJECTIVE The purpose of this systematic literature review is to appraise, synthesize, and summarize the literature on older adults’ (aged ≥60 years) eHealth learning and use in real home settings, particularly in rural and remote areas, with a focus on the social and cultural context. METHODS A systematic search was conducted in January 2020 using 4 academic databases. The studies by means of qualitative thematic analysis to identify the barriers, enablers, and support practices involved in the domestication process were examined. In addition, we identified the various meanings attached to eHealth technologies for older adults living in rural and remote areas. RESULTS In total, 31 empirical studies published between 2010 and 2020 were included in this review. A total of 17 articles included participants from rural and remote areas. The most regularly reported barriers related to older adults’ learning to use and use of eHealth were health-related difficulties, such as cognitive impairment or impaired hearing. The most reported enabler was the support provided for older adults in learning and use of eHealth. Support mainly comprised older adults’ own digital competences, which were distributed with their social network. It was found that eHealth technology is needed for rural and remote areas to facilitate access and reduce logistical barriers to health care services. CONCLUSIONS The literature review provided information and practical implications for designers, health care providers, and policy makers. On the basis of these findings, eHealth technologies should be easy to use, and adequate support should be provided to older adults for use.

scholarly journals A Discrete Choice Experiment on Factors Influencing Attrition and Motivation of Frontline Health Workers in Remote and Rural Areas in Nigeria

2021 ◽  
Author(s):  
Sunny C Okoroafor ◽  
Chukwuemeka Nwachukwu ◽  
Martin Osubor
Keyword(s):  
Discrete Choice ◽  
Health Workforce ◽  
Choice Experiment ◽  
Health Workers ◽  
Rural And Remote ◽  
Remote Areas ◽  
Factors Influencing ◽  
Frontline Health Workers ◽  
Rural And Remote Areas

Abstract Background The current policy thrust in Nigeria is to ensure that there exists qualified, skilled, and adequate health workforce for the achievement of universal health coverage. To achieve this, evidence combination of strategies/interventions on factors influencing attraction, retention, and motivation of the health workforce is needed to ensure the equitable distribution of the health workforce across the country.Methods We conducted a discrete choice experiment study to determine the combinations of incentives that may increase the retention of frontline health workers in rural and remote areas in Nigeria. The study was undertaken across rural and urban locations in Bauchi State between August and October 2018 amongst 145 students and practicing health workers. Results Health workers are 14.6 and 14.4 times more likely to take up a rural posting or continue to stay in their present rural posts if there was basic housing and improvement of the quality of the facilities respectively. The preference for rural job location increased by 6.17 times if good schools for children's education were provided. The highest willingness-to-pay was for the provision of basic housing or housing allowance with a high utility of 0.609 followed by improved quality of facility with sufficient staff number and type, equipment, drugs, and medical supplies with a utility value of 0.607. Conclusion Improving the working conditions of health workers will support retention in rural health posts. Based on the findings, we recommend the introduction of housing incentives in rural and remote areas to support the retention of health workers. This should be accompanied by deliberate interventions to improve the quality of the health facilities ensuring adequate and functional equipment and uninterrupted supplies.

scholarly journals Smoking cessation interventions for people living in rural and remote areas: a systematic review protocol

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e041011
Author(s):  
Alistair Lum ◽  
Eliza Skelton ◽  
Kristen Louise McCarter ◽  
Tonelle Handley ◽  
Lucy Judd ◽  
...  
Keyword(s):  
Systematic Review ◽  
Smoking Cessation ◽  
Behaviour Change ◽  
Mechanisms Of Action ◽  
Intervention Effectiveness ◽  
Rural And Remote ◽  
Remote Areas ◽  
Tobacco Marketing ◽  
Rural And Remote Areas

IntroductionSmoking rates among people living in rural and remote areas are higher and quit rates are lower over the past 10 years compared with people living in suburban and urban areas. Higher smoking rates contribute to greater tobacco-related disease and morbidity in rural and remote areas. Physical and social isolation, greater exposure to pro-tobacco marketing, pro-tobacco social norms, and lower socioeconomic and educational levels are contributing to these higher smoking rates and lower quit rates. Smoking cessation interventions for people in rural and remote areas have been conducted, however little is known about their effectiveness or their mechanisms of action as well as the quality of such research. Behaviour change techniques (BCTs) are mechanisms of action derived from behaviour change theory, such as goal setting and reward. Improved understanding of the contribution of BCTs for smoking cessation in the rural and remote population will support future intervention development. We aim to review the literature on smoking cessation interventions for people living in rural and remote areas to inform evidence about intervention effectiveness and mechanisms of action.Methods and analysisWe will conduct a systematic review using seven scientific databases (EMBASE, MedLine, PsycINFO, CINAHL, Cochrane, Informit Health and Scopus). We will include peer-reviewed journal articles published in English that examine a smoking cessation intervention delivered to people living in rural and remote areas in the USA, Canada and Australia. We will examine outcome data relating to intervention effectiveness (eg, point prevalence abstinence or continuous abstinence), as well as the BCTs used in included interventions and their relationship with intervention outcomes. We will also assess the feasibility, acceptability and quality of research interventions of included articles, and provide graded recommendations based on the review outcomes. Data will be synthesised using narrative approaches and interpreted using content analysis.Ethics and disseminationEthics was not required for this systematic review. The results will be disseminated through peer-reviewed publication and at conferences by presentations.PROSPERO registration number177398.

Sign in / Sign up

Export Citation Format

Share Document