scholarly journals Interprofessional collaboration to manage allergic disorders in rural areas of Himachal Pradesh

2022 ◽  
Vol 21 (1) ◽  
pp. 96-100
Author(s):  
Manpreet Singh Nanda ◽  
Rama Devi
Keyword(s):  
Medical Care ◽  
Rural Areas ◽  
Rural Population ◽  
Interprofessional Collaboration ◽  
Large Population ◽  
Medical Science ◽  
Pulmonary Medicine ◽  
Hilly Terrain ◽  
The Impact ◽  
Allergic Disorders

Background: Allergic disorders are common and affect a large population even in rural areas. Medical care is not easily accessible to rural population especially in hilly terrain. Health camps are effective method to deliver medical care in such areas. Interprofessional collaboration involving various professions who work together as a team for management of various disorders is being studied and practiced recently. Aims and Objectives: To study the impact of interprofessional collaboration at these rural health camps to control allergies prevalent in the rural areas of the region. Methodology: Around 18 interprofessional health camps involving doctors of various disciplines – ENT, pulmonary medicine, skin, eyes, yoga experts, health and sanitation workers, public health, lab technicians, pharmacist and nursing staff were held in rural areas with an attempt to manage allergic disorders prevalent there as a team. The treatment was provided as a collaboration of various professions. Results: 608 patients of allergic disorders were identified at these camps which were more prevalent in younger and middle age group and females. The common allergens were dust mite mix, pine mix, cockroach and grass pollen. Nasal allergies were more common followed by skin and pulmonary allergies. On follow up, allergies were more controlled (48%) in patients who followed interprofessional advise and treatment as compared to (5%) in those who didn’t follow the same. Conclusion: Allergic disorders can be best managed by a holistic approach of treatment involving various professions. Health camps through interprofessional approach are an excellent method to provide medical care to rural population in difficult hilly terrain. Bangladesh Journal of Medical Science Vol. 21(1) 2022 Page : 96-100

scholarly journals Analysis of the primary health care state for the rural population at the regional level

2021 ◽  
Vol 20 (1) ◽  
pp. 50-57
Author(s):  
M. G. Moskvicheva ◽  
M. M. Polinov
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Medical Care ◽  
Rural Areas ◽  
Rural Population ◽  
Care Delivery ◽  
Medical Science ◽  
Medical Personnel ◽  
Full Time ◽  
Primary Health

Introduction. The main goal of the state policy in the field of healthcare is to form a system that ensures the availability of medical care and increases the efficiency of medical services. The volume, type and quality of medical care must correspond to the level of morbidity, the needs of the population and the advanced achievements of medical science. Primary health care is the backbone of the health care delivery system. The problem of it improvement, including in rural areas, is a priority and has national significance. The development of measures to increase the availability of primary health care according to the territorial principle is an urgent scientific and practical problem.The purpose of the study — based on the analysis, methodologically substantiate and develop measures to increase the availability and improve the system of organizing the provision of primary health re to the rural population on a territorial basis.Materials and methods. Mathematical-statistical and analytical (quantitative, structural, comparative) research methods were used.Results and Discussion. In the Chelyabinsk Region, there are disproportions in the provision of the population with medical personnel: the provision of the urban population with doctors and l personnel is significantly higher than that of the rural population. The indicator of staffing with paramedical personnel in full-time positions of feldsher-obstetric stations is 20.1% lower than in the Russian Federation. The index of "combination rate" among doctors working in outpatient departments is 1.2 times higher than the target indicator of the National Health Project, and in rural areas it is 1.1 times. In order to unify the organizational and methodological approaches, the authors proposed a classification of medical stations and their organizational and functional structure.Conclusions. The organization of the provision of primary health care to the rural population according to the territorial-district principle with the formation of an organizational model of the rural medical district will increase the availability of primary medical health care to the rural population.

RURAL MEDICINE. CONDITION AND ISSUES

2020 ◽  
pp. 103-110
Author(s):  
Yuliya M. Beglyakova ◽  
◽  
Aleksander S. Shchirskii ◽  
Keyword(s):  
Health Services ◽  
Medical Care ◽  
Rural Areas ◽  
Rural Population ◽  
Rural Medicine ◽  
Self Medication ◽  
Medical Facilities ◽  
Treatment Facilities ◽  
Number Of Treatment ◽  
The Village

The article analyses the accessibility of medical facilities in rural areas of modern Russia and the specifics of their organization and development. The authors reveal causes why rural residents have much less opportunities to seek quality medical care than urban ones, what leads to a disparity between the inhabitants of the city and the village. The thesis is substantiated that state programmes that should make health services accessible to the rural population to a greater extent do not cope with the task at hand. An attempt is made to highlight the public’s response to the existing disparity in the health services of the villagers compared to urban dwellers. Such a reaction can be considered an outflow of people from rural areas, and an increase in self-medication among rural people as a result of the difficulty in obtaining health services. The decrease in the number of treatment facilities in rural areas leads to a deterioration in the medicine situation in rural areas. That, according to the authors of the article, justifies the need to study the issues associated with the provision of medical care to the rural population.

scholarly journals THE QUALITY OF RENDERING OF MEDICAL AID TO POPULATION OF RURAL AREAS

2019 ◽  
Vol 63 (3) ◽  
pp. 122-128
Author(s):  
Tatiana M. Bogdanova ◽  
A. S. Demin ◽  
A. A. Lopatkina ◽  
A. V. Kosareva ◽  
M. A. Zankin
Keyword(s):  
Medical Care ◽  
Rural Areas ◽  
Rural Population ◽  
Patient Survey ◽  
Regional Hospital ◽  
Treatment Level ◽  
Regional Center ◽  
Prophylactic Measures ◽  
Kalmyk Republic

The analysis of the quality of medical care for the rural population has been taken in the «Ustinskaya Regional Hospital» of the Kalmyk Republic (further on referenced as «URH»). Analysis goal. To investigate the basic principles of medical care for the rural population and determine the major open issues regarding healthcare, considering URH as an example. Assessment methods. Two examination phases have been conducted: 1. Assessment of disease structure, equipment level, and overall work efficiency of URH 2. Analysis of the voluntary patient survey The investigation covered 653 respondents of both genders, aged between 20 and 70 with an average of 47,5 years [23,2; 68,1] Results - the principles of medical care at Ustinsky Region of Kalmyk Republic has been considered as satisfactory. The whole population of the Ustinsky Region makes 9958 people (including 8178 adults and 1780 kids). The population is divided into 3 therapeutic and 2 pediatric departments, according to the actual standards. From the nosology perspective, regional clinical examination covers 95.3% of the respiratory system diseases and 91% of cardiovascular system pathologies. In 2016 more than 95% of the survey respondents mentioned positive changes in the treatment level of URH. Own health level was considered as “good” by 96% of respondents. About 16% of patients were listed in the dispensary, but only 75% of them were screened annually. The complications with receiving preferential medicines were experienced by 46% of patients. The commute to the regional hospital takes 30 minutes for 58% of respondents, and over 60 minutes for 18% of them. Medical staff, conducting prophylactic measures has been spotted by 49% of respondents. Discussion. Dispensary observation has been properly focused on prophylaxis only in 2016. Conclusions. The overall level of medical care for the rural population of the assessed regional center has been considered as satisfactory.

scholarly journals Rural areas from demographic perspective. Study case Poland and Romania

2018 ◽  
Vol 6 (1-2) ◽  
pp. 162-167
Author(s):  
Cosmina-Simona Toader ◽  
Malgorzata Zajdel ◽  
Andrea Ana Feher ◽  
Malgorzata Michalcewicz-Kaniowska
Keyword(s):  
Rural Area ◽  
Rural Areas ◽  
Rural Population ◽  
Urban Areas ◽  
Production Systems ◽  
Social Role ◽  
Developed Countries ◽  
Economic Transformation ◽  
The European Union ◽  
The Impact

The rural area is an extremely varied area, agricultural area, the area occupied by forests and grazing the surface of non-agricultural lands (Riviera sea, etc.) and rural agglomerations is a separate entity from the urban areas characterized by a high demographic concentration and vertical and horizontal structures. Being often under the impact of old production systems, characterized by accelerated development and irrational of industry, the countryside has been subject to economic transformation, social and environmental, which mostly resulted in exodus and impoverishment of the rural population. Given this situation, are downright remarkable efforts of developed countries and not only to balance rural-urban ratio, reconciliation and revival of rural areas is kept of unique material and spiritual values. Rural areas are the result of interactions between man and nature, between interdependencies relations, who are specific to diversity of social actions and their natural environment, between the material and spiritual civilization, which for centuries coexist and evolve in a particular national territory. Image of rural area is emphasized by its size, which is the synthetic expression of social activities that are conducted using specific processes and phenomena of nature. All specific features of rural areas (natural, human, material and spiritual), which define the dimension of rural areas, are highlighted by the following components of the system: territorial administrative, demographic, economic and infrastructural. European rural area was and is the subject of extensive restructuring processes that were the result of a complex interaction of social phenomena, economic, sectoral and regional transfers. In circumstances where over half of the 27 Member States of the European Union lives in rural areas, and it occupies over 80% of the total territory, rural areas have considerable potential for growth, with a vital social role. Rural population and surface area occupied and the importance of rural life for a country, make the problem of rural development to gain a national and international importance. In this article the authors presents rural areas as an important part of a country with all its components. The authors elaborated a comparative analysis of rural areas from Poland and Romania from demographic perspective. The analysis was elaborated using indicators like population density, population structure by gender and age, migrations of population, relying on data from national and european statistics.  

Assessment of peroral intake of nitrates with drinking water for different sections of the population of Zhytomyr region

2021 ◽  
pp. 68-76
Author(s):  
R.A. Valerko ◽  
◽  
L.O. Herasymchuk ◽  
Keyword(s):  
Drinking Water ◽  
Water Supply ◽  
Water Samples ◽  
Rural Areas ◽  
Rural Population ◽  
Adult Population ◽  
Nitrate Content ◽  
Adult Women ◽  
Residential Areas ◽  
The Impact

Objective: We assessed the degree of risk to the health of the rural population of different ages with constant peroral intake of nitrates with drinking water. Materials and methods: The study was conducted within the rural residential areas of Zhytomyr region and it is a part of the research "Ecological and social assessment of the state of rural residential areas in the context of sustainable development." Drinking water samples were taken from public and private sources of decentralized water supply: wells, bore-wells and natural sources. A total 549 water samples were taken. In the study, we used general scientific methods: analytical, field, laboratory and statistical ones. Results: Among the studied areas, the largest excess of the average content of nitrates was recorded in drinking water of rural settlements of Berdychiv district. The risk assessment showed that the children aged 0-10 years were the most sensitive population to nitrates, and the women were more vulnerable to nitrates than the men among the adult population. The significant correlations between an excess of nitrate content in drinking water and cancer among adults and children in Berdychiv district have been proven. Conclusions: It has been proven that with a constant oral intake of nitrates with drinking water, harmful effects on the health of the rural population are observed, which, according to their sensitivity to their action, were distributed as follows: children 0-10 years old> adult women> adult men> adolescents.Taking into account the results obtained, it is necessary to monitor constantly the quality of drinking water sources of decentralized water supply in rural areas and to inform the rural population about water quality and the impact of its impurities on human health.

Assessment of the quality of medical care for children in rural areas

1997 ◽  
Vol 78 (6) ◽  
pp. 464-465
Author(s):  
E. V. Karpukhin
Keyword(s):  
Medical Care ◽  
Rural Areas ◽  
Rural Population ◽  
Social Economic ◽  
Geographical Factors ◽  
Medical Institutions ◽  
Quality Of Medical Care

The main feature of the system of medical care for the rural population created in our country is its phased nature, starting from feldsher-midwife stations to regional, territorial and republican institutions. Due to the peculiarities of rural population settlement, large distances to medical institutions, poor roads, lack of regular transport communication, low technical availability of communication facilities, as well as a number of social, economic and geographical factors, there are problems in the organization of medical care for this contingent.

scholarly journals The Impact of Transformational Changes on the Socio-Economic Conditions of the Rural Population. An Example of Poland

Agriculture ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. 403
Author(s):  
Iwona Bąk ◽  
Katarzyna Wawrzyniak ◽  
Maciej Oesterreich
Keyword(s):  
Rural Areas ◽  
Rural Population ◽  
Eastern European ◽  
Agricultural Enterprises ◽  
The People ◽  
Education Levels ◽  
The Government ◽  
Eastern European Countries ◽  
The Impact

The aim of the article is to show that in rural areas, with particular emphasis on former state-owned farms, which were created as a result of changes in the forms of land ownership, mainly in Central and Eastern European countries, the economic situation of households is still worse than in the areas where there were no State Agricultural Enterprises (PGR). Research in Poland served as a case study. Selected methods of descriptive statistics and multivariate comparative analysis were used in the analyses. The results presented in the study at different levels of aggregation (voivodeships, poviats, and communes) allowed the identification of the regularities in the situation of rural areas. Among the beneficiaries of social assistance, most of the people live in rural areas and have a high unemployment rate; the problem of unemployment especially concerns those areas where the rural population with lower education levels predominates. Moreover, in former state-owned farms, the total disposable income per person is lower than in other areas, and the funds from the government program “Rodzina 500+” constitute a significant contribution to household budgets.

scholarly journals TYPOLOGY OF RURAL TERRITORIES BY LEVEL OF ENGINEERING INFRASTRUCTURE DEVELOPMENT

2020 ◽  
pp. 69-78
Author(s):  
S.A. Popova ◽  
◽  
E.E. Smotrova ◽  
E.A. Kolpakova ◽  
◽  
...  
Keyword(s):  
Economic Development ◽  
Population Density ◽  
Rural Areas ◽  
Rural Population ◽  
Composite Index ◽  
Infrastructure Development ◽  
Rural Settlements ◽  
Social Infrastructure ◽  
Socio Economic Development ◽  
The Impact

The relevance of the study is that the poor quality and fragmentary engineering arrangement of rural settlements negatively affects the demographics of rural areas. The aim of the study is to develop a comprehensive methodology for assessing the impact of the state of engineering infrastructure of rural settlements on the demography of rural territories, which is an integral indicator of the proposed rural population density. The paper proposes a method for a comprehensive assessment of rural areas by the level of development of engineering infrastructure. The composite index of rural engineering infrastructure development aggregates seven private statistical indicators calculated for each region of Russia in 2018 and normalized using the linear scaling method. The main difference between the author’s method and the previously conducted research is the combination of the results of ranking Russian regions by the level of development of engineering infrastructure in rural areas with grouping by the density of the rural population. The novelty of the proposed approach is associated with the formation of two-dimensional groupings of rural areas, where population density is regarded as the primary grouping characteristics, and the level of development of engineering infrastructure as a secondary grouping characteristic that gave the possibility to evaluate the correlation between the level of development of social and engineering infrastructure of rural territories and their people. The results of the correlation analysis indicate a moderate relationship between the density of the rural population and the level of development of engineering infrastructure in rural areas. In practical terms, the typology formed serves as an objective basis for identifying and comparing growth points and priorities for sustainable spatial development of rural territories in the future, which creates prerequisites for the unification of state approaches to strategic planning and management of socio-economic development of rural territories of the Russian Federation and regions. The directions of further research are related to the development of the proposed approach in terms of comprehensive coverage of other components of socio-economic development of rural areas (demography, economy, agriculture, social infrastructure) for a more complete assessment of their impact on the rural population density.

scholarly journals The experience, results, and possible perspectives of organizing the optimally accessible primary medical care for the rural population of Zaporizhzhia region

2021 ◽  
Vol 14 (3) ◽  
pp. 369-373
Author(s):  
O. H. Aleksieiev ◽  
V. V. Taranov ◽  
V. P. Petrykhin
Keyword(s):  
Primary Care ◽  
Medical Care ◽  
Primary Healthcare ◽  
Rural Areas ◽  
Rural Population ◽  
Healthcare Facility ◽  
Service Area ◽  
Healthcare Facilities ◽  
Care Facilities

Nowadays, the assessment of the activity of the domestic healthcare system is an important and actual issue, especially against the background the active reformation of this industry. One of the important elements of the assessment is studying the availability of primary healthcare to the rural population. The aim of this work is to study the territorial accessibility of primary healthcare, the adequacy and effectiveness of the principles of forming a network of primary care facilities in the rural areas of Zaporizhzhia region that enables to address issues and optimize the location of primary care facilities in the rural areas. Materials and methods. The materials of the research were the data of the official statistical reports for the past 20 years, which characterize the state of health and the degree of medical care accessibility to the rural population. During the research, the technique of complex social and hygienic research was applied, with the use of historical, sociological, sanitary and statistical methods, organizational experiment and others. Results. The article presents the main results of studying the current state of primary healthcare organization for the rural population of Zaporіzhzhia region against the background of active reforming processes. According to the research results, the main elements forming the system of accessibility are territorial, medical, social and economic. The main factors of impact on territorial accessibility are identified. These are: the nature of the settlement of rural residents (density, compactness, service-area radius, the proportion of the rural population, the distance between villages, the distance from a household to a healthcare facility); quality of roads; transport connections between settlements and healthcare facilities; availability of communication means. Conclusions. As a result of the research, the following conclusions were drawn. Such factors as population density, compactness of its location, service-area radius, distance between villages, distance from a household to a healthcare facility, condition and quality of roads, transport connections between settlements and healthcare facilities are important during forming or improving the network of healthcare facilities in rural areas. These factors must be considered for the rational placement of primary care facilities in rural areas.  

TRENDS IN HEALTH LEGISLATION AND ADMINISTRATION

PEDIATRICS ◽  
1949 ◽  
Vol 3 (3) ◽  
pp. 362-364
Author(s):  
JOSEPH S. WALL
Keyword(s):  
Health Insurance ◽  
Medical Care ◽  
National Health ◽  
Rural Areas ◽  
Health Program ◽  
Medical Science ◽  
The United States ◽  
Medical Attention ◽  
General Level ◽  
Government Printing

AS GENERALLY expected, the proponents of national compulsory health insurance lost no time after the opening of the 81st Congress. In his State of the Union Address delivered to Congress on January 5, 1949, President Truman called again for legislation for a national health program—a request he made in his first health message to Congress November 19, 1945. At that time, three years ago, he said: "In the past, the benefits of modern medical science have not been enjoyed by our citizens with any degree of equality. Nor are they today. Nor will they be in the future unless Government is bold enough to do something about it. "People with low or moderate incomes do not get the same medical attention as those with high incomes. The poor have more sickness, but they get less medical care. People who live in rural areas do not get the same amount or quality of medical attention as those who live in our cities. "Our new economic bill of rights should mean health security for all, regardless of residence, station, or race—everywhere in the United States." On the same day (November 19, 1945) the Wagner-Murray-Dingell Bill was introduced as S. 1606. After extensive hearings and some modifications, a similar bill (S. 1320) was introduced in the 80th Congress by Senator Murray with the additional sponsorship of Senators Pepper, Chavez, Taylor and McGrath, all Democrats. In his message to the Democratic 81st Congress President Truman said: "We must spare no effort to raise the general level of health in this country. In a nation as rich as ours, it is a shocking fact that tens of millions lack adequate medical care. We are short of doctors, hospitals, and nurses. We must remedy these shortages. Moreover, we need—and we must have without further delay—a system of prepaid medical insurance which will enable every American to afford good medical care." On the same day Senator Murray introduced for himself, and senators Wagner, Pepper, Chavez, Taylor and McGrath a bill 5.5, "to provide a national health insurance and public health program." Two identical bills had already been introduced in the House, HR. 345 by Representative Celler and HR. 783 by Representative Dingell. All three bills are exact copies of last year's bill, S. 1320. (Copies of these bills may be obtained from the Superintendent of Documents, Government Printing Office, Washington 25, D.C., or from the committees to which they have been referred.)

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