OBJECTIVES The Australian Commission on Safety and Quality in Health Care released recommendations for antimicrobial stewardship programmes to be established within all Australian healthcare facilities. However, implementation practices are not well defined. The aim of this study was to gain an understanding of factors affecting implementation of antimicrobial stewardship programmes within Aust...

OBJECTIVE To improve the clinical management of severely malnourished children in rural hospitals in South Africa. STUDY DESIGN A pre- and post-intervention descriptive study in three stages: assessment of the clinical management of severely malnourished children, planning and implementing an action plan to improve quality of care, and monitoring and evaluating targeted activities. A particip...

Method: A retrospective comparative study, with representative samples of pregnant women, were randomly selected for the respective years 1999 and 2004. Descriptive statistics were calculated depending on measurement scale. A Z-test was carried out to assess the significant difference (p < 0.05) in proportions between pregnancy complications and outcomes of the groups. Multivariate logistic reg...

The quality of surgical care in rural hospitals is important, as surgery remains a critical component of rural health care systems. Current models for surgical quality assessment and improvement largely reflect the characteristics of larger urban hospital settings, which include proximity to other providers for peer review, higher procedure volumes to accurately assess outcomes, and greater fin...

We conducted a qualitative content analysis of barriers to nursing home admission for rural residents. Data came from semi-structured interviews with 23 rural hospital discharge planners across five states (Georgia, Idaho, Minnesota, Pennsylvania, and Wisconsin). From those, we identified four themes around nonmedical barriers to rural nursing home placement with particular salience in rural ar...

INTRODUCTION Caring for dying patients is part of working in a rural emergency department. Rural emergency nurses are prepared to provide life-saving treatments but find there are barriers or obstacles to providing end-of-life (EOL) care. This study was completed to discover the size, frequency, and magnitude of obstacles in providing EOL care in rural emergency departments as perceived by rura...

1.introductionone of the major strategies in rural development is agro-processing and agri-industrial plantations. the puprose of these agro-industrial establishments is to utilize indigenous resources and to bring equilibrium in rural life. moreover, meeting rural population needs, enhancement of rural welfare, and creating employment opportunities are the focus of such interventions. it aslo ...

BACKGROUND Major health inequities between urban and rural populations have resulted in rural health as a reform priority across a number of countries. However, while there is some commonality between rural areas, there is increasing recognition that a one size fits all approach to rural health is ineffective as it fails to align healthcare with local population need. Community participation is...

in iran, new centralization characteristic, especially during pahlavi dynasty, has been convergence and its vast use in bureaucracy. historical sociological studies have consensus on the issues of centralization, power centralization, and political sovereignty in iran; however, these issues have some divisional interruptions and different levels of strength in some parts of the history. this es...