BACKGROUND Access to rural health services is compromised in many countries including Australia due to workforce shortages. The issues that consequently impact on equity of access and sustainability of rural and remote health services are complex. DISCUSSION The purpose of this paper is to describe a number of approaches from the literature that could form the basis of a more integrated appro...

BACKGROUND & OBJECTIVES Unsafe injections in health settings contribute to a large burden of preventable blood-borne diseases. Current strategies to enhance injection safety in India almost exclusively target the formal health sector. However, injections are provided not only by doctors and nurses in the formal sector, but also by practitioners from the informal sector, such as traditional heal...

In Lithuania, as in the most societies around the world, the Internet and other information communication technologies (ICT) are mainly used by young, educated, well paid and urban consumers. Elderly, low-educated, low-paid and rural residents are among those who use the Internet the least. In our post-modern network society they are at the risk of social exclusion. This paper is aimed at the a...

Consulting psychologists have recognized the importance of providing comprehensive consultation and clinical services for consumers with special needs. Often because of distance and access to consultation services, remote and underserved populations may not have the necessary access to consultant specialists in psychology and other disciplines. Such services are now available through an innovat...

One commonly discussed benefit of broadband access in rural America is the potential for telemedicine visits that allow rural residents to take advantage of urbanized medical services. While the primary benefit of telemedicine is often viewed as improved health care access, the availability of these services also offers significant economic contributions to the local community. Site visits to 2...

From 1980 to 1999, rural designated hospitals closed at a disproportionally high rate. In response to this emergent threat to healthcare access in rural settings, the Balanced Budget Act of 1997 made provisions for the creation of a new rural hospital--the critical access hospital (CAH). The conversion to CAH and the associated cost-based reimbursement scheme significantly slowed the closure ra...

We review 1980s research on American rural hospitals within the context of a decade of increasing restrictiveness in the reimbursement and operating environments. Areas addressed include rural hospital definitions, organizational and financial performance, and strategic management activities. The latter category consists of hospital closure, diversification and vertical integration, swing-bed c...

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...