OBJECTIVE: To determine how family medicine residents and practising rural physicians rate possible solutions for recruiting and sustaining physicians in rural practice. DESIGN: Cross-sectional mailed survey. SETTING: Rural family practices and family medicine residency programs in Ontario. PARTICIPANTS: Two hundred seventy-six physicians and 210 residents. MAIN OUTCOME MEASURES Ratings of ...

OBJECTIVE: To determine the factors associated with general practitioners' current practice location, with particular emphasis on rural location. DESIGN: Observational, retrospective, case-control study using a self-administered questionnaire. SETTING: Australian general practices in December 2000. PARTICIPANTS: 2414 Australian-trained rural and urban GPs. MAIN OUTCOME MEASURE: Current urban or rural practice location. ...

Rural general surgeons perform a wide variety of procedures and have practices different from those of surgeons in larger communities. Because of this residents completing a classical general surgery training program may not be prepared for the rural setting. The 219 licensed physicians in West Virginia who list general surgery ...

This study reviewed the provision of counselling services through 30 general practices in Wiltshire, a rural county in South West England, by means of a postal questionnaire, which had an 80% response rate, and interviews with key stakeholders. While 83% of general practices had a practice-based counsellor and 87% referred ...

Summary (En)Job number added acc. to DOCREP assignment

The current shortage of health personnel in rural Australia is compounded by the difficulty in recruiting and retaining new graduate health professionals in rural practice. This qualitative study aimed to explore the experiences of five new graduate occupational therapists who began their careers in rural New South Wales (NSW). Data ...

Limited information is available on long-term patterns of practice location choice among family physicians, although these patterns will significantly affect the quantity, quality, and continuity of health care provided in rural areas. From 1992 through 2000, five biennial surveys were administered to graduates of three family practice residency programs. Graduates ...

The author, a family practice specialist from Minnesota in the United States, worked as a locum in rural New South Wales for 6 months. This provided him with the opportunity to reflect on the differences between the specialty of family practice in his home state of Minnesota and general practice ...

CONTEXT: Many state, federal, and foundation resources have been invested in improving the recruitment of primary care providers to rural communities. The Southern Rural Access Program of the Robert Wood Johnson Foundation (RWJF) has provided varying levels of support to several southern states to assist with retention of those providers. ...

BACKGROUND: Rural general surgery is faced with a shortage of resident surgeons in many parts of Australia. Although it is accepted that an undergraduate rural exposure favourably influences graduates to undertake rural practice, it is not known whether postgraduate terms exert a similar effect. METHOD: Advanced general surgical trainees in ...

BACKGROUND: The case for doctors' performance and maintenance of competence are issues of increasing importance for the profession, governments and communities. There is also increasing public expectation that the profession will be pro-active in protecting patients from under performing doctors. The Australian College of Rural and Remote Medicine (ACRRM) positions ...

AIM: The shortage of rural doctors is acknowledged worldwide. This study aimed to identify incentives that would attract doctors into rural practice in New Zealand. METHODS: Registrars and seminar attendees of the General Practice Vocational Training Programme in 2000 and 2001 were surveyed using focus groups and subsequent questionnaire to ...

OBJECTIVE: To examine whether there are workload pressures, as reported by healthcare professionals, which are unique to rural general practice. DESIGN: Semi-structured face-to-face interviews with staff from general practice teams located in different geographical areas. SETTING: The north-east of Scotland (Grampian). PARTICIPANTS: 16 GPs, 14 practice nurses, 9 practice managers ...

To determine the knowledge, attitude and practice (KAP) of home management of febrile convulsion (FC), by mothers in the community, focus group discussions (FGD) were conducted in two communities, Uselu (urban) and Evbuomodu village (rural), both in Edo State, Southern Nigeria. The study was conducted between December 2000 and February ...

The aims of the study were to examine the nurse practitioners' (NP) workplace distribution, the relationship between the NPs' racial/ethnic characteristics, and the demographic characteristics of Mississippi Delta counties; and the NPs' practice in communities designated as health professional shortage areas (HPSAs). A total of 453 NPs from Arkansas, Tennessee, ...

387 mothers in Mehrauli block of Delhi were interviewed regarding their knowledge, attitudes, beliefs and practices regarding measles. 98.4% enumerated one or the other symptoms, fever being the commonest. 77.5% were aware of the infectious nature and 97% had favourable attitude regarding feeding the child during measles. The commonest foodstuff ...

Bed management is one of the important activities for efficient hospital management. The present study on evaluation of bed management in a rural hospital revealed that the total bed capacity could not be utilised. The turnover rate, turnover interval, bed occupancy rate and average length of stay were closely corroborating.

This study investigated locum tenens dispatch to rural practices organised by a medical school. Locum tenens has not been studied previously in rural general practice, and little has been reported about locum dispatch from an academic institution. Since 1990, Jichi Medical School (JMS) has sent faculty members as locum tenens ...

The authors describe a study of rural case managers' role perceptions. Although various studies have investigated the role of the case manager, no study has examined the role in a rural environment. Survey data and focus groups are used to determine information about the role. Nurses identified differences and problems ...

Rhodnius ecuadoriensis infests peridomiciles and colonises houses in rural southern Ecuador. Six out of 84 dwellings (7%) surveyed in a rural village were infested (78 bugs/infested domicile; 279 bugs were collected in a single dwelling). Precipitin tests revealed R. ecuadoriensis fed on birds (65%), rodents (31%), marsupials (8%), and humans ...

OBJECTIVES: to assess the knowledge, attitudes, practices and the potential role of trained Gambian traditional birth attendants (TBAs) in the prevention, recognition and management of postpartum haemorrhage (PPH). DESIGN: a qualitative, reflective approach using semi-structured interviews followed by group discussions. SETTING: poorly-resourced rural villages in The Gambia, West Africa. PARTICIPANTS: ...

BACKGROUND: Abnormal uterine bleeding (AUB) is a common problem that affects one in five women during the pre-menopausal years. It is frequently managed by family physicians, especially in northern, rural and isolated areas where severe shortages of gynecologists exist. METHODS: We surveyed 194 family physicians in northern, rural and isolated ...

PURPOSE: To compare physician referral practices and attitudes for hereditary breast cancer between clinical practice locations: urban, suburban, and rural. METHODS: 214 physicians in Southwest Ohio's Tristate Region completed a self-administered questionnaire to assess referral practices and attitudes for hereditary breast cancer. Respondents were randomly sampled and grouped retrospectively into ...

This study examines how rural electives affect medical residents' opinions about rural practice and which factors encourage or discourage choice of rural practice. Participants in a one- to two-month rural elective and a matched group of randomly selected nonparticipants were surveyed. Seventy percent of the elective participants (n = 58) ...

An expert panel of female rural and remote doctors have nominated updating professional skills as the most important strategy for sustainable rural general practice for women. The panel was comprised of members of the Australian College of Rural and Remote Medicine (ACRRM). The panel was asked to identify and prioritise ...

OBJECTIVES: The aim of the present study was to describe, using a national census, the characteristics of rural general practices and compare these with city and town general practices. METHODS: A previously piloted, anonymous but linked, questionnaire was issued to all GPs in Ireland. A liaison network covering the country ...

The need for an appropriate, dedicated vertically-integrated training pathway for rural doctors, provided by regional consortia of educational organisations, has been clearly identified by Rural Doctors Association of Queensland (RDAQ) and The Australian College of Rural and Remote Medicine (ACRRM) as a key strategy to resolve rural medical workforce issues. ...

Studies of barriers to nurse practitioner (NP) practice show similar results for more than 20 years. Comparisons of barriers to rural NP practice have not been performed. Descriptive data about perceived barriers to practice were collected from 292 NPs in one midwestern state (urban, 229; rural, 63; response rate, 60%). ...

Sub-optimal breastfeeding practices still prevail in many countries, especially in traditional rural communities. Despite high breastfeeding initiation rates and long total duration of breastfeeding, exclusive breastfeeding is a rare practice. In the present study, quantitative methods were used to identify current infant feeding practices in 12 rural communities in The ...

The use of herbal pharmacopoeia in the domestic life of a rural community in the west of the Orán Department, Salta Province, Argentina is reported in this article. One hundred and seventeen plant species belonging to 52 families and 98 different genera were included. Their vernacular name, popular use, administration, ...

OBJECTIVE: To describe use of personal protective equipment (PPE) by in-line skaters at four different skate settings (rink, park, trail and street) in Melbourne and rural Victoria, and to compare local PPE with reported international use. METHOD: Unobtrusive observations of in-line skaters at four types of skate settings (rinks, parks, ...

A survey of the anaesthetic services in rural Tanzania was carried out in an area of 67500 km2 and population of 4 million in order to assess the quality of anaesthesia and the major obstacles to good practice. Lack of draw-over vaporizers, Ayre's T-pieces, and a supply of oxygen were ...

The GP Links program aims to promote the amalgamation of smaller general practices into larger group practices and is one of several strategies being used to modernise Australian family practice. GP Links provides financial incentives to practices willing to amalgamate. The focus of the program has been on urban practices ...

Difficulty recruiting and retaining doctors in rural and remote Australia is well recognised. Here, we describe the positive impact on recruitment and retention of general practitioners of a network of university-linked rural family practices in South Australia. Between August 1995 and October 1999, 17 doctors were recruited; eight (47%) were ...

Limited accessibility to certain medical imaging services in regional and rural centres has led to the use of alternative modalities, which may not be best practice or which require patients to travel considerable distances for diagnosis. Data collected over three years were examined to determine the clinical effect of nuclear ...

OBJECTIVES: (1) Define "incident-to" rules for Medicare reimbursement; (2) Describe how pharmacists can meet incident-to rules; (3) Provide examples of models of practice in rural areas that could be useful for meeting incident-to rules; and (4) Develop a strategy for creating a pharmacy practice model that could meet Medicare reimbursement ...

The rural people in India, particularly the tribals and poor, depend on forest resources for meeting their energy needs, forest products, and for employment. This paper gives details of one estimation of dependency of people on forests in villages in the Madhya Pradesh, Orissa, and Gujarat states of India. Benefits ...

The West Vic Division of General Practice, working with the Department of General Practice, The University of Queensland conducted a qualitative study of GPs who had left western Victoria over the previous 10 years to examine issues relating to the decision to leave rural practice. This study was conducted as ...

Many strategies have been trialed to recruit GPs to rural areas and to retain them once there. The West Vic Division of General Practice, a rural division in central-western Victoria, has developed and piloted a case management model. Case management is the holistic provision of services to meet an agreed ...

"Cambodia ranks fourth among the world's top freshwater capture fisheries with an annual production of 300,000 400,000 t. Fish is an important part of food security in the country, especially for the rural poor. A household survey (1995/6) representative of 4.2 million people in central Cambodia found an average fish ...

BACKGROUND: Organizations that fund and produce continuing medical education (CME) activities must have up-to-date information on the needs of their participants. The paper describes a method for assessing priorities for the provision of facilities to rural doctors in Australia for educational topics and skills upgrades. It uses an instrument designed ...

Rural training tracks (RTTs) have developed as a strategy to encourage family medicine resident entrance into rural practice. Because most programs are small (two to four residents), data must be aggregated to determine RTT impact on practice preparation and location. Several studies over the last decade reveal that 76 percent ...

Recruitment of graduating family medicine residents into practice in rural West Virginia has been hampered by many factors. A cross-sectional survey was done to obtain the opinions of family medicine residents in West Virginia in 1996 in order to characterize their perceptions regarding certain aspects of their rural training and ...

BACKGROUND: Providing health care services in rural communities in Canada remains a challenge. What affects a family medicine resident's decision concerning practice location? Does the resident's background or exposure to rural practice during clinical rotations affect that decision? METHODS: Cross-sectional mail survey of 159 physicians who graduated from the Family ...

In a questionnaire survey (100% response rate) investigating the availability and use of automated external defibrillators (AEDs), it was found that the success rate (number discharged alive) compared favourably with pre-hospital defibrillation by other providers, and that AEDs aided the management of dysrhythmias not commonly seen in general practice. With ...

The Neurosurgical Society of Australasia through its Trauma Committee has a long involvement in the problem of neurotrauma. The management of acute neurotrauma in rural and remote locations is of particular interest and is part of a general policy which includes education, prevention, organization of an integrated neurotrauma system and ...

To increase the number of residents choosing to practice in rural and underserved areas, the Medical College of Georgia in 1994 created the Office of Recruitment and Retention (ORR) for generalist physicians as part of its participation in The Robert Wood Johnson Foundation's Generalist Physician Initiative. Its major purpose is ...

OBJECTIVE: To examine the 1996 outcomes of a sample of Western Australian rural doctors who in 1986 had indicated their intentions to stay in or leave rural practice. DESIGN: Postal questionnaire survey in December 1996, semi-structured interview and feedback by doctors on a draft of this article. PARTICIPANTS: 91 respondents ...

Retention of rural doctors is a critical factor in effectively addressing the well-documented maldistribution of the medical workforce. The present study explores the reasons why rural doctors working in north-western New South Wales left their previous practice, moved to their current practice and have considered moving to another practice. In ...

Surveys and interviews of a random sample of rural doctors in Queensland were undertaken to investigate the degree to which indemnity costs influence the types of practice and future plans of rural proceduralists. A survey of 135 rural doctors sought details of the procedural profiles, current indemnity status and the ...