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At least 1,423 records · Page 79Linked to original sources
PubMed1999

Rural Health Support, Education and Training Program (RHSET): where to now?

The Rural Health Support Education and Training (RHSET) Program is a Commonwealth Government grants program established in 1990 to enhance the access to rural communities to effective health services. The emphasis has been on professional workforce issues. Up until December 1997, 431 applications for funding had been approved and close to $37 million allocated. This article considers the grants awarded in that period according to their main topic of interest within three broad groupings: policy and tertiary service provision; health discipline-specific groups; and special interest groups such as Aboriginal and Torres Strait Islanders and community organisations. Each subgroup is introduced and its contents outlined. It also suggests that despite heightened government interest in rural and remote health, a niche can still be found for RHSET. It further argues that the time has come for a major evaluation of project activity to ensure non-duplication and to develop performance indicators for evaluating projects addressing rural and remote area workforce issues.

Australia↗
PubMed2002

Cross-boundary working: a macro-political analysis of the impact on professional roles.

This paper reviews the policy developments impacting on professional roles and boundaries in health and social care. A macro-political analysis is used to offer a challenging critique to many of the assumptions associated with cross-boundary working. It explores issues such as: whether or not new nursing roles are truly being developed to meet need; the myths and realities of interprofessional working; how competence can be assured; the need for new forms of professional regulation; the implications for professional education of initiatives such as national occupational standards and shared learning; planning the future health care workforce; and the need for rigorous and robust evaluation of service and role developments. Through this exploration the likely consequences of political and professional initiatives for both cross-boundary working and the profession of nursing itself are illuminated.

Clinical Competence↗
PubMedDate not supplied

Why are shortages of hospital RNs concentrated in specialty care units?

This article is the first in a series examining the interplay between the aging of the nurse workforce and other factors driving the growing nursing shortage that are already affecting some specialty areas. Nearly 60% of the current RN workforce is over 40 years of age; and the percentage of RNs under age 30 has fallen by nearly 40% since 1980. The total number of FTE RNs is projected to shrink after 2010, likely resulting in shortages of RNs "when the large baby-boom generation of RNs starts to retire." Because ICUs have historically attracted younger RNs, the rapid decline in the number of RNs in the workforce under age 30 plays a large role in explaining the development of shortages in the ICU. The growing difficulties staffing operating rooms and other peri-operative services is seen as related to the aging work force as more diploma prepared nurses have been attracted to this specialty because they had educational exposure to this area.

Adult↗
PubMed1996

The evolution of mortality in an industrial town: Le Creusot in the nineteenth century.

"The article examines the population of the town of Le Creusot [France]...with respect to the characteristics and evolution of mortality in the second third of the nineteenth century.... The authors analyze mortality statistics of Le Creusot in relation to other towns in the same department (Saone-et-Loire), to the neighboring city of Lyon, to another industrial town, Seraing, and with France as a whole. The effects of industrialization and the influx of labor on the mortality rate of Le Creusot appear to be undeniable. Life expectancy at birth among inhabitants of Le Creusot in 1836 was thus attained again only in 1876, after forty years of worsening living and environmental conditions. Among the causes noted for excess mortality in industrial towns, it is important to distinguish those due to working conditions (accidents, fatigue) and the direct consequences of industrial activity (factory smoke, toxic waste) from those due to living and housing conditions and the state of public and private hygiene in the town."

Cause of Death↗
PubMed2005

Emerging services for community-based long-term care in urban China: a systematic analysis of Shanghai's community-based agencies.

China's rapid economic reforms, coupled with the changes in age composition of the demographic structure, have greatly affected the traditional family support system. In response to these changes, efforts to develop new models of community-based long-term care (CBLTC) for elders in China have received growing attention. This paper provides a systematic analysis of the current status of emerging CBLTC systems in Shanghai, China. It covers several domains of the system: service delivery, workforce, financing, and quality of care management. Several main issues involved in the development of the emerging system are addressed, and relevant policy implications are presented in the paper.

Aged↗
PubMed2000

Supply, distribution, and capacity of optometrists in Indiana.

BACKGROUND: The Indiana Optometric Association and the Indiana Health Care Professional Development Commission identified a need to collect and analyze data on the health professions workforce for formulating goals and strategies to accommodate demands for health care services in Indiana. This study looks at the supply, distribution, and services of optometrists practicing in Indiana. METHODS: Data compiled by the Indiana State Department of Health, Indiana Health Care Development Commission, and the Project HOPE Center for Health Affairs were analyzed with the results of a survey of practitioner members of the Indiana Optometric Association. Supply, distribution, services, provider-to-population ratios, per capita demand, and optometric productivity were used to evaluate the current and future capacity of Indiana optometrists to the year 2010. RESULTS: An estimated 893 optometrists practiced in 86 of 92 counties and comprised 77% of the state's licensed eye and vision care workforce in 1995. Optometric workforce capacity appeared to be related to county population, but unrelated to the urban/rural classification or the per-capita income of Indiana counties. Contact lenses, disease, geriatrics, and pediatrics were the most prevalent areas of practice specialty. CONCLUSIONS: Optometrist capacity in Indiana is sufficient at both the state and county levels, and optometric services are appropriately distributed such that patient access to optometric care is geographically unburdened. Estimates regarding supply are elastic, depending on the assumptions applied.

Health Personnel↗
PubMedDate not supplied

Demographic development in a developing economy: a case study of Uttar Pradesh.

"Patterns of and trends in demographic development in the Indian state of Uttar Pradesh have been analysed in this paper. Indices of urbanisation, literacy and occupational structure were used for this purpose. Their aggregate index represented the level of demographic development." The data are for 242 subdivisions of Uttar Pradesh for the census years 1971 and 1981. Particular attention is given to regional differentials in demographic indicators. The relationships among economic development and the measurements of literacy, urbanization, and occupational status are explored

Asia↗
PubMed1990

Demographic, employment and development trends: the need for integrated planning.

"The authors contend that problems associated with rapid demographic growth in developing countries have to be tackled through comprehensive population and human resource planning. Linkages between population and development are especially close in the area of labour markets. Following a discussion of the impacts of demographic factors on labour supply, labour demand and migration, the article proposes a practical framework in which population and human resource development plans may be operationalised. The concluding section briefly discusses the emerging area of population policy formulation and implementation."

Demography↗