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PubMedDate not supplied

Trauma system development and future directions.

Traumatic injury, both unintentional and intentional, is a serious public health problem. Trauma care systems play a significant role in reducing mortality, morbidity, and disability due to injuries. However, barriers to the provision of prompt and appropriate emergency medical services still exist in many areas of the United States. Title XII of the Public Health Service Act provides for programs in support of trauma care planning and system development by states and localities. This legislation includes provisions for: 1) grants to state agencies to modify the trauma care component of the state Emergency Medical Services (EMS) plan; 2) grants to improve the quality and availability of trauma care in rural areas; 3) development of a Model Trauma Care System Plan for states to use as a guide in trauma system development; and 4) the establishment of a National Advisory Council on Trauma Care Systems.

Emergencies↗
PubMed1983

Antineoplastic drug-use process at a rural hospital.

This article describes the antineoplastic drug-use process and monitoring activities performed by the Department of Pharmacy at a 225-bed rural hospital. Documents developed and used in the process assist the pharmacist in assessing drug-related toxicity, in making recommendations for laboratory or system studies, and for organizing a therapeutic rationale for inpatients and out-patients. Involvement of pharmacists in oncology in rural or small institutions can be essential for maximal therapeutic monitoring and quality patient care. The importance of monitoring antineoplastics on a per patient basis is highlighted.

Antineoplastic Agents↗
PubMed2000

Louisiana Rural Health Access Program.

Louisiana Rural Health Access is part of a Robert Wood Johnson Foundation project to address primary and preventive medical care for indigent, uninsured people residing in underserved rural parishes. This 15-month grant funds the development of a pilot program to improve access to health care in Acadia, Evangeline, Iberia, Lafayette, St Landry, St Martin, St Mary, and Vermilion parishes. Led by representatives from the Department of Health and Hospitals and the Louisiana State University Health Sciences Center, team committees designed the program's innovative use of telemedicine, loan development, network integration, and community involvement. A benefit of the program will be to measure the outcomes of each objective in order to determine which intervention works best. This information will be invaluable for the design of a five-year rural health care development plan.

Capital Financing↗
PubMed1964

ACUTE DIARRHOEAL DISEASE IN LESS DEVELOPED COUNTRIES. 2. PATTERNS OF EPIDEMIOLOGICAL BEHAVIOUR IN RURAL GUATEMALAN VILLAGES.

A number of primary epidemiological characteristics are recognized as common to members of a syndrome designated "acute undifferentiated diarrhoeal disease". This syndrome includes both specific and non-specific diarrhoeal disorders. Within the existing knowledge and with the facilities available in less developed countries, an epidemiological basis for control, directed against the syndrome as a whole, is presented as the practical approach to community management. Clinical and microbiological distinctions do not extend to the main bulk of the problem. Individual epidemiological patterns exist according to age and varying social and ecological conditions. Field study by periodic home visits over four years has defined these patterns in highland rural villages in Guatemala. The chief problem was weanling diarrhoea.

Adolescent↗
PubMed2004

Improving access to primary care for a growing Latino population: the role of safety net providers in the rural Midwest.

CONTEXT: Many rural Midwestern communities are experiencing rapid growth in Latino populations with low rates of health insurance coverage, limited financial resources, language and cultural differences, and special health care needs. PURPOSE: We report on 2-day site visits conducted in 2001 and 2002 in 3 communities (Marshalltown, Iowa; Great Bend, Kansas; and Norfolk, Nebraska) to document successful strategies to meet Latino health care needs. METHODS: We interviewed key informants to identify successful community strategies for dealing with health care access challenges facing the growing Latino population in the Midwest. FINDINGS: Interventions have been developed to meet new demands including (1) use of free clinics, (2) school health programs, (3) outreach by public health, social services and religious organizations, and (4) health care providers' efforts to communicate with patients in Spanish. Strain on safety net services for Latinos is due in part to a complicated and unstable mix of public and private funds, a large but overtaxed volunteer provider base, the dependence on a limited number of community leaders, and limited time for coordination and documentation of activities. CONCLUSIONS: We suggest the development of a Rural Safety Net Support System to provide targeted funding to rural areas with growing immigrant populations. Federal community health center support could be redirected to new and existing safety net providers to support the development of a safety net monitoring system.

Adult↗
PubMedDate not supplied

Implementing QA in a rural setting.

This article examines the development and implementation of a quality assurance (QA) and risk management program in a small rural facility. The author reviews the literature on management techniques, outlines the development of a program in a health district in rural Manitoba, and refers to Wilson's Adult Learning Model and Lancaster's seven elements for staff motivation. An example of program standards is provided, as is a chart showing the relationships among the facility's QA committees.

Hospital Bed Capacity, under 100↗
PubMed2004

A review of community consultation in the development of a multi purpose service in rural and remote Australia.

This paper examines the role of community consultation and participation in the process of establishing a Multi Purpose Service (MPS) program in two towns in Western Australia. Information was gathered through written documents and semi-structured interviews with individuals who were integral to the process. Consumer involvement in health care is increasing, and while claims of being community driven underpinned the MPS program, our findings suggest otherwise. Conflicts of interest, a lack of representation, and misunderstandings about the meaning of community consultation were present throughout the process of implementation. Moreover, official reports either ignore or downplay these events. We conclude that more attention must be paid to the role of the community in the health reform agenda generally and the MPS program specifically.

Australia↗