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At least 19 recordsLinked to original sources
PubMed2002

Rural health research and rural health in the 21st century: the future of rural health and the future of rural health services research.

Rural health research is a unique field. It is neither a nested subcategory under general health services research nor a separate field of policy analysis or advocacy. Rural health research faces three potential crises: of content, of applicability, and of credibility. The content of the field is driven often by funds, its applicability is thus limited by its purview as well as its special constituency, and its credibility is challenged by its findings, sometimes contrary to accepted positions in the larger health services field. Rural health research can strengthen its position by accepting the paradoxes it presents, especially the paradox of continuing disparity in the face of substantial investment to eliminate differences, and by seeking to answer why this occurs across the rural-urban spectrum. Rural health research can answer questions about why the distribution of resources is unfair without depending solely on pure definitions

Forecasting↗
PubMed2005

The conducting and reporting of rural health research: rurality and rural population issues.

Rurality and rural population issues require consideration when conducting and reporting on rural health research. A first article focused on the planning stage of the research. The objective of this article is to explore conducting and reporting issues that require attention when undertaking rural health research. The privacy of participants, the collection of data, the cultural traditions of Indigenous communities, the dissemination of results, and giving something back to the community, are all aspects of conducting and reporting rural health research that require attention. Procedures such as identifying the characteristics of the population, attention to safety issues when collecting data, the use of local liaison persons and acknowledging the ownership of intellectual property, increase the quality of the research outcomes. They are issues that are relevant to both qualitative and quantitative research methods. Procedures are available to address issues of particular concern in developing appropriate methods for rural health research. While we have concentrated on Australian issues, and possible solutions, rural localities in many other countries may face similar issues. In any rural setting, paying attention to issues that may affect the conducting and reporting of rural health research will hopefully result in studies that support the continued improvement of health in rural communities.

Australia↗
PubMed2004

Rural health disparities, population health, and rural culture.

In this commentary, I place the maturing field of rural health research and policy in the context of the rural health disparities documented in Health United States, 2001, Urban and Rural Health Chartbook. Because of recent advances in our understanding of the determinants of health, the field must branch out from its traditional focus on access to health care services toward initiatives that are based on models of population health. In addition to presenting distinct regional differences, the chartbook shows a pattern of risky health behaviors among rural populations that suggest a "rural culture" health determinant. This pattern suggests that there may be environmental and cultural factors unique to towns, regions, or United States Department of Agriculture (USDA) economic types that affect health behavior and health.

Cultural Characteristics↗
PubMed2005

The planning of rural health research: rurality and rural population issues.

Rurality and rural population issues require special consideration when planning both qualitative and quantitative health research in rural areas. The objective of this article was to explore the issues that require attention when planning the research. This is the first of two articles and focus on issues that require consideration when undertaking rural health research. The diversity of study populations, the feasibility of a research topic, the selection of a research team, and the cultural traditions of Indigenous communities, are all aspects of rural health research planning that require attention. Procedures such as identifying the characteristics of the population, the selection of measures of rurality appropriate for the research topic, the use of local liaison persons, decisions on the use of 'insider' or 'outsider' researchers, and the identification of skills resources available, increase the quality of the research outcomes. These issues are relevant to both qualitative and quantitative research. Procedures are available to address issues of particular concern in developing appropriate methods for rural health research. While we have concentrated on Australian issues and solutions, rural localities in other countries may face similar issues. Attention to rurality and rural situations when planning rural health research, results in studies that support the continued improvement of health in rural communities.

Adult↗
PubMed1995

Scratching the surface: mental health training for rural health workers.

This paper will describe the Mental Health Training for Rural Health Workers Project that was completed in 1995 under the Rural Health Support Education and Training Program. The lack of specialist mental health services in rural areas means that generalist health workers need to provide mental health services in rural communities. Generalist health workers often feel ill-equipped to help people who require mental health services. The aim of this project was to provide generalist workers in rural areas with practical skills and knowledge in order to help people with mental health disorders and promote positive mental health. The project involved an initial needs survey, the development of education and training material, the implementation of the training, and evaluation of the project.

Clinical Competence↗
PubMed2006

What do we mean by sustainable rural health services? Implications for rural health research.

The concept of health service sustainability, endorsed by the Australian Health Ministers as a key dimension of the National Performance Framework, is particularly important in rural and remote communities. To date, however, few Australian studies have demonstrated how the real drivers of sustainability inter-relate or are translated into sustainable rural and remote health services. This article highlights the need for a systemic approach in which the integrated nature of sustainability components are recognised and evaluated in terms of access to rural and remote health services, quality of care and cost of provision.

Australia↗
PubMed1993

Promoting maternal infant health in rural communities. The Rural Health Outreach Program.

RHOP is a nurse-managed community-based program that uses a variety of approaches to reduce infant mortality and improve maternal child health. In a rural area, representative of much of the rural South, which has a persistent record of poor maternal-child outcomes, the program is using university and community resources to make a difference. The goal is to empower the community to help it help itself using all the available resources. The initial outcome data indicate that these positive changes are happening and can be the site for future activities by those in the community as well as the university. Future plans include involving more departments at the university in the program and expanding services to three additional counties. Graduate students and faculty are becoming interested in conducting research using RHOP activities as a base, and future grants are being considered to expand into new areas such as substance abuse and cancer prevention.

Adult↗
PubMedDate not supplied

Need for dedicated focus on urban health within National Rural Health Mission.

National Rural Health Mission represents an important public health initiative to address essential health needs of the country's underserved population. For the Mission to achieve its goals, urban population needs to be included in its scope. Urban poor population constitutes nearly a third of India's urban population and is growing at three times the national population growth rate. Health status and access of reproductive and child health services of slum dwellers are poor and comparable to the rural population. Efforts to improve the conditions of urban poor necessitate strengthening national policy and fiscal mandate, augmenting and strengthening the urban health delivery system, coordinating among multiple stakeholders, involving private sector, strengthening municipal functioning and building community capacities. National Rural Health Mission should be broadened to National Public Health Mission. This paper discusses issues pertaining to health conditions of the urban poor, present status of services, challenges and suggests options for NRHM to bridge the large gap.

Health Services Accessibility↗
PubMed1994

Oklahoma's rural health providers and consumers prioritizing rural health issues.

The Clinton administration has been busy for many months devising a new health care plan to address national needs. Over the last three years, rural health providers and consumers in the State of Oklahoma have also been actively reviewing their state health issues and concerns and determining the priorities. The purpose of this paper is threefold: (1) to illustrate why it is vital to have a strong health care sector in rural Oklahoma; (2) to review the issues and concerns identified by rural Oklahomans; and, (3) to provide a philosophical basis for possible solutions to the barriers identified.

Attitude to Health↗
PubMed2002

Whither rural health? Reviewing a decade of progress in rural health.

The problems associated with rural and remote health have been widely recognised by health workers, rural communities and health professions for some time. Yet it has only been in the past decade that any concerted effort has been made to address rural health issues. Today the state of health in rural Australia remains less than optimal. The tenth anniversary of the Australian Journal of Rural Health provides the opportunity to reflect on what progress has been achieved over the past decade, to recognise those factors that have contributed most to the implementation of policies designed to address the health needs of rural and remote Australians, and to discuss outstanding impediments and barriers to resolving rural health issues.

Australia↗
PubMed1997

National rural health policy and the role of the National Rural Health Conferences.

The biennial National Rural Health Conference has become as essential feature on the calendar of events for rural and remote health professionals, researchers, public servants and consumers. Since the first conference held in 1991, attendance has grown significantly, factors hindering the achievement of optimal health for all rural and remote Australia have been clearly identified, and recommendations for action have been endorsed by the broad rural health constituency. These recommendations have provided valuable input to the National Rural Health Strategy and many programs and policies of Commonwealth and State departments of health. Significantly, too, the first four conferences have facilitated greater collaboration among rural and remote health professionals and provided a major catalyst in fostering cooperation between consumers, health workers, service providers and governments.

Australia↗