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At least 19 recordsLinked to original sources
PubMed1976

Recent rural health research.

Recent rural health research may be examined in two ways: needs and solutions. A definition of needs requires an evaluation of the social factors that affect the expectations and the behavior of both the provider and the consumer. Three types of solutions should be considered: the appropriate utilization of manpower, including the efforts to influence physician location and specialty distribution, new health practitioners, and team approaches; the new technology for transportation and communication; and the organization of new delivery systems. Two areas of rural health research that need more attention are program evaluation and financial planning.

Communication↗
PubMed1977

A controlled trial of the impact of the family practice nurse on volume, quality, and cost of rural health services.

Rural Newfoundland communities with and without expanded role nurses were compared on a before and after basis. The rural communities are located in a geographically isolated area served by a 40-bed hospital staffed by salaried physicians. Primary care visits within the community increased by 186 per cent after establishment of the family practice nurse community clinic and attendance at the hospital decreased by 35 per cent. Acute care days in hospital decreased 5 per cent in the experimental group and increased by 39 per cent in the control group. A major portion of the community based visits provided to the experimental group were classed as preventive. The total annual health service cost per 1,000 persons in the experimental group increased slightly more than in the control group (26 versus 21 per cent). Adequate management of certain indicator conditions and drugs was maintained by the family practice nurse when compared to the adequacy rating for the physician during the same time period.

Community Health Nursing↗
PubMed1976

An antenatal record for identification of high risk cases by axliliary midwives at rural health centres.

A prerequiste for effective and efficient medical care to be carried out by auxiliary staff at health centres in rural areas in developing countries is the standardization of the medical, technical and administrative procedures that they have to undertake. A record for antenatal care in rural health centres was designed to facilitate the selection of high risk cases. Several features of this record - which has been successfully used since 1972 in several rural health centres in Kenya - are described.

Female↗
PubMed1992

A rural advantage? Urban-rural health differences in northern England.

Rural health inequalities have been relatively neglected in recent years. The data assembled for a large study of health and deprivation in the Northern Region of England have been reanalysed to examine three questions. How wide are rural health inequalities compared with those in urban areas? Is health intrinsically better in rural areas, given comparable deprivation or affluence? Is the association between health and wealth weaker in rural than in urban areas? It is shown that, although health inequalities are wider in urban areas, this corresponds to wider socio-economic divisions: at equivalent levels of wealth, health measures are similar. This relationship breaks down, however, when the most remote rural areas are compared with matching localities in conurbations, for in this case rural areas have a clear advantage. We go on to show that the apparent weakness of the association between health and wealth in rural areas is largely an artefact; the association becomes stronger when the units of population (electoral wards) are enlarged to resemble more closely those in urban contexts. The comparability of rural and urban forms of deprivation is discussed in the light of these results.

Catchment Area, Health↗
PubMedDate not supplied

[Promotion of infant health. Experiences in a rural health center].

BACKGROUND: The evaluation of the feeding changes in the first months of life is used to estimate the achievement of more healthy practices, after a year of developing the infant health surveillance programme. METHODS: A retrospective study was carried out in a unit of Pediatrics of a Primary Health Center.... The clinical histories of children, born between 1-4-90 and 30-9-90 (group I, n = 55) and those of the children born between 1-4-89 and 30-9-89 (group II, n = 41) were reviewed. The evaluation ended the 30-3-91. Neonatal hospital morbidity, socio-familiar data, and the feeding practices during the first six months of life were studied. RESULTS: The mothers, who were 20 years or less at delivery, were 12 in the group I, and 2 in the group II. The proportion of housekeepers was near the 70% in both groups. Breast-feeding during the first month of life is 85,45% in group I and 53,66% in group II (p < 0.001). CONCLUSIONS: Increase of adolescent mothers and SO, higher number of children with possible psycho-social and health risks. Suitable social conditions for maternal participation in the activities of the Infant Health surveillance Programme. Health education is the most adequate method to establish a more healthy relation between mother and child.

Adolescent↗
PubMed1978

A case report in a Rural Health Center.

An experiment utilizing nurse practitioners in the delivery of health care in a rural Nebraska community is described. In spite of several reorganizations, over a 2 1/2-year period of study, the project failed in terms of patient utilization. Visit rates began at 300 per month and increased to a high of 825 until the community perceived that the nurse practitioner was interposed between themselves and the primary physician. Rates then dropped to 375 and the community withdrew from the project. Implications for rural health projects using ancillary personnel are discussed.

Delivery of Health Care↗
PubMed1977

[Rural health center in Bali].

The rural Health Centre of Mengwi, on the island of Bali, was built and equipped for US $ 15,000 by Project Concern, a non-sectarian, medical relief organization. It has been run so successfully by them since it opened in 1974, that not only has the Centre gained the trust of the local community into which it is now fully integrated, but it is also regarded by the Indonesian Government as a pilot project. Amongst the factors leading to this success, the author underlines the following points: a suitable location for the Centre, easily accessible by the villagers; a local staff recruited from the villages of Mengwi District, well trained and sympathetic to the population; constant retraining of the staff leading to better medical care; the availability of a doctor and nurse around the clock; an adequate supply of drugs. Evaluation of the operation is best done by the acceptance of special programmes such as the Under-Five Clinic, the Family Planning Scheme, Ante-Natal Clinic and vaccinations. The mere success of the general clinic would not mean that the Centre had been integrated into the community and become a factor in rural development. The success of these special clinics, as well as the out-reach programmes, demonstrates that through adequate delivery of medical care, the Health Centre of Mengwi can now fulfil its role of being an important factor in the development of a rural community in the tropics.

Delivery of Health Care↗