Abstract：
:There are trends towards centralising hospital care within the NHS, for many excellent reasons. Yet this has a disproportionate impact upon those patients who live at a distance from their hospital, and this impact has not been well reported or researched, but studies have demonstrated that the utilisation of services is inversely related to the distance of the patient from the hospital; so-called 'distance decay'. This article examines the trend and describes the reasons for it, and the impact on those living in remote and rural communities. It argues that health service planning needs to be patient centred, and points out that, although providing services to rural communities is more expensive than that for urban populations, a balance needs to be struck between cost-effectiveness and the provision of accessible and equitable services for all of our patients. It argues for a debate to help define where that balance point should be, and makes certain recommendations. This debate is especially important, because the professions urgently need to decide how to respond to the UK Department of Health document 'Keeping the NHS Local -- a new direction of travel'.
journal_name
Rural Remote Healthjournal_title
Rural and remote healthauthors
Mungall IJkeywords:
subject
Has Abstractpub_date
2005-04-01 00:00:00pages
390issue
2issn
1445-6354pii
390journal_volume
5pub_type
杂志文章abstract：INTRODUCTION:The community care philosophy in Australia has led to a number of older people remaining in their own homes, dependant on others for the majority of their care needs. A small number of older people being cared for by a family member or friend will move into residential aged care facilities for full-time ca...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2008-07-01 00:00:00
abstract：INTRODUCTION:This study considered the views and experiences of 85 rural women, most of whom gave birth in two regional South Australian hospitals. METHOD:This descriptive survey used a validated questionnaire, modified for use in rural South Australia, which included open-ended questions to invite further comment. Wo...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2009-07-01 00:00:00
abstract：CONTEXT:Exposure of undergraduate medical students to general practice and community healthcare services is common practice in the international medical curricula. Nevertheless, proponents of the hospital and biotechnology based paradigm, which is still dominant within the medical academic environment, question both th...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2013-01-01 00:00:00
abstract：:Prostate cancer mortality worldwide has recently decreased by 6% after peaking in the 1990s. Based on the recently published results of the European Randomised Study for Screening of Prostate Cancer (which showed a relative prostate cancer mortality reduction of at least 20% by PSA-based population screening) it could...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2009-04-01 00:00:00
abstract：INTRODUCTION:Ensuring access to oral health services is crucial for improving the oral health of rural and remote populations. A logical step towards addressing oral health disparities and underutilization of services in rural areas is to ensure the availability of the dental workforce. Geographical information systems...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2016-01-01 00:00:00
abstract：INTRODUCTION:The Australian Rural Clinical Schools, established nationally in 2000-2001, have provided an opportunity for medical students to undertake their clinical training across a network of hospitals, general practice surgeries and community medical centres in locations throughout Australia. The Rural Clinical Sc...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2006-01-01 00:00:00
abstract：INTRODUCTION:Prescription opioid (PO) misuse and related harms are high in Canada, and a major public health challenge. In Canada, 1.4 million individuals (4.3% of the total population) self-identify as Aboriginal, among whom substance use and related harms are elevated. While there are reports of PO use and associated...
journal_title：Rural and remote health
pub_type： 杂志文章,评审
doi：
更新日期：2016-10-01 00:00:00
abstract：:Domestic migrant workers were stranded far from home when India declared nationwide lockdown to combat the pandemic of novel coronavirus (COVID-19). A large number of these workers were left with no economic support, no food and in many cases nowhere to live. The pandemic posed a serious health threat to these people,...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：10.22605/RRH6186
更新日期：2020-11-01 00:00:00
abstract：CONTEXT:Entry to practice medical programs (graduate- and undergraduate-entry) in Australia are under considerable pressure to provide clinical training as a result of increased student numbers. At the same time modern medical curricula require the development of active placements in expanded settings to achieve gradua...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2011-01-01 00:00:00
abstract：INTRODUCTION:In mid-July 2010 flash flooding in Pakistan destroyed the basic water, environmental sanitation and livelihood infrastructures in 82 districts. Two months later, the local press of Swat (northern Pakistan) reported that several residents of Marghazar town became ill and were hospitalized after drinking con...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2012-01-01 00:00:00
abstract：:Many rural Australian communities continue to endure a prolonged drought. The mental health effects of short-term natural disaster are well known; those of a long-term and chronic natural disaster such as drought are less well understood. However, in addition to immediate distress there are likely to be feelings of lo...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2008-07-01 00:00:00
abstract：INTRODUCTION:Australia is the sixth largest country (in area) in the world with a total area of over 7.5 million km² (3 million miles²). To date much of the research and policy activity in the dental workforce has been based on simple statistical analysis including practitioner-to-population ratios; however, risks are ...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2013-10-01 00:00:00
abstract：:The provision of health services to rural and remote communities has been the source of much concern and debate in recent times. One aspect of this is the universal problem of insufficient medical practitioners in rural areas and the associated issues of recruitment and retention. Rural communities can play an importa...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2004-04-01 00:00:00
abstract：INTRODUCTION:The Papua New Guinea Department of Health monitors the performance of the health system using a computerised national health information system. This article draws on the recent evaluation of a national-wide donor-project community development initiative to highlight the problems of the lack of and disaggr...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2010-10-01 00:00:00
abstract：INTRODUCTION:Portions of Montgomery County, Virginia, are designated a Medically Underserved Area with a large portion of this population experiencing limited access to healthcare services. In September 2008, the Federal Bureau of Primary Care awarded the authors a planning grant to assess community need in Montgomery ...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2012-01-01 00:00:00
abstract：INTRODUCTION:An urban-rural gap in stroke incidence or mortality has been reported. However, whether the effect of rurality on stroke is independent of the distribution of conventional individual-level risk factors and other community-level risk factors is inconclusive. METHODS:A cohort study was conducted involving 4...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2010-07-01 00:00:00
abstract：INTRODUCTION:Smoke-free laws and the addition of graphic warning labels to cigarette packages represent public health policies that can potentially reduce smoking and smoking-related disease. The attitudes and beliefs relating to these policies were examined among residents of Ohio Appalachia, a mostly rural region wit...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2012-01-01 00:00:00
abstract：INTRODUCTION:Thailand has recognised and sought to remedy rural medical workforce shortages. The Collaborative Project to Increase Production of Rural Doctors (CPIRD) has improved rural workforce recruitment through publicly funding medical school places for students with rural backgrounds. However, challenges in rural...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：10.22605/RRH4709
更新日期：2018-11-01 00:00:00
abstract：:Rural and Remote Health is committed to the task of providing a freely accessible, international, peer-reviewed evidence base for rural and remote health practice. Inherent in this aim is a recognition of the universal nature of rural health issues that transcends local culture and regional interests. While RRH is alr...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2003-01-01 00:00:00
abstract：CONTEXT:Providing health care in remote and very remote areas has long been a major concern in Indonesia. In order to improve access to quality health care for residents in these areas, various policies on recruitment and deployment of health workers have been implemented, among them compulsory service, contracted staf...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2012-01-01 00:00:00
abstract：CONTEXT:An astounding 50% of blindness and 70% of vision impairment in Australia is caused by conditions that are said to be preventable or treatable. Aboriginal people suffer 10 times the rate of blindness and attend eyecare practitioners in far lower numbers than other members of the Australian population. ISSUE:In ...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2004-01-01 00:00:00
abstract：INTRODUCTION:In Scotland, approximately 5% of out-of-hospital cardiac arrest patients survive to hospital discharge. Improving bystander cardiopulmonary resuscitation (CPR), especially in rural areas, could have a significant effect on the numbers of lives saved. The objective of this study was to systematically review...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：10.22605/RRH4772
更新日期：2019-09-01 00:00:00
abstract：INTRODUCTION:Skin infections including scabies and impetigo have a high burden and cause significant morbidity in remote Aboriginal communities in Australia. Nevertheless, there is limited knowledge about community, healthcare practitioner and service provider perspectives on skin infections and treatment preferences. ...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：10.22605/RRH5227
更新日期：2019-09-01 00:00:00
abstract：INTRODUCTION:For many women, and particularly rural women, birthing locally and within their own community is important for personal, social and/or cultural reasons. If concerns about the woman or her baby mean transfer to a secondary or tertiary facility is necessary, this can be disruptive and stressful, especially i...
journal_title：Rural and remote health
pub_type： 杂志文章,多中心研究
doi：
更新日期：2011-01-01 00:00:00
abstract：INTRODUCTON:The key parameter for rural clinical schools (RCSs) is to provide at least 1 year of clinical training in rural areas for 25% of Australian Commonwealth supported medical students with the intent to influence future rural medical workforce outcomes. The objective of this study was to describe the associatio...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2016-10-01 00:00:00
abstract：INTRODUCTION:There is growing evidence that in rural areas cancer mortality is higher and referral occurs later, indicating different patterns of care. In Scotland services to rural areas have been organized through 'managed clinical networks'. In some cases, these organizational networks have been structured so that t...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2008-10-01 00:00:00
abstract：CONTEXT:This article explores the relevance of the body of military psychology knowledge to the management and support of those living and working in rural/remote industries and locations, particularly within Australia. ISSUES:For those who live and work in rural/remote settings, there are social, occupational, health...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2016-10-01 00:00:00
abstract：CONTEXT:The Nepalese primary healthcare system at sub-district level consists of three different levels of health facility to serve the mostly rural population. The Ministry of Health and Population decentralised health services by handing over 1433 health facilities in 28 districts to Health Facility Operation and Man...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：
更新日期：2013-04-01 00:00:00
abstract：INTRODUCTION:Rates of mental health issues are increasing, coupled with insufficient resources to provide appropriate support. This is a particular challenge for rural areas in Australia that face significant social inequities including a scarcity of health resources. E-health initiatives are often proposed to maximise...
journal_title：Rural and remote health
pub_type： 杂志文章
doi：10.22605/RRH5103
更新日期：2019-08-01 00:00:00
abstract：:The poor health of Indigenous Australians is highlighted by the fact that their life expectancy is 17 years less than that of non-Indigenous Australians. The cause of this health disparity is multifactorial, and includes the under use of health services and medications. Distance, cost, and embarrassment, or fear of se...
journal_title：Rural and remote health
pub_type： 杂志文章,评审
doi：
更新日期：2007-04-01 00:00:00
