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Dissertations / Theses on the topic 'Rural medicine'

Author: Grafiati

Published: 4 June 2021

Last updated: 25 July 2025

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1

Jensen, Samantha, and Amanda Stoltz. "Assessing Resident Physician Knowledge about Breastfeeding Medicine in a Rural Family Medicine Clinic." Digital Commons @ East Tennessee State University, 2021. https://dc.etsu.edu/asrf/2021/presentations/51.

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Title: Assessing Resident Physician Knowledge about Breastfeeding Medicine in a Rural Family Medicine Clinic Authors: Samantha Jensen, MD and Amanda Stoltz, MD, Bristol Family Medicine Residency Program, Department of Family Medicine, James H. Quillen College of Medicine, East Tennessee State University, Johnson City, TN Introduction: Many residents and faculty encourage the long-term goal of breastfeeding, and our residency program provides extensive training in obstetrics and newborn nursery. However, there is little structure and direct guidance for breastfeeding medicine already built in t

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2

Beebe, Michele Morgen. "Use of complementary and alternative medicine among rural Montanans." Thesis, Montana State University, 2004. http://etd.lib.montana.edu/etd/2004/beebe/BeebeM0805.pdf.

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3

Pal, Deb Kumar. "Control of childhood epilepsy in rural India." Thesis, University College London (University of London), 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.298246.

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4

Meyers, Emily Breanne. "Rural Health and Radiology: Health and Ethical Implications for Rural Citizens." NEOMED College of Graduate Studies / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=ne2gs1619525106309102.

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5

Hagemeier, Nicholas E., Sarah Blevins, Kyle Hagen, Emily Sorah, Richa Shah, and Kelly Ferris. "Integration of Rural Community Pharmacies into a Rural Family Medicine Practice-Based Research Network: A Descriptive Analysis." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/1476.

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Purpose: Practice-based research networks (PBRN) seek to shorten the gap between research and application in primary patient care settings. Inclusion of community pharmacies in primary care PBRNs is relatively unexplored. Such a PBRN model could improve care coordination and community-based research, especially in rural and underserved areas. The objectives of this study were to: 1) evaluate rural Appalachian community pharmacy key informants’ perceptions of PBRNs and practice-based research; 2) explore key informants’ perceptions of perceived applicability of practice-based research domains;

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6

Shirely, Kaitlyn, Margaret Smith, Kacie Denton, Blair Brandt, Ivy A. Click, and Joseph Gravel. "Social Determinants of Health in Rural Tennessee Clinics." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/6383.

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7

Click, Ivy A., Jeri Ann Basden, Joy L. Bohannon, Heather Anderson, and Fred Tudiver. "Opioid Prescribing in Rural Family Practices: A Qualitative Study." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/6366.

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Background: Rural Tennessee, especially rural East Tennessee has seen a dramatic increase in rates of controlled drug prescriptions and controlled drug overdose deaths in recent years. However, little is known about the individual decisions to prescribe or continue prescriptions with relation to addiction concerns. Objectives: The purpose of this study was to learn more about what factors lead to physicians’ prescribing control drugs for non-cancer pain through the use of focus groups. Methods: A qualitative study, using focus groups, in five family medicine clinics in East Tennessee and South

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8

Lawrenson, Ross Alexander. "Screening for undiagnosed diabetes in rural New Zealand." Thesis, Imperial College London, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.263224.

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9

Kennedy, Craig. "Impact of telemedicine in a rural community /." St. Lucia, Qld, 2001. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe16114.pdf.

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10

Harris, Kimberly D. "Acceptance of computer-based telemedicine in three rural Missouri counties /." free to MU campus, to others for purchase, 1999. http://wwwlib.umi.com/cr/mo/fullcit?p9945181.

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11

Walker, Paul Charles. "Community based epidemiological study of Chagas Disease in rural Peru." [New Haven, Conn. : s.n.], 2008. http://ymtdl.med.yale.edu/theses/available/etd-12092008-165846/.

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12

Simpson, Savannah, and Jodi Polaha. "Educating Rural Psychologists: An Analysis of Professional Training Programs." Digital Commons @ East Tennessee State University, 2011. https://dc.etsu.edu/etsu-works/6636.

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In rural areas, the lack of psychologists available makes it difficult for patients to receive the care they need. The lack of psychologists available perpetuates the stigma that it is not “normal” to go to a psychologist. Also, working in rural areas is difficult for psychologists because there is a need for special training and instruction and there is not enough funding for training in rural psychology. This study aims to describe the current educational practices of graduate counseling and clinical psychology programs and post graduate internship and fellowship programs in preparing profes

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13

Polaha, Jodi, William T. III Dalton, and Suzanne Allen. "The Prevalence of Psychosocial Concerns in Pediatric Primary Care Serving Rural Children in Pediatric Primary Care Serving Rural Children." Digital Commons @ East Tennessee State University, 2011. https://dc.etsu.edu/etsu-works/6745.

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Objectives: To examine the prevalence of parent-reported emotional and behavior problems in pediatric primary care clinics serving rural Appalachia using methods commensurate with studies of broader samples. Methods: Parents presenting to pediatric primary care clinics completed a rating scale (Pediatric Symptom Checklist) of psychosocial problems for their child. Results: Approximately 21% of all rating scales were in the clinically significant range. Across all parents, 63% identified the child’s physician as their most common source of help. In contrast, mental health professionals had been

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14

Madge, Clare. "Medicine, money and masquerade : women, collecting and rural development in The Gambia." Thesis, University of Birmingham, 1991. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.550929.

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This thesis assesses development theory by investigating the role of collecting to rural Gambians. Theories of development are based on the implicit acceptance of models of evolutionary development of society. Such models assume that societal development is linear, societies 'developing' from hunting and gathering (collecting) to farming to urban industrial modes of production as they ascend the 'evolutionary ladder'. Each stage is assumed to be distinct and not to overlap with the preceding or following stage. This thesis disputes such a model by revealing the vital importance of collecting t

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15

Allred, Delayne, Laura Helmly, and Amanda Stoltz. "IMPROVING CODING BEHAVIORS AMONG PHYSICIANS IN A RURAL FAMILY MEDICINE RESIDENCY PROGRAM." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/asrf/2018/schedule/164.

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Appropriate coding is a daunting task for new physicians just entering the world of medical practice. This is mostly due to the ever-changing standards for reimbursement, and the constant demand on provider time from an ever-growing number of patients to serve from a primary care perspective. It has been shown that family physicians lose up to 10- 20 percent of reimbursement each year because of incorrect coding. Physicians are the ones responsible for appropriately coding their work and documentation so that the clinic can be fairly reimbursed. In the East Tennessee State University Family Ph

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16

Miranda, Renee M., Martha Cole, and Patricia Conner. "Measuring Patient Interest in Complementary and Alternative Medicine (CAM) in a Rural/Community Family Medicine Residency Program in Northeast Tennessee." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/6871.

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Complementary and Alternative Medicine (CAM) has been demonstrated to be an effective addition to traditional medical practice. However, patient awareness of CAM techniques may be low, particularly in rural areas. The aim of this study is to measure adult patient interest in CAM, particularly Osteopathic Manipulative Medicine (OMT), acupuncture, meditation, nutrition, and breathing techniques in a community Family Medicine practice. An anonymous survey was given to 200 adult patients in an outpatient clinic over the course of 3 months. Survey items were designed to assess if patients were awar

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17

Watts, Anne E. "A model for epilepsy management in an African rural community." Thesis, Queen's University Belfast, 1988. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.336192.

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18

Nicholson, Laura. "The health, support needs, access to healthcare services and social exclusion of adults with intellectual disabilities living in rural areas : a rural-urban comparison." Thesis, University of Glasgow, 2012. http://theses.gla.ac.uk/3738/.

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Background: Almost all intellectual disabilities research is conducted in urban areas, and very little is known about the population of adults with intellectual disabilities living in rural areas. It is important to know whether there are significant rural-urban differences, in order to provide appropriate services and address inequalities. In particular, the general rural population is known to be disadvantaged with respect to access to healthcare and social exclusion. Adults with intellectual disabilities are also disadvantaged in these areas, and therefore adults with intellectual disabilit

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19

Lilly, C. E., Jodi Polaha, Stacey Williams, and M. Schrift. "Rural Parents’ Perspectives on Mental Health Services: A Qualitative Study." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/6594.

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20

Chadwick, Caleb N., Lauren Brinkley-Rubinstein, Mark McCormack, and Abbey K. Mann. "Experiences of HIV Stigma in Rural Southern Religious Settings." Digital Commons @ East Tennessee State University, 2019. https://dc.etsu.edu/etsu-works/6436.

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Experiences of stigma, including stigma in religious settings, among individuals who are HIV positive have been widely documented. However, research related to stigma has predominantly focussed on urban locations. As a result, stigma incurred via religious settings in non-urban areas has been underexplored. The aim of this study is to uncover the experiences of individuals who are HIV positive with religious institutions, leaders and congregants in the non-urban American South. A total of 22 participants were interviewed. Experiences with stigma were pervasive with participants often describin

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21

Polaha, Jodi, W. T. III Dalton, S. Allen, A. Enlow, N. Bagwell, and S. Cumpston. "Pediatric Wellness and Integrated Health Care in Rural Appalachia." Digital Commons @ East Tennessee State University, 2008. https://dc.etsu.edu/etsu-works/6610.

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22

Cirone, B., J. Ellison, and Jodi Polaha. "Mental Health Seeking by Young Adults in Rural Areas." Digital Commons @ East Tennessee State University, 2009. https://dc.etsu.edu/etsu-works/6642.

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23

Polaha, Jodi. "Pediatric Behavioral Telehealth for Underserved Patients In Rural Tennessee." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/6680.

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24

Cutts, Christopher. "Identification of influences on the quality use of medicines in general practice in rural Australia /." [St. Lucia, Qld.], 2002. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe16591.pdf.

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25

Polaha, Jodi. "Breaking Down Silos in Rural Healthcare: A Five-Part Blog Series." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/6764.

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26

Morgan, Dilys. "Natural history of HIV-1 infection in adults in rural Uganda." Thesis, University of Liverpool, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.250460.

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27

Schultz, Abby, L. Crosnoe-Shipley, Brett T. Morgan, and Ivy A. Click. "Improving Evidence-Based Contraceptive Management Among Clinicians in Rural Tennessee." Digital Commons @ East Tennessee State University, 2017. https://dc.etsu.edu/etsu-works/6384.

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28

Hoover-Thompson, Alysia, Catherine Jones-Hazledine, and Jodi Polaha. "Overcoming Rural Service Delivery Barriers: Three Examples in Integrated Care." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/6593.

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Integration in rural primary care has well-delineated advantages, but there are barriers to developing a workforce in these areas. In this presentation, representatives from three novel rural service delivery programs will discuss specific strategies for overcoming these barriers. Attendees will learn how a rural Federally Qualified Health Center grew from 0 to 6 full-time psychologists in two years, how a graduate training program uses telehealth to provide services at rural primary care clinics, and how integrated clinics in the Frontier counties of Nebraska ensure a future workforce startin

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29

Evans, J. H., R. J. Valleley, and Jodi Polaha. "Integrating Pediatric Behavioral Health Into Rural Primary Care: Research Findings." Digital Commons @ East Tennessee State University, 2006. https://dc.etsu.edu/etsu-works/6617.

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30

Sun, Qi. "Traditional medicine in rural China and the southern United States: an exploratory study." DigitalCommons@Robert W. Woodruff Library, Atlanta University Center, 1989. http://digitalcommons.auctr.edu/dissertations/1722.

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This study compared the differences and similarities of the traditional remedies, the biochemical values of traditional remedies for hypertension, and the characteristics of the theories of traditional medicine between rural China and the rural southern United States. The data for rural China were collected from three popular medical books published by Chinese government and a periodical of Henan Province, China. The data for the rural southern United States were previously collected through Life History Interviews on 234 older blacks living in six southern states of the United States during 1

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31

Бігунець, Вікторія Сергіівна, and Жанетта Анатоліївна Ревенко. "Prevention of arterial hypertension among rural population in the aspect of evidential medicine." Thesis, "Хист" Всеукраїнський журнал студентів та молодих вчених. Міністерство охорони здоровя України. Буковинський державний медичний університет. Студентське наукове товариство. Рада молодих вчених.: Чернівці, 2015. Випуск 17, 2015, 2015. http://dspace.bsmu.edu.ua:8080/xmlui/handle/123456789/9597.

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32

Kent, Ruth Margaret. "Health needs of disabled people in a rural community." Thesis, University of Newcastle Upon Tyne, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.363892.

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33

Ellison, J., Jodi Polaha, and S. North. "Rural Parents’ Mental Health Service Delivery Preferences: Overcoming Barriers to Care." Digital Commons @ East Tennessee State University, 2011. https://dc.etsu.edu/etsu-works/6599.

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34

Polaha, Jodi, and K. Brooks. "A Wellness Approach to Service Delivery in Rural Pediatric Primary Care." Digital Commons @ East Tennessee State University, 2007. https://dc.etsu.edu/etsu-works/6613.

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35

Malindi, Phumzile. "Methods for providing rural telemedicine with quality video transmission." Thesis, Cape Peninsula University of Technology, 2007. http://hdl.handle.net/20.500.11838/1197.

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Thesis (DTech (Electrical engineering))--Cape Peninsula University of Technology, Cape Town, 2007<br>Telemedicine has been identified as a tool to distnllUte medical expertise to medically underserved rural community. However, due to the underdeveloped or non-existent telecommunication infrastructure, which is needed as the platform for telemedicine, the full benefits of telemedicine are yet to be realized in most parts of South Africa and Africa as a whole. This study aims to explore ways on how to provide lP-based lCI system that can be used as a communication platform for telemedicine

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36

Porter, Ashley Erin. "An assessment of health literacy about complementary and alternative medicine in adult residents of a frontier county in Northwestern Montana." Thesis, Montana State University, 2010. http://etd.lib.montana.edu/etd/porter/PorterA0510.pdf.

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The purpose of this study was to examine CAM health literacy among residents of a frontier county. Health literacy levels in the United States have historically been low. CAM use in the United States continues to grow each year. The combination of the two issues creates the potential for poor health outcomes. Previous research indicates that rural and frontier residents have high rates of CAM use and lower health literacy when compared to urban populations. Quantitative research methods and Pender's Health Promotion Model provided the underlying framework for this study. A systematic sampling

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37

Cook, C. L., Jodi Polaha, and S. L. Williams. "Brief report: Rural Parents’ Perceptions Of Mental Health Services: A Qualitative Study." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/etsu-works/6760.

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38

Polaha, Jodi. "Telehealth Services for Rural Behavioral Health: Directions for Development and Research." Digital Commons @ East Tennessee State University, 2007. https://dc.etsu.edu/etsu-works/6704.

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39

Tolliver, Robert M., C. Lilly, S. Reed, Stacey L. Williams, and Jodi Polaha. "Primary Care: An Opportunity to Address Behavioral Health Among Rural Children." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/6598.

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40

Xiang, Zheng. "The transformation of the 3-tier health network in rural China 1979-1990." Thesis, Queen Mary, University of London, 1994. http://qmro.qmul.ac.uk/xmlui/handle/123456789/1669.

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Since 1979, the organisation of Chinese health care has undergone extensive changes as the result of government health reforms. These changes have particularly affected the '3-tier health network' of rural health care organisation. The '3 tier health network' which is a vertically organised linkage of village, township and county health units, has formed the basic health structure for the rural areas since the early 50's. The '3 tier network'(3TN) has been subject to the introduction of a market competitive system which is the economic responsibility system. Township hospitals have been placed

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41

Polaha, Jodi. "Dissemination of Evidence Based Treatments to Rural Communities: Exploring the Role of Telehealth." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/6684.

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42

Tolliver, Matthew, Jodi Polaha, Stacey L. William, and Christina R. Studts. "Evaluating the Prevalence of Child Psychosocial Concerns in Rural Primary Care." Digital Commons @ East Tennessee State University, 2021. https://doi.org/10.1037/rmh0000130.

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Child psychosocial concerns in rural areas are assumed to be greater than national averages due to mental health provider shortages, however, there is minimal empirical support for this claim. The present study aimed to replicate findings showing a higher prevalence of child psychosocial concerns in rural areas. In addition, this study evaluated six distinct definitions of “rural” to determine whether the operational definition of rurality was associated with prevalence of psychosocial concerns. Caregivers presenting with their child at 8 pediatric primary care sites (N = 2,672) completed a de

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43

Pangrazzi, Elizabeth. "The Rural Provider's Perspective| Conversations With Patients About Mental Health." Thesis, Union Institute and University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10624346.

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<p> The rural primary care provider is likely to treat patients with mental health issues in rural populations due to lack of mental health providers, comorbidity and multimorbidity of patient illness, and stigma associated with seeking mental health services. The very nature of rural primary care allows for patients to be comfortable with their PCP and therefore, rely on the strong foundational relationship they have in entrusting them with their mental health concerns. Being a primary care provider in a rural setting offers both rewards and challenges unique to the rural culture.</p><p> Th

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44

Allen, S., W. T. III Dalton, and Jodi Polaha. "Pediatric Overweight and Psychosocial Concerns Among Youth Presenting to Rural Primary Care." Digital Commons @ East Tennessee State University, 2008. https://dc.etsu.edu/etsu-works/6609.

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45

Reed, Sara, Matthew Tolliver, Jodi Polaha, and Stacey Williams. "Rural Primary Care Integration: Facilitating Identification and Management of Childhood Psychosocial Concerns." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/6634.

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Rural children have less access to mental health services and more health disparities than their urban counterparts. Additionally, pediatricians rank psychosocial problems as a top presenting concern in child care visits, making recognition and appropriate management of behavioral health problems an important aspect to primary care. Few studies, however, have examined the prevalence of childhood psychosocial concerns in rural Appalachia. This paper describes the results of a larger study that examined prevalence rates of parent-reported psychosocial concerns and parental help-seeking behavior.

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46

Lennon-Dearing, Robin, Joe Florence, Linda Garrett, Ivy A. Click, and Suzanne Abercrombie. "A Rural Community-Based Interdisciplinary Curriculum: A Social Work Perspective." Digital Commons @ East Tennessee State University, 2008. https://dc.etsu.edu/etsu-works/6371.

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Although social workers are frequently part of interdisciplinary teams in health care and community settings, interdisciplinary training is often lacking in social work education (Berg-Weger & Schneider, 1998). This article describes a study of the effects of an interdisciplinary community-based experiential course preparing new health care professionals for work as part of interdisciplinary teams. The interdisciplinary curriculum was established for a summer course taught in 2006 by faculty from five disciplines: social work, nutrition, medicine, nursing, and public health. The course, Qualit

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47

Enlow, Angela D., and Jodi Polaha. "Evaluating the Role of a Psychologist in Pediatric Wellness Visits in Rural Tennessee." Digital Commons @ East Tennessee State University, 2009. https://dc.etsu.edu/etsu-works/6644.

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The aim of this project was to examine key medical and behavioral health issues identified in the context of integrated wellness visits. Specifically, this study sought to examine the role of psychologists in pediatric wellness visits, including the early identification of behavioral, developmental, and learning problems, as well as the delivery of brief, effective interventions. The study was conducted at Cherokee Health Systems, a fully integrated pediatric practice in East Tennessee, which follows a fully integrated model of integrated primary care. Data was obtained from a record review of

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48

Rutherford, Shaunta N. "Breastfeeding Perceptions, Rates of Initiation, and Duration Among Urban and Rural Women." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5653.

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Breastfeeding is the optimal feeding method for infants up to the age of 2. Breast milk is suited to fulfill the nutritional needs of infants while providing immunological and neurological benefits. Breastfeeding rates of initiation and duration are low in the United States, especially in the state of Georgia. The purpose of this cross-sectional study was to investigate how breastfeeding initiation and duration, self-efficacy, perceptions, and community breastfeeding resources differ based on geographical location. The social ecological model was used as the theoretical framework for this stud

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Mike, Derrick. "Lived Experiences of African Americans 65 and Older After Rural Hospital Closures." ScholarWorks, 2020. https://scholarworks.waldenu.edu/dissertations/7825.

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African Americans 65 and older have had varied experiences due to losing immediate access to nearby hospitals for urgent treatment for emergency medical conditions. This phenomenological study was conducted to explore the lived experiences of those residing in areas after a rural hospital closure occurred. The hospital was the primary and nearest facility for receiving immediate access to urgent treatment. The research questions focused on the encounters experienced by the participants after the hospital closure. The Health Belief Model was the conceptual framework used for this study. The met

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50

Horng, Lily Ming-Sha. "A pilot study of changes in physician prescribing practices after rural mutual health care implementation in China." [New Haven, Conn. : s.n.], 2008. http://ymtdl.med.yale.edu/theses/available/etd-12022008-134152.

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