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1

Littleford, Angela, Debbie Martin, Lee Martinez, and Angela May. "Rural and Metropolitan Community Health: Celebrating the Strengths." Australian Journal of Primary Health 5, no. 3 (1999): 60. http://dx.doi.org/10.1071/py99034.

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The paper outlines the strengths, similarities and differences of metropolitan and rural community health sectors. Case studies are used to look at the history of community health in South Australia, its current status is described and some future directions are proposed. Perspectives are drawn from the authors' collective experiences. Rural and metropolitan community health services in South Australia have developed from different models since they were established in the 1970s. Rural community health services have invariably been established as entities within hospitals and health services,
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2

van Spijker, Bregje A., Jose A. Salinas-Perez, John Mendoza, Tanya Bell, Nasser Bagheri, Mary Anne Furst, Julia Reynolds, et al. "Service availability and capacity in rural mental health in Australia: Analysing gaps using an Integrated Mental Health Atlas." Australian & New Zealand Journal of Psychiatry 53, no. 10 (June 28, 2019): 1000–1012. http://dx.doi.org/10.1177/0004867419857809.

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Objective: Access to services and workforce shortages are major challenges in rural areas worldwide. In order to improve access to mental health care, it is imperative to understand what services are available, what their capacity is and where existing funds might be spent to increase availability and accessibility. The aim of this study is to investigate mental health service provision in a selection of rural and remote areas across Australia by analysing service availability, placement capacity and diversity. Method: This research studies the health regions of Western New South Wales and Cou
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3

Hawke, Melanie, and Joe Byrne. "Community-based Early Childhood Assessment and Intervention in Rural Settings: Transdisciplinary Case Management of Developmental Delay in Children." Australian Journal of Primary Health 6, no. 4 (2000): 130. http://dx.doi.org/10.1071/py00046.

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This paper reports on an assessment of the need for early intervention services for children aged 0-8 years in the Southern Fleurieu sub-region of South Australia and an evaluation of the efficacy of utilising a generic community health service to provide the therapeutic and case management services to appropriately address those needs. Previous studies in regional South Australia estimated the incidence of developmental delay in children to be 5% of the total population aged 0-8 years (Barossa Valley, 1997). This estimate indicated a client group of over 130 in the Southern Fleurieu sub-regio
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4

Mullan, Leanne, Karen Wynter, Andrea Driscoll, and Bodil Rasmussen. "Barriers and enablers to providing preventative and early intervention diabetes-related foot care: a qualitative study of primary care healthcare professionals' perceptions." Australian Journal of Primary Health 27, no. 4 (2021): 319. http://dx.doi.org/10.1071/py20235.

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This study explored the perceived healthcare system and process barriers and enablers experienced by GPs and Credentialled Diabetes Educators (CDEs) in Australian primary care, in the delivery of preventative and early intervention foot care to people with diabetes. A qualitative design with inductive analysis approach was utilised and reported according to the Consolidated Criteria for Reporting Qualitative Studies (COREQ). Semi-structured interviews were conducted with two GPs and 14 CDEs from rural, urban and metropolitan areas of Australia. Participants were from New South Wales, South Aus
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5

King, Rosie, Michael Bentley, Charlie Murray, and Fran Baum. "Regional Health Development Partnerships." Australian Journal of Primary Health 5, no. 3 (1999): 94. http://dx.doi.org/10.1071/py99039.

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This paper outlines a project funded by the World Health Organization (WHO) in the Hills Mallee Southern Region of rural South Australia. The project involves trialling guidelines produced by the WHO to assist regional health services to develop and support partnerships for health development with community groups and organisations. The guidelines suggest the following steps: identifying what Health Development Structures exist in their region by making an inventory of community groups and organisations in their area; analysing them for potential collaboration; and building sustainable allianc
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6

Golenko, Xanthe A., Rania Shibl, Paul A. Scuffham, and Cate M. Cameron. "Relationship between socioeconomic status and general practitioner visits for children in the first 12 months of life: an Australian study." Australian Health Review 39, no. 2 (2015): 136. http://dx.doi.org/10.1071/ah14108.

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Objective The aim of the present study was to examine the relationship between socioeconomic status (SES) and child general practitioner (GP) visits in the first 12 months of life. Methods A longitudinal analysis of 1202 mother and child dyads was conducted as part of the Environments for Healthy Living study from south-east Queensland, Australia, for participants enrolled between 2006 and 2009. Maternally reported survey data (sociodemographic and child health information) were linked with individual Medical Benefits Scheme data from birth to 12 months, identifying GP service use. Results On
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7

Islam, Md Irteja, Claire O’Neill, Hibah Kolur, Sharif Bagnulo, Richard Colbran, and Alexandra Martiniuk. "Patient-Reported Experiences and Satisfaction with Rural Outreach Clinics in New South Wales, Australia: A Cross-Sectional Study." Healthcare 10, no. 8 (July 26, 2022): 1391. http://dx.doi.org/10.3390/healthcare10081391.

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Introduction: Many studies have been conducted on how physicians view outreach health services, yet few have explored how rural patients view these services. This study aimed to examine the patient experience and satisfaction with outreach health services in rural NSW, Australia and the factors associated with satisfaction. Methods: A cross-sectional study was conducted among patients who visited outreach health services between December 2020 and February 2021 across rural and remote New South Wales, Australia. Data on patient satisfaction were collected using a validated questionnaire. Both b
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8

Wilkinson, David, Heather McElroy, Justin Beilby, Kathy Mott, Kay Price, Sue Morey, and John Best. "Variation in levels of uptake of Enhanced Primary Care item numbers between rural and urban settings, November 1999 to October 2001." Australian Health Review 25, no. 6 (2002): 123. http://dx.doi.org/10.1071/ah020123.

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We aimed to report on variation in levels of uptake of enhanced primary care item numbers between rural and urban Divisions of General Practice between November 1999 and October 2001.Most providers of EPC services and most services (close to 70%)are located in capital cities and other metropolitan centres. The average number of health assessments done per provider was slightly lower (8-14) in remote than urban and rural (20-30) areas. A similar pattern was observed for care plans, but rates of case conferences were similar in rural and urban areas. However, adjusted for population aged 75 year
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9

Baum, F., T. Freeman, G. Jolley, A. Lawless, M. Bentley, K. Vartto, J. Boffa, R. Labonte, and D. Sanders. "Health promotion in Australian multi-disciplinary primary health care services: case studies from South Australia and the Northern Territory." Health Promotion International 29, no. 4 (May 8, 2013): 705–19. http://dx.doi.org/10.1093/heapro/dat029.

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10

Rossi, Alberto, Vera Morgan, Francesco Amaddeo, Marco Sandri, Michele Tansella, and Assen Jablensky. "Psychiatric Out-Patients Seen Once Only in South Verona and Western Australia: A Comparative Case-Register Study." Australian & New Zealand Journal of Psychiatry 39, no. 5 (May 2005): 414–22. http://dx.doi.org/10.1080/j.1440-1614.2005.01590.x.

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Objective: This study examined variables associated with having a once-only contact with the out-patient department of two community mental health services in Italy and Australia. Method: Two 8-year cohorts of patients, who had a new episode of care with out-patient psychiatric departments in South Verona and in Western Australia, were followed-up for 3 months after the first contact, to identify those patients who had no further contact with services. Potential determinants of once-only contact were analysed. Results: Thirty percent of new episodes of care for persons who met the inclusion cr
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11

O'Sullivan, Belinda G., Matthew R. McGrail, Catherine M. Joyce, and Johannes Stoelwinder. "Service distribution and models of rural outreach by specialist doctors in Australia: a national cross-sectional study." Australian Health Review 40, no. 3 (2016): 330. http://dx.doi.org/10.1071/ah15100.

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Objective This paper describes the service distribution and models of rural outreach by specialist doctors living in metropolitan or rural locations. Methods The present study was a national cross-sectional study of 902 specialist doctors providing 1401 rural outreach services in the Medicine in Australia: Balancing Employment and Life study, 2008. Five mutually exclusive models of rural outreach were studied. Results Nearly half of the outreach services (585/1401; 42%) were provided to outer regional or remote locations, most (58%) by metropolitan specialists. The most common model of outreac
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12

Gilles, Marisa T., John Wakerman, and Angela Durey. ""If it wasn't for OTDs, there would be no AMS": overseas-trained doctors working in rural and remote Aboriginal health settings." Australian Health Review 32, no. 4 (2008): 655. http://dx.doi.org/10.1071/ah080655.

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Australian-trained doctors are often reluctant to work in rural and remote areas and overseastrained doctors (OTDs) are recruited to practise in many rural Aboriginal medical services. This paper focuses on recent research carried out in Australia to analyse factors affecting OTDs? professional, cultural and social integration and examine their training and support needs. Ten case studies were conducted throughout Australia with OTDs, which also included interviews with spouses/partners, professional colleagues, co-workers, and Aboriginal and Torres Strait Islander community members associated
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13

Bentley, Michael. "A Primary Health Care Approach to Men's Health in Community Health Settings: It's Just Better Practice." Australian Journal of Primary Health 12, no. 1 (2006): 21. http://dx.doi.org/10.1071/py06004.

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Promoting men's health in primary care settings such as general practice is now common, but what might primary health care for men's health look like in community health settings? This paper reports on case studies of diverse community-based health and wellbeing services for men in South Australia. The programs selected as case studies include Aboriginal men, gay men and homosexually active men, men from culturally and linguistically diverse backgrounds, older men, middle-aged men, fathers, young men, as well as services that focus on childhood sexual abuse and violence intervention. The case
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14

Tsegaye, Berhan, Elsabet Shudura, Amanuel Yoseph, and Alemu Tamiso. "Predictors of skilled maternal health services utilizations: A case of rural women in Ethiopia." PLOS ONE 16, no. 2 (February 19, 2021): e0246237. http://dx.doi.org/10.1371/journal.pone.0246237.

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Background Maternal health services are affected by complex factors from one setting to another. Consequently, health planners should prioritize different interventions and design appropriate programs to enhance maternal health services utilization. Results of prior studies are conflicting. Furthermore, only few studies were done from antenatal to postnatal continuum of care in Ethiopia. Objectives This study aimed to assess prevalence and predictors of skilled maternal health services utilization at Dale-Wonsho health and demographic surveillance site of the Hawassa University, South Ethiopia
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15

Mitchell, J., P. Robinson, C. Seiboth, and B. Koszegi. "An evaluation of a network for professional development in child and adolescent mental health in rural and remote communities." Journal of Telemedicine and Telecare 6, no. 3 (June 1, 2000): 158–62. http://dx.doi.org/10.1258/1357633001935257.

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In 1998 a telemedicine network was established in South Australia and the Northern Territory to deliver educational material to professionals working in child and adolescent mental health in remote areas. The network involved a wide range of health professions, from psychiatrists to psychologists and social workers. The first 12 months of network activity were evaluated by quantitative and qualitative techniques. Four sources of data were used: an activity log, questionnaires, interviews and action research. A total of 36 telemedicine sessions were held, ranging in duration from 45 to 90 min (
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16

Pilbeam, Victoria, Lee Ridoutt, and Tony Badrick. "Best Practice Pathology Collection in Australia." Asia Pacific Journal of Health Management 11, no. 1 (December 16, 2018): 50–55. http://dx.doi.org/10.24083/apjhm.v11i1.243.

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Objectives: The specific objectives of the study were to (a) identify current best practice in pathology specimen collection and assess the extent to which Australian pathology services currently satisfy best practice standards; and (b) identify training and other strategies that would mitigate any gaps between current and best practice.
 Methods: A total of 22 case studies were undertaken with pathology collector employers from public, not for profit and private pathology organisations andacross urban and rural locations and eight focus groups with pathology collection services consumers
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17

Jayasuriya, Rohan. "Information systems for community health: are we addressing the right strategy?" Australian Health Review 18, no. 4 (1995): 43. http://dx.doi.org/10.1071/ah950043.

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Computerised information systems for community health services have evolved withadvances in information technology (IT) in Australia and overseas. However, thereis evidence from other sectors for the need to distinguish between an informationsystems (IS) strategy and an IT strategy. This paper uses case studies of computerisedinformation systems developed in New South Wales to identify issues that lead tosuccess and failure. These issues show that many of the shortcomings can beattributed to a poor IS strategy. The paper discusses the shortcomings of an IT-drivenstrategy. It argues that an IS
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18

Kelly, Janet, Judith Dwyer, Tamara Mackean, Kim O'Donnell, and Eileen Willis. "Coproducing Aboriginal patient journey mapping tools for improved quality and coordination of care." Australian Journal of Primary Health 23, no. 6 (2017): 536. http://dx.doi.org/10.1071/py16069.

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This paper describes the rationale and process for developing a set of Aboriginal patient journey mapping tools with Aboriginal patients, health professionals, support workers, educators and researchers in the Managing Two Worlds Together project between 2008 and 2015. Aboriginal patients and their families from rural and remote areas, and healthcare providers in urban, rural and remote settings, shared their perceptions of the barriers and enablers to quality care in interviews and focus groups, and individual patient journey case studies were documented. Data were thematically analysed. In t
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19

Cullinane, Meabh, Helen L. McLachlan, Michelle S. Newton, Stefanie A. Zugna, and Della A. Forster. "Using the Kirkpatrick Model to evaluate the Maternity and Neonatal Emergencies (MANE) programme: Background and study protocol." BMJ Open 10, no. 1 (January 2020): e032873. http://dx.doi.org/10.1136/bmjopen-2019-032873.

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IntroductionOver 310 000 women gave birth in Australia in 2016, with approximately 80 000 births in the state of Victoria. While most of these births occur in metropolitan Melbourne and other large regional centres, a significant proportion of Victorian women birth in local rural health services. The Victorian state government recently mandated the provision of a maternal and neonatal emergency training programme, called Maternal and Newborn Emergencies (MANE), to rural and regional maternity service providers across the state. MANE aims to educate maternity and newborn care clinicians about r
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20

Goodwin, N., and S. Pinch. "Explaining Geographical Variations in the Contracting out of NHS Hospital Ancillary Services: A Contextual Approach." Environment and Planning A: Economy and Space 27, no. 9 (September 1995): 1397–418. http://dx.doi.org/10.1068/a271397.

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A survey of the contracting out of hospital ancillary services within health districts in the National Health Service, in England and Wales over the period 1985 to 1991, reveals a number of patterns including a north–south divide and a rural–urban split. However, apparently similar districts reveal widely differing experiences of contracting out. Detailed case studies of contracting out in two such districts are used to demonstrate the value of a contextually sensitive approach in understanding this diversity of outcomes. Within each district there is a complex evolution of policy involving in
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21

Kwedza, Ruyamuro K., Sarah Larkins, Julie K. Johnson, and Nicholas Zwar. "Perspectives of rural and remote primary healthcare services on the meaning and goals of clinical governance." Australian Journal of Primary Health 23, no. 5 (2017): 451. http://dx.doi.org/10.1071/py16168.

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Definitions of clinical governance are varied and there is no one agreed model. This paper explored the perspectives of rural and remote primary healthcare services, located in North Queensland, Australia, on the meaning and goals of clinical governance. The study followed an embedded multiple case study design with semi-structured interviews, document analysis and non-participant observation. Participants included clinicians, non-clinical support staff, managers and executives. Similarities and differences in the understanding of clinical governance between health centre and committee case st
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22

Godinho, Myron Anthony, Md Mahfuz Ashraf, Padmanesan Narasimhan, and Siaw-Teng Liaw. "Community health alliances as social enterprises that digitally engage citizens and integrate services: A case study in Southwestern Sydney (protocol)." DIGITAL HEALTH 6 (January 2020): 205520762093011. http://dx.doi.org/10.1177/2055207620930118.

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South Western Sydney (SWS) is one of the fastest growing regions in the state of New South Wales (Australia). Much of the population live in local government areas (LGAs) with levels of disadvantage higher than the state average, with a predominance of non-communicable and chronic diseases that are typically associated with age-related and behavioural factors. This necessitates the management of social determinants of health through the integrated provision of primary and social care. The SWS Local Health District and Primary Health Network is exploring the potential of community health allian
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23

Mallitt, Kylie-Ann, James Jansson, Levinia Crooks, David McGuigan, Handan Wand, and David P. Wilson. "Demand for HIV clinical services is increasing in Australia but supply is decreasing." Sexual Health 10, no. 1 (2013): 43. http://dx.doi.org/10.1071/sh12051.

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Background HIV clinical service planning requires accurate estimates of the number of people living with HIV (PLHIV) and the capacity of existing clinical services, each by geographical location. The aim of this study was to quantify current HIV clinical service capacity in Australia. Methods: This study was a retrospective analysis of records of HIV clinical service capacity in Australia. Participants were general practitioners who completed an annual survey in 2007–2009. Information on the number of hospital departments, sexual health services, antiretroviral-prescribing general practitioner
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Abrams, Amber L., Kirsty Carden, Charles Teta, and Katinka Wågsæther. "Water, Sanitation, and Hygiene Vulnerability among Rural Areas and Small Towns in South Africa: Exploring the Role of Climate Change, Marginalization, and Inequality." Water 13, no. 20 (October 9, 2021): 2810. http://dx.doi.org/10.3390/w13202810.

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Access to water, sanitation, and hygiene (WASH)—including drainage-services—is essential for public health and socio-economic development, but access remains inadequate and inequitable in low- to middle-income countries such as South Africa. In South Africa, rural areas and small towns generally depend on a limited and climate-sensitive economic base (e.g., farming), and they have a limited capacity and are located in areas where transport challenges can increase WASH access risks. Climate change shifts hydrological cycles, which can worsen WASH access and increase susceptibility to the interl
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Briggs, David. "In This Issue." Asia Pacific Journal of Health Management 16, no. 1 (February 28, 2021): 1. http://dx.doi.org/10.24083/apjhm.v16i1.695.

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This issue of the journal commences with an editorial that provides some discussion about the current approaches to Covid and the tensions that exists in that context..... Editorial SettingsCovid-19: A strife of interests for us all and what problem are we attempting to solve? Research Articles Gender Equity in Australian Health Leadership Research Articles Assessing Quality of Healthcare Delivery When Making Choices: National Survey on Health Consumers’ Decision Making Practices Research Articles The Case for a Reciprocal Health Care Agreement between Australia and South Korea Commentary COVI
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Conquest, Jennifer Hanthorn, John Skinner, Estie Kruger, and Marc Tennant. "Oral Health Profiling for Young and Older Adults: A Descriptive Study." International Journal of Environmental Research and Public Health 18, no. 17 (August 27, 2021): 9033. http://dx.doi.org/10.3390/ijerph18179033.

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The purpose of this study was to trial the suitability of an oral health promotion toolkit in a chair-side setting to determine: an individual’s knowledge; understanding of oral and general health behaviour and evaluate the commitment of dental practitioners to undertake an assessment of the individual’s attitude and aptitude to undertake a home care preventive plan. All participants were 18 years and over and came from low socio-economic backgrounds in rural New South Wales, Australia. The study evaluated 59 case studies regarding their knowledge of oral and general health. The study included
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Pinto, Francisco Silva, Alain Michel Tchadie, Susana Neto, and Shahbaz Khan. "Contributing to water security through water tariffs: some guidelines for implementation mechanisms." Journal of Water, Sanitation and Hygiene for Development 8, no. 4 (August 23, 2018): 730–39. http://dx.doi.org/10.2166/washdev.2018.015.

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Abstract The reform of water pricing practices and tariff mechanisms plays an important role in improving water supply services. However, setting tariff policies is a process that is rife with controversy. The current urban development rhythm and consequent challenges, in several developing cities, requires an urgent review and the establishment of an increasingly more ‘integrated’ management system with a suitable water tariff policy to promote water security. Many lessons can be learned from the successes and failures of water pricing policies in other countries and world regions, taking int
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Weiss, Marjorie C., Elisabeth Grey, Michael Harris, and Karen Rodham. "Dispensing doctor practices and community pharmacies: exploring the quality of pharmaceutical services." Primary Health Care Research & Development 17, no. 01 (March 17, 2015): 42–55. http://dx.doi.org/10.1017/s1463423615000092.

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AimsThis research sought (a) to investigate the similarities and differences in how pharmaceutical services are provided by community pharmacies (CPs) and dispensing doctor practices (DPs) and (b) to identify the issues relevant to determining the quality of pharmaceutical services in these settings.BackgroundUK pharmaceutical services, including dispensing prescriptions and public health advice, can be provided from both (CP) and, in rural areas, (DP). While there is much similarity between CPs and DPs in the types of services provided, there is also the potential for variation in service qua
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Pitchforth, Emma, Ellen Nolte, Jennie Corbett, Céline Miani, Eleanor Winpenny, Edwin van Teijlingen, Natasha Elmore, et al. "Community hospitals and their services in the NHS: identifying transferable learning from international developments – scoping review, systematic review, country reports and case studies." Health Services and Delivery Research 5, no. 19 (June 2017): 1–220. http://dx.doi.org/10.3310/hsdr05190.

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BackgroundThe notion of a community hospital in England is evolving from the traditional model of a local hospital staffed by general practitioners and nurses and serving mainly rural populations. Along with the diversification of models, there is a renewed policy interest in community hospitals and their potential to deliver integrated care. However, there is a need to better understand the role of different models of community hospitals within the wider health economy and an opportunity to learn from experiences of other countries to inform this potential.ObjectivesThis study sought to (1) d
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Roberts, Tessa, Oye Gureje, Rangaswamy Thara, Gerard Hutchinson, Alex Cohen, Helen Anne Weiss, Sujit John, et al. "INTREPID II: protocol for a multistudy programme of research on untreated psychosis in India, Nigeria and Trinidad." BMJ Open 10, no. 6 (June 2020): e039004. http://dx.doi.org/10.1136/bmjopen-2020-039004.

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IntroductionThere are few robust and directly comparable studies of the epidemiology of psychotic disorders in the Global South. INTREPID II is designed to investigate variations in untreated psychotic disorders in the Global South in (1) incidence and presentation (2) 2-year course and outcome, (3) help-seeking and impact, and (4) physical health.MethodsINTREPID II is a programme of research incorporating incidence, case–control and cohort studies of psychoses in contiguous urban and rural areas in India, Nigeria and Trinidad. In each country, the target samples are 240 untreated cases with a
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Aoun, Samar M., Paul A. Cafarella, Anne Hogden, Geoff Thomas, Leanne Jiang, and Robert Edis. "Why and how the work of Motor Neurone Disease Associations matters before and during bereavement: a consumer perspective." Palliative Care and Social Practice 15 (January 2021): 263235242110095. http://dx.doi.org/10.1177/26323524211009537.

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Background: Studies on the experiences of consumers with Motor Neurone Disease Associations at end of life and bereavement are lacking, and their role and capability within the broader sectors of health and disability are unknown. Objectives: To ascertain the experiences and views of bereaved motor neurone disease caregivers with Motor Neurone Disease Associations about service gaps and needed improvements before and during bereavement and to propose a model of care that fits with consumer preferences and where Motor Neurone Disease Associations are effective enablers of care. Methods: A natio
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Newbigging, Karen, James Rees, Rebecca Ince, John Mohan, Doreen Joseph, Michael Ashman, Barbara Norden, Ceri Dare, Suzanne Bourke, and Benjamin Costello. "The contribution of the voluntary sector to mental health crisis care: a mixed-methods study." Health Services and Delivery Research 8, no. 29 (July 2020): 1–200. http://dx.doi.org/10.3310/hsdr08290.

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Background Weaknesses in the provision of mental health crisis support are evident and improvements that include voluntary sector provision are promoted. There is a lack of evidence regarding the contribution of the voluntary sector and how this might be used to the best effect in mental health crisis care. Aim To investigate the contribution of voluntary sector organisations to mental health crisis care in England. Design Multimethod sequential design with a comparative case study. Setting England, with four case studies in North England, East England, the Midlands and London. Method The meth
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Rebbeck, T., L. Macedo, P. Paul, L. Trevena, and I. D. Cameron. "General practitioners’ knowledge of whiplash guidelines improved with online education." Australian Health Review 37, no. 5 (2013): 688. http://dx.doi.org/10.1071/ah13057.

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Objective The primary objective of this study was to evaluate the effect of an online education program used to implement the Australian (New South Wales) whiplash guidelines with general practitioners (GP). The secondary aim was to identify factors associated with learning. Methods An online educational and evaluation activity was developed to reflect the key messages for GP from the Australian whiplash guidelines. The educational activity was hosted on the Royal Australian College of General Practitioners’ website (www.gplearning.com.au) for a period of 3 years. Participants were recruited t
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Huxedurp, Leonie M., Guðný Þ. Pálsdóttir, and Nanda Altavilla. "Risk-based planning for water recycling in an Australian context." Water Supply 14, no. 6 (June 3, 2014): 971–83. http://dx.doi.org/10.2166/ws.2014.058.

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Australia has seen an unprecedented proliferation in large scale water recycling schemes since the late 1990s. This has been driven by a recent decade of drought, policies to encourage water efficiency in new homes and buildings in urban areas, and to reduce pressure on rain-fed water supplies by replacement with alternate water sources in rural areas. Underpinning these drivers are principles of economic and environmental sustainability and protection of public health. National guidelines for recycling of treated sewage, released in 2006, replaced an approach using prescriptive end point wate
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Hens, Luc, Nguyen An Thinh, Tran Hong Hanh, Ngo Sy Cuong, Tran Dinh Lan, Nguyen Van Thanh, and Dang Thanh Le. "Sea-level rise and resilience in Vietnam and the Asia-Pacific: A synthesis." VIETNAM JOURNAL OF EARTH SCIENCES 40, no. 2 (January 19, 2018): 127–53. http://dx.doi.org/10.15625/0866-7187/40/2/11107.

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Climate change induced sea-level rise (SLR) is on its increase globally. Regionally the lowlands of China, Vietnam, Bangladesh, and islands of the Malaysian, Indonesian and Philippine archipelagos are among the world’s most threatened regions. Sea-level rise has major impacts on the ecosystems and society. It threatens coastal populations, economic activities, and fragile ecosystems as mangroves, coastal salt-marches and wetlands. This paper provides a summary of the current state of knowledge of sea level-rise and its effects on both human and natural ecosystems. The focus is on coastal urban
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Saunders, John. "Editorial." International Sports Studies 43, no. 1 (November 9, 2021): 1–6. http://dx.doi.org/10.30819/iss.43-1.01.

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It was the Canadian philosopher Marshall McLuhan who first introduced the term ‘global village’ into the lexicon, almost fifty years ago. He was referring to the phenomenon of global interconnectedness of which we are all too aware today. At that time, we were witnessing the world just opening up. In 1946, British Airways had commenced a twice weekly service from London to New York. The flight involved one or two touch downs en-route and took a scheduled 19 hours and 45 minutes. By the time McLuhan had published his book “Understanding media; the extensions of man”, there were regular services
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37

Jim, Danny, Loretta Joseph Case, Rubon Rubon, Connie Joel, Tommy Almet, and Demetria Malachi. "Kanne Lobal: A conceptual framework relating education and leadership partnerships in the Marshall Islands." Waikato Journal of Education 26 (July 5, 2021): 135–47. http://dx.doi.org/10.15663/wje.v26i1.785.

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Education in Oceania continues to reflect the embedded implicit and explicit colonial practices and processes from the past. This paper conceptualises a cultural approach to education and leadership appropriate and relevant to the Republic of the Marshall Islands. As elementary school leaders, we highlight Kanne Lobal, a traditional Marshallese navigation practice based on indigenous language, values and practices. We conceptualise and develop Kanne Lobal in this paper as a framework for understanding the usefulness of our indigenous knowledge in leadership and educational practices within for
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38

Adelson, Pamela, Rachael Yates, Julie-Anne Fleet, and Lois McKellar. "Measuring organizational readiness for implementing change (ORIC) in a new midwifery model of care in rural South Australia." BMC Health Services Research 21, no. 1 (April 20, 2021). http://dx.doi.org/10.1186/s12913-021-06373-9.

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Abstract Background The sustainability of Australian rural maternity services is under threat due to current workforce shortages. In July 2019, a new midwifery caseload model of care was implemented in rural South Australia to provide midwifery continuity of care and promote a sustainable workforce in the area. The model is unique as it brings together five birthing sites connecting midwives, doctors, nurses and community teams. A critical precursor to successful implementation requires those working in the model be ready to adopt to the change. We surveyed clinicians at the five sites transit
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39

Bychkovska, O., C. Egen, V. Strøm, A. Juocevicius, P. Tederko, M. Arora, L. Rizzo Battistella, JP Engkasan, and A. Gemperli. "Barriers and Facilitators to Healthcare Service Access among Persons with Spinal Cord Injury (SCI)." European Journal of Public Health 32, Supplement_3 (October 1, 2022). http://dx.doi.org/10.1093/eurpub/ckac129.475.

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Abstract Background Despite having a high healthcare need, persons with complex conditions are less likely to receive comprehensive care. Individuals with SCI experience difficulties accessing services 2-4 times more than the general population. There is little agreement concerning the factors that influence these access restrictions. Few studies focus on health system impact on characteristics on access. Objective To outline barriers and facilitators to service access among persons with SCI across 22 countries in terms of health system characteristics Methods InSCI(2017): 1st community survey
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40

Conquest, Jennifer Hanthorn, John Skinner, Estie Kruger, and Marc Tennant. "Adult capped dental payment model applied within a university setting: an Australian reflective case study." BMC Oral Health 21, no. 1 (August 23, 2021). http://dx.doi.org/10.1186/s12903-021-01774-y.

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Abstract Background Capitation models of care in dentistry started around 1973 with varying degrees of success in meeting the needs of the individuals and expectations of the participating private practitioners. These studies mostly identified that capitation payments resulted in under treatment whilst fee-for-service models often led to over treatment. The objective of this study was to develop a new way of doing business using an outsourcing capitation model of care to meet population health needs and activity-based funding requirements of rural Local Health Districts with a local university
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41

Colvin, Neroli. "Resettlement as Rebirth: How Effective Are the Midwives?" M/C Journal 16, no. 5 (August 21, 2013). http://dx.doi.org/10.5204/mcj.706.

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“Human beings are not born once and for all on the day their mothers give birth to them [...] life obliges them over and over again to give birth to themselves.” (Garcia Marquez 165) Introduction The refugee experience is, at heart, one of rebirth. Just as becoming a new, distinctive being—biological birth—necessarily involves the physical separation of mother and infant, so becoming a refugee entails separation from a "mother country." This mother country may or may not be a recognised nation state; the point is that the refugee transitions from physical connectedness to separation, from insi
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42

Lloyd, Sheree, Gerard FitzGerald, Jean Collie, and Cynthia Cliff. "What ‘Sparks’ Innovation in Rural Health Settings: A case study." Asia Pacific Journal of Health Management 17, no. 3 (December 20, 2022). http://dx.doi.org/10.24083/apjhm.v17i3.1609.

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Objective: To determine how innovation occurs and identify the factors that support innovation in a rural hospital in New South Wales, Australia. Design: Situated within a larger case study, this research collected qualitative data using semi-structured interviews. Setting: Inner regional hospital, located in a city, providing a broad range of acute and primary health services to a rural community. Participants: Hospital executives, department managers, consultant and staff specialist surgeons, physicians, nursing, nursing managers and allied health staff were recruited after a phone, personal
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43

Mji, Gubela, Stine H. Braathen, Richard Vergunst, Elsje Scheffler, Janis Kritzinger, Hasheem Mannan, Marguerite Schneider, Leslie Swartz, and Surona Visagie. "Exploring the interaction of activity limitations with context, systems, community and personal factors in accessing public health care services: A presentation of South African case studies." African Journal of Primary Health Care & Family Medicine 9, no. 1 (February 8, 2017). http://dx.doi.org/10.4102/phcfm.v9i1.1166.

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Background: There are many factors that influence access to public health services, such as the context people live in, the existing health services, and personal, cultural and community factors. People with disabilities (activity limitations), through their experience of health services, may offer a particular understanding of the performance of the health services, thus exposing health system limitations more clearly than perhaps any other health service user.Aim: This article explores how activity limitations interact with factors related to context, systems, community and personal factors
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Gumede, Dumsani M., Myra Taylor, and Jane D. Kvalsvig. "Engaging future healthcare professionals for rural health services in South Africa: students, graduates and managers perceptions." BMC Health Services Research 21, no. 1 (March 12, 2021). http://dx.doi.org/10.1186/s12913-021-06178-w.

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AbstractBackgroundThe shortage of healthcare professionals (HCP) negatively affects health services in rural areas in many parts of the world, as is the case in South Africa. Innovative programs designed to improve the recruitment strategies for health system in a rural area are essential. They need support with a scholarship and mentorship programme for young people from rural areas to study for health science degrees, with the aim that they would take up a post at the hospital in their community, once qualified.This paper reports the perceptions and experiences of the students and graduates
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45

Austin, Emma, Anthony S. Kiem, Jane Rich, David Perkins, and Brian Kelly. "How effectively do drought indices capture health outcomes? An investigation from rural Australia." Weather, Climate, and Society, July 15, 2021. http://dx.doi.org/10.1175/wcas-d-20-0119.1.

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AbstractDrought is a global threat to public health. Increasingly, the impact of drought on mental health and wellbeing is being recognised. This paper investigates the relationship between drought and wellbeing to determine which drought indices most effectively capture wellbeing outcomes. A thorough understanding of the relationship between drought and wellbeing must consider the: (i) three aspects of drought (duration, frequency and magnitude); (ii) different types of drought (e.g. meteorological, agricultural, etc.); and (iii) the individual context of specific locations, communities and s
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Pilkington, Rhiannon, Alicia Montgomerie, Catia Malvaso, Dandara Haag, Angela Gialamas, and Angela Gialamas. "Linked administrative data can inform policy and practice: An academic - government research partnership in South Australia." International Journal of Population Data Science 7, no. 3 (August 25, 2022). http://dx.doi.org/10.23889/ijpds.v7i3.1965.

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ObjectiveTo describe how the Better Evidence Better Outcomes Linked Data (BEBOLD) platform has been used to partner with government agencies to generate evidence to support service reform that contributes to improving outcomes for children and families in contact with the child protection system.
 ApproachData was drawn from the BEBOLD platform, a whole-of-population linked de-identified administrative data platform for all children in South Australia born from 1991-2016 (n~500,000), as well as their parents. Data linked included birth registrations, perinatal statistics, child protection
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47

Holloway, Donell Joy, and David Anthony Holloway. "Everyday Life in the "Tourist Zone"." M/C Journal 14, no. 5 (October 18, 2011). http://dx.doi.org/10.5204/mcj.412.

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This article makes a case for the everyday while on tour and argues that the ability to continue with everyday routines and social relationships, while at the same time moving through and staying in liminal or atypical zones of tourist locales, is a key part of some kinds of tourist experience. Based on ethnographic field research with grey nomads (retirees who take extended tours of Australia in caravans and motorhomes) everyday life while on tour is examined, specifically the overlap and intersection between the out-of-the-ordinary “tourist zone” and the ordinariness of the “everyday zone.”
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48

Visagie, Surona, and Marguerite Schneider. "Implementation of the principles of primary health care in a rural area of South Africa." African Journal of Primary Health Care & Family Medicine 6, no. 1 (February 18, 2014). http://dx.doi.org/10.4102/phcfm.v6i1.562.

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Background: The philosophy of primary healthcare forms the basis of South Africa’s health policy and provides guidance for healthcare service delivery in South Africa. Healthcare service provision in South Africa has shown improvement in the past five years. However, it is uncertain as to whether the changes have reached rural areas and if primary healthcare is implemented successfully in these areas.Objectives: The aim of this article is to explore the extent to which the principles of primary healthcare are implemented in a remote, rural setting in South Africa.Method: A descriptive, qualita
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49

Vidgen, Helen A., Penelope V. Love, Sonia E. Wutzke, Lynne A. Daniels, Chris E. Rissel, Christine Innes-Hughes, and Louise A. Baur. "A description of health care system factors in the implementation of universal weight management services for children with overweight or obesity: case studies from Queensland and New South Wales, Australia." Implementation Science 13, no. 1 (August 7, 2018). http://dx.doi.org/10.1186/s13012-018-0801-2.

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50

Pit, Sabrina, Malcolm Fisk, Winona Freihaut, Fashola Akintunde, Bamidele Aloko, Britta Berge, Anne Burmeister, et al. "COVID-19 and the ageing workforce: global perspectives on needs and solutions across 15 countries." International Journal for Equity in Health 20, no. 1 (October 7, 2021). http://dx.doi.org/10.1186/s12939-021-01552-w.

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Abstract Background COVID-19 has a direct impact on the employment of older people. This adds to the challenge of ageism. The World Health Organization has started a worldwide campaign to combat ageism and has called for more research and evidence-based strategies that have the potential to be scaled up. This study specifically aims to identify solutions to combat the adverse effects of COVID-19 on the global ageing workforce. Methods We present 15 case studies from different countries and report on what those countries are doing or not doing to address the impact of COVID-19 on ageing workers
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