Rural Health

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Fiona Mcdonald - One of the best experts on this subject based on the ideXlab platform.

  • Rethinking Rural Health Ethics
    2017
    Co-Authors: Christy Simpson, Fiona Mcdonald
    Abstract:

    This chapter pulls together the arguments advanced in this book to rethink Rural Health ethics. In particular, we highlight two key premises emerging from a feminist analysis and which run through this book – context and power – and their application to Rural Health and Rural Health ethics. In doing this we challenge traditional urban-centric approaches to ethics and to Health policy and practices. We believe that the development of an ethical framework for Rural Health care is important both for the field of Health ethics and for the development of Health policy and practices that better meet the needs of Rural residents, Rural Health providers and Rural communities.

  • The Idealisation of Rural Life and Rural Health Care
    Rethinking Rural Health Ethics, 2017
    Co-Authors: Christy Simpson, Fiona Mcdonald
    Abstract:

    We argue in this chapter that we need use an ethics lens to critically examine stereotypes that idealise Rural life and Rural Health care and be attentive to the ways in which they inform our thinking, including whether they have any negative impacts on Rural Health providers or patients. We ask whether our nostalgia about Rural life and Rural Health care, as framed by the stereotypes of the idyll and the ideal Rural Health provider, may be obstructing the development of better policies and decisions about the provision of Rural Health services, much in the same way that the deficit or dystopia framing, discussed in Chap. 3, may limit the development of Health policies and practices. It is our hope that by examining these stereotypes, we will be able to reduce injustice or inequities and make better decisions about providing Health care to all citizens, wherever they reside.

  • Rethinking Rural Health Ethics
    International Library of Ethics Law and the New Medicine, 2017
    Co-Authors: Christy Simpson, Fiona Mcdonald
    Abstract:

    This book challenges readers to rethink Rural Health ethics. Traditional approaches to Health ethics are often urban-centric, making implicit assumptions about how values and norms apply in Health care practice, and as such may fail to take into account the complexity, depth, richness, and diversity of the Rural context. There are ethically relevant differences between Rural Health practice and Rural Health services delivery and urban practice and delivery that go beyond the stereotypes associated with Rural life and Rural Health services. This book examines key values in the Rural context that have not been fully explored or taken into account when we examine Health ethics issues, including the values of community and place, and a need to “revalue” relationships. It also advocates for a greater attention to meso and macro level analysis in Rural Health ethics as being critical to ethical analysis of Rural Health care. This book is essential reading for those involved in Health ethics, Rural Health policy and governance, and for Rural Health providers

John Stirling Humphreys - One of the best experts on this subject based on the ideXlab platform.

  • Is remote Health different to Rural Health
    Rural and remote health, 2017
    Co-Authors: John Wakerman, John Stirling Humphreys, Lisa Bourke, Judy Taylor
    Abstract:

    The study identifies the differences between Rural Health and remote Health and describes key distinctive characteristics of remote Health. The study used a mixed method approach of interviews and questionnaires (utilising a Likert scale) with expert stakeholders in Rural Health and remote Health. A total of 45 interviews were conducted with experts selected from every state and territory of Australia. Of these, 41 also completed a questionnaire, of which 21 respondents were female, 20 identified predominantly as academics while six, five and five indicated that they worked in policy, advocacy and as a practitioner, respectively. Thirteen worked in Rural Health, 10 in remote Health and 18 in both; 23 participants worked in Aboriginal and/or Torres Strait Islander Health. Respondents had worked in Rural Health or remote Health for mean periods of 13 years and 8 years, respectively. Means for each of 15 characteristics indicated that respondents viewed each characteristic as different in remote Health compared to Rural Health. Interviews confirmed these perceived differences, with particular emphasis on isolation, poor service access and the relatively high proportion of Indigenous residents. Those working in remote and Aboriginal Health most strongly identified these distinctions. A detailed and rigorous description of the discipline of remote Health, and the differences to Rural Health, will assist policymakers, Health planners, teachers and researchers to develop an appropriate workforce, models of service delivery and policy that are relevant, appropriate and effective in order to ensure a more equitable distribution of resources and Health outcomes across this vast continent.

  • Celebrating another decade of progress in Rural Health: What is the current state of play?
    The Australian journal of rural health, 2012
    Co-Authors: John Stirling Humphreys, Gordon Gregory
    Abstract:

    The Australian Journal of Rural Health is currently celebrating its 20th anniversary. Following a review of the first decade of Rural Health published by the authors in 2002, this article outlines and reviews the range of policies that have impacted upon Rural Health in Australia since then. During the past decade there has been a raft of new policies and programs designed to bring about improved Rural Health outcomes, and some progress has been made. However, a number of significant barriers to overcoming the Rural-urban Health differential remain. Special consideration will continue to be needed to Rural affairs generally and to Health system reform and Rural Health in particular.

  • Whither Rural Health? Reviewing a Decade of Progress in Rural Health
    The Australian journal of rural health, 2008
    Co-Authors: John Stirling Humphreys, Gordon Gregory, Desley Hegney, Joan Lipscombe, Bruce Chater
    Abstract:

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

  • Rural Health: why it matters.
    The Medical journal of Australia, 2002
    Co-Authors: John Wakerman, John Stirling Humphreys
    Abstract:

    Australia needs a distinctive "Rural Health" approach that recognises the valuable role played by the "outback" in our economy and our national psyche.

  • National Rural Health policy and the role of the National Rural Health Conferences.
    The Australian journal of rural health, 1997
    Co-Authors: Gordon Gregory, John Stirling Humphreys
    Abstract:

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

Thomas C Ricketts - One of the best experts on this subject based on the ideXlab platform.

  • Arguing for Rural Health in Medicare: a progressive rhetoric for Rural America.
    The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2004
    Co-Authors: Thomas C Ricketts
    Abstract:

    Rural Health policy is the laws, regulations, rules, and interpretations that benefit or affect Health and Health care for Rural populations. This paper examines how Rural Health policy is viewed in the broader field of public policy, discusses the role of advocacy in developing Rural Health policy, and suggests ways to make that advocacy more effective. This paper critically reviews policy statements and policy positions taken by key opinion leaders and the leading stakeholders in Rural Health policy to determine how advocacy for Rural communities is expressed. It is not clear how the Rural Health advocacy coalition is viewed by the professional policy world or the public: as an issues network pressing for fair and equal treatment or as an interest group seeking special advantages. This paper also explores the types of claims that Rural advocates make in the specific context of Medicare policy to determine to what extent those claims reflect a central theme of fairness and inclusiveness in national policies versus claims that benefit special interests. The paper suggests that the rhetoric of Rural advocates can be better structured to advocate for policies on the basis of a progressive sense of fairness.

  • Rural Health research and Rural Health in the 21st century: the future of Rural Health and the future of Rural Health services research.
    The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2002
    Co-Authors: Thomas C Ricketts
    Abstract:

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

  • The Changing Nature of Rural Health Care
    Annual review of public health, 2000
    Co-Authors: Thomas C Ricketts
    Abstract:

    ▪ Abstract The Rural Health care system has changed dramatically over the past decade because of a general transformation of Health care financing, the introduction of new technologies, and the clustering of Health services into systems and networks. Despite these changes, resources for Rural Health systems remain relatively insufficient. Many Rural communities continue to experience shortages of physicians, and the proportion of Rural hospitals under financial stress is much greater than that of urban hospitals. The Health care conditions of selected Rural areas compare unfavorably with the rest of the nation. The market and governmental policies have attempted to address some of these disparities by encouraging network development and telemedicine and by changing the rules for Medicare payments to providers. The public Health infrastructure in Rural America is not well understood but is potentially the most fragile aspect of the Rural Health care continuum.

  • Rural Health in the united states
    1999
    Co-Authors: Thomas C Ricketts
    Abstract:

    1: Populations and Places in Rural American 2: Access to Care for Rural Patients 3: Physicians and Rural America 4: Nonphysician Professionals and Rural America 5: Federal Programs and Rural Health 6: Medicare Programs in Rural Areas 7: State Laws and Programs that Affect Rural Health Delivery 8: Medicaid Mananged Care in Rural Areas 9: Hospitals in Rural America 10: Rural Managed Care 11: Rural Health Care Networks 12: Rural Maternal and Perinatal Health 13: Rural Children's Health 14: Mental Health and Substance Abuse 15: Rural Elderly and Long Term Care Epilogue

Christy Simpson - One of the best experts on this subject based on the ideXlab platform.

  • Rethinking Rural Health Ethics
    2017
    Co-Authors: Christy Simpson, Fiona Mcdonald
    Abstract:

    This chapter pulls together the arguments advanced in this book to rethink Rural Health ethics. In particular, we highlight two key premises emerging from a feminist analysis and which run through this book – context and power – and their application to Rural Health and Rural Health ethics. In doing this we challenge traditional urban-centric approaches to ethics and to Health policy and practices. We believe that the development of an ethical framework for Rural Health care is important both for the field of Health ethics and for the development of Health policy and practices that better meet the needs of Rural residents, Rural Health providers and Rural communities.

  • The Idealisation of Rural Life and Rural Health Care
    Rethinking Rural Health Ethics, 2017
    Co-Authors: Christy Simpson, Fiona Mcdonald
    Abstract:

    We argue in this chapter that we need use an ethics lens to critically examine stereotypes that idealise Rural life and Rural Health care and be attentive to the ways in which they inform our thinking, including whether they have any negative impacts on Rural Health providers or patients. We ask whether our nostalgia about Rural life and Rural Health care, as framed by the stereotypes of the idyll and the ideal Rural Health provider, may be obstructing the development of better policies and decisions about the provision of Rural Health services, much in the same way that the deficit or dystopia framing, discussed in Chap. 3, may limit the development of Health policies and practices. It is our hope that by examining these stereotypes, we will be able to reduce injustice or inequities and make better decisions about providing Health care to all citizens, wherever they reside.

  • Rethinking Rural Health Ethics
    International Library of Ethics Law and the New Medicine, 2017
    Co-Authors: Christy Simpson, Fiona Mcdonald
    Abstract:

    This book challenges readers to rethink Rural Health ethics. Traditional approaches to Health ethics are often urban-centric, making implicit assumptions about how values and norms apply in Health care practice, and as such may fail to take into account the complexity, depth, richness, and diversity of the Rural context. There are ethically relevant differences between Rural Health practice and Rural Health services delivery and urban practice and delivery that go beyond the stereotypes associated with Rural life and Rural Health services. This book examines key values in the Rural context that have not been fully explored or taken into account when we examine Health ethics issues, including the values of community and place, and a need to “revalue” relationships. It also advocates for a greater attention to meso and macro level analysis in Rural Health ethics as being critical to ethical analysis of Rural Health care. This book is essential reading for those involved in Health ethics, Rural Health policy and governance, and for Rural Health providers

Mark Craig - One of the best experts on this subject based on the ideXlab platform.

  • A Rural Health education, training and research network
    Australian Journal of Rural Health, 1993
    Co-Authors: Debra Anderson, Mark Craig
    Abstract:

    The purpose of the Rural Health Education, Training and Research Network is to support the education and training of Rural Health practitioners and research in Rural Health through the optimum use of appropriate information and communication technologies to link and inform all individuals and organisation involved in the teaching, planning and delivery of Health care in Rural and remote Queensland. The Health care of people in Rural areas has the potential to be enhanced, through providing the Rural and remote Health professionals in Queensland with the same access to educational and training opportunities as their metropolitan colleagues. This consultative, coordinated approach should be cost-effective through both increasing awareness and utilisation of existing and developing networks, and through more efficient and rational use of both the basic and sophisticated technologies which support them. Technological hardware, expertise and infrastructure are already in place in Queensland to support a Rural Health Education, Training and Research Network, but are not being used to their potential, more often due to a lack of awareness of their existence and utility than to their perceived costs. Development of the network has commenced through seeding funds provided by Queensland Health. Future expansion will ensure access by Health professionals to existing networks within Queensland. This paper explores the issues and implications of a network for Rural Health professionals in Queensland and potentially throughout Australia, with a specific focus on the implications for Rural and isolated Health professional.

  • A Rural Health Education, Training and Research Network for Queensland
    Australian Journal of Rural Health, 1993
    Co-Authors: Debra Anderson, Mark Craig
    Abstract:

    ABSTRACT: The purpose of the Rural Health Education, Training and Research Network is to support the education and training of Rural Health practitioners and research in Rural Health through the optimum use of appropriate information and communication technologies to link and inform all individuals and organisation involved in the teaching, planning and delivery of Health care in Rural and remote Queensland. The Health care of people in Rural areas has the potential to be enhanced, through providing the Rural and remote Health professionals in Queensland with the same access to educational and training opportunities as their metropolitan colleagues. This consultative, coordinated approach should be cost‐effective through both increasing awareness and utilisation of existing and developing networks, and through more efficient and rational use of both the basic and sophisticated technologies which support them. Technological hardware, expertise and infrastructure are already in place in Queensland to support a Rural Health Education, Training and Research Network, but are not being used to their potential, more often due to a lack of awareness of their existence and utility than to their perceived costs. Development of the network has commenced through seeding funds provided by Queensland Health. Future expansion will ensure access by Health professionals to existing networks within Queensland. This paper explores the issues and implications of a network for Rural Health professionals in Queensland and potentially throughout Australia, with a specific focus on the implications for Rural and isolated Health professional.