Article
Nursing
Melissa E. Cyr, Daryl Boucher, Shayna A. Korona, Barbara J. Guthrie, James C. Benneyan
Summary: In a rural health system with limited dermatology appointment availability, primary care provider diagnostic accuracy may be a key barrier to receiving dermatology care and achieving health outcomes. Older or non-working patients are more likely to remain unevaluated rather than seek care that is more convenient but geographically further away.
JOURNAL OF ADVANCED NURSING
(2021)
Article
Oncology
Li Mo, Diana L. Urbauer, Eduardo Bruera, David Hui
Summary: The study found that specialist palliative care is integral in oncologic care and its integration into NCCN guidelines varies. Palliative care is mentioned more frequently in solid tumor guidelines than hematologic, and there is a lack of discussion on palliative care in hematologic malignancy guidelines. Improving standardization of timely palliative care access across NCCN guidelines is crucial.
Article
Health Care Sciences & Services
Whitney E. Zahnd, Natalie Del Vecchio, Natoshia Askelson, Jan M. Eberth, Robin C. Vanderpool, Linda Overholser, Purnima Madhivanan, Rachel Hirschey, Jean Edward
Summary: This study examines the variations in realized access to care based on different definitions and categorizations of rural areas. The findings suggest that different classification methods can lead to different outcomes in terms of having a regular provider and provider attentiveness, but there are no significant rural-urban differences in terms of healthcare quality.
HEALTH SERVICES RESEARCH
(2022)
Article
Management
Melissa E. Cyr, Daryl Boucher, Ashley A. Holmes, James C. Benneyan
Summary: Access to dermatology care is poor in the US, especially in rural areas with fewer dermatologists and limited resources. Various potential interventions have been analyzed through modeling, with some showing promising results in reducing appointment delays and travel for external care. This model-based analysis can help evaluate interventions and policies to address rural care disparities.
OPERATIONS MANAGEMENT RESEARCH
(2021)
Article
Obstetrics & Gynecology
Jude Kornelsen, Stephanie Lin, Kim Williams, Tom Skinner, Sean Ebert
Summary: This study explores the impact of a project aimed at increasing the sustainability of rural maternity services through four pillars: increased scope and volume, clinical coaching, continuous quality improvement, and remote presence technology. The project was found to increase local deliveries, receive positive feedback from healthcare providers, and stabilize staffing during the study period.
BMC PREGNANCY AND CHILDBIRTH
(2023)
Article
Oncology
Li Mo, Diana L. Urbauer, Eduardo Bruera, David Hui
Summary: Supportive care and best supportive care are frequently mentioned in NCCN guidelines, with significant variations in usage between solid tumor and hematologic oncologists. Solid tumor guidelines are more likely to mention best supportive care, while hematologic guidelines are more likely to mention supportive care.
SUPPORTIVE CARE IN CANCER
(2021)
Article
Medicine, General & Internal
Shikur Mohammed, Alemayehu Worku, Eshetu Girma
Summary: The objective of this study was to determine the level of home-based optimal newborn care practice and associated factors among mothers in Ethiopia. The findings showed that the level of home-based optimal newborn care practice was very low in Ethiopia, and it was lower among mothers from rural areas.
Article
Public, Environmental & Occupational Health
Edige Felipe de Sousa Santos, Marilia Cristina Prado Louvison, Elaine Cristina Torres Oliveira, Camila Nascimento Monteiro, Marilisa Berti de Azevedo Barros, Moises Goldbaum, Chester Luiz Galvao Cesar
Summary: The socioeconomic inequality in Brazil and the universal coverage of the national health system have made it necessary to monitor the access to healthcare services. This study analyzed the changes in healthcare utilization and social inequality in demand, access, satisfaction, and problem resolution among the population in the urban area of Sao Paulo from 2003 to 2015. The results showed progress in the use and resolution of healthcare services, but also revealed persistent challenges in access and utilization.
CADERNOS DE SAUDE PUBLICA
(2023)
Article
Medicine, General & Internal
Lisa Duncan, Peter Murchie, Wei Lynn Khor, Shona Fielding, Jillian Evans, Rosalind Adam
Summary: This study investigated how individuals diagnosed with cancer use out-of-hours medical services, and explored the differences between urban and rural dwellers. The results showed that there were no significant differences between urban and rural participants in terms of frequency of medical service use, attitudes towards out-of-hours services, and patient experiences. Both urban and rural dwellers had similar patterns of out-of-hours service use and similar beliefs and attitudes towards these services.
Article
Medicine, General & Internal
Htun Yadanar Oo, Thandar Tun, Cho Thet Khaing, Kyaw Swa Mya
Summary: In Myanmar, 54.7% of mothers who received at least four antenatal care visits opted for institutional delivery, while 76% chose postnatal care after home delivery. Urban residents, mothers with higher education, those with higher wealth status, educated husbands, and first-time mothers were more likely to have institutional delivery. However, rural residents, poor women, and women with husbands working in agriculture had lower institutional delivery rates. Postnatal care utilization was higher among women living in central plains and coastal regions, those who received all seven components of antenatal care, and those who had skilled assistance at birth.
Article
Medicine, General & Internal
Mante Hedman, Fiona Doolan-Noble, Tim Stokes, Margareta Brannstrom
Summary: This study explores the experiences of rural hospital doctors in New Zealand. Rural hospital care is viewed as offering a holistic perspective and is considered equal or better than general hospitals in terms of patient safety. Rural hospitals play a central role in the healthcare pathways of rural patients, but the distance to general hospitals for acute cases is a concern.
Article
Oncology
David Hausner, Colombe Tricou, Jean Mathews, Deepa Wadhwa, Ashley Pope, Nadia Swami, Breffni Hannon, Gary Rodin, Monika K. Krzyzanowska, Lisa W. Le, Camilla Zimmermann
Summary: Evidence from trials supporting early palliative care for patients with advanced cancer led to earlier referral to outpatient palliative care at a comprehensive cancer center. Late referrals decreased and early referrals increased following this evidence, indicating that oncologists' referral practices can change based on positive consequences of earlier referral.
Article
Medicine, General & Internal
Walter Acup, Marc Sam Opollo, Betty Nancy Akullo, Marvin Musinguzi, Eustes Kigongo, Bosco Opio, Amir Kabunga
Summary: This study aimed to assess the factors associated with first antenatal care (ANC) attendance within 12 weeks of pregnancy. The study found that unmarried women, those who took more than 2 hours to reach a health facility, and those not visited by village health teams or healthcare workers at home were less likely to attend their first ANC early. On the other hand, women who were not aware of ANC guidance for infant care, pregnant without the consent of their spouse, attending ANC from a private facility, and having two to three healthcare workers present at the ANC clinic were more likely to attend ANC early.
Article
Public, Environmental & Occupational Health
Jorge Pacheco, Francisca Crispi, Tania Alfaro, Maria Soledad Martinez, Cristobal Cuadrado
Summary: The study revealed a significant decrease in access to healthcare during the COVID-19 pandemic in Chile, with women experiencing a greater reduction than men. This highlights the importance of considering gender disparities in healthcare during public health crises.
Article
Medicine, General & Internal
Pascal Nzasabimana, Agnieszka Ignatowicz, Barnabas Tobi Alayande, Abdul-Malik Abdul-Latif, Maria Lisa Odland, Justine Davies, Abebe Bekele, Jean Claude Byiringiro
Summary: This study aimed to identify and explore barriers to accessing quality injury care from the perspectives of injured patients, caregivers, and community leaders. Through qualitative research methods, the study found multiple barriers across various stages of care, including barriers to seeking, reaching, receiving, and remaining in care. Key barriers mentioned were the lack of community health insurance, limited access to ambulances, insufficient number of trauma care specialists, and decentralized rehabilitation services.
Article
Endocrinology & Metabolism
Grace M. Johnston, Lynn Lethbridge, Pam Talbot, Margaret Dunbar, Laura Jewell, David Henderson, Anne Frances D'Intino, Paul McIntyre
CANADIAN JOURNAL OF DIABETES
(2015)
Article
Health Care Sciences & Services
Fred Burge, Beverley Lawson, Grace Johnston, Yukiko Asada, Paul F. McIntyre, Gordon Flowerdew
JOURNAL OF PALLIATIVE MEDICINE
(2015)
Article
Health Care Sciences & Services
Serge Dumont, Philip Jacobs, Veronique Turcotte, Stephane Turcotte, Grace Johnston
PALLIATIVE MEDICINE
(2015)
Article
Health Care Sciences & Services
Robin Urquhart, Grace Johnston, Mohamed Abdolell, Geoff A. Porter
BMC PALLIATIVE CARE
(2015)
Article
Oncology
G. Park, G. M. Johnston, R. Urquhart, G. Walsh, M. McCallum
Article
Health Care Sciences & Services
Judith Fisher, Robin Urquhart, Grace Johnston
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2013)
Article
Health Care Sciences & Services
Fred Burge, Beverley Lawson, Grace Johnston, Yukiko Asada, Paul F. McIntyre, Eva Grunfeld, Gordon Flowerdew
BMC PALLIATIVE CARE
(2014)
Article
Health Care Sciences & Services
Sheri Roach, Audrey Steenbeek, Mohamed Abdolell, Robin Urquhart, Grace Johnston
BMJ SUPPORTIVE & PALLIATIVE CARE
(2014)
Article
Public, Environmental & Occupational Health
M. Hajizadeh, G. M. Johnston, D. Manos
Article
Health Care Sciences & Services
Majid Taghavi, Grace Johnston, Robin Urquhart, David Henderson, Cheryl Tschupruk, Beth Tupala
Summary: The study developed a workforce planning model for community-based palliative care specialist teams based on population need, using operations research. The model indicated an immediate need for a 64% increase in specialist palliative care staff, with a further 13.1% increase required over the next 20 years. Trained primary palliative care providers currently only meet 3.7% of the need, but are expected to meet 20.3% by 2038 with their expansion.
JOURNAL OF PAIN AND SYMPTOM MANAGEMENT
(2021)
Article
Gerontology
Cynthia Kendell, Beverley Lawson, Joseph H. Puyat, Robin M. Urquhart, Arminee Kazanjian, Grace Johnston, Sharon E. Straus, Pierre Durand, Lucille Juneau, Alexis F. Turgeon, France Legare, Michele Aubin, Louis Rochette, Anik M. C. Giguere
CANADIAN JOURNAL ON AGING-REVUE CANADIENNE DU VIEILLISSEMENT
(2020)
Article
Gerontology
Robin Urquhart, Anik M. C. Giguere, Beverley Lawson, Cynthia Kendell, Jayna M. Holroyd-Leduc, Joseph H. Puyat, Arminee Kazanjian, Sharon Straus, Grace M. Johnston
CANADIAN JOURNAL ON AGING-REVUE CANADIENNE DU VIEILLISSEMENT
(2017)
Article
Public, Environmental & Occupational Health
G. M. Johnston, R. Urquhart, L. Lethbridge, M. MacIntyre
PROGRESS IN PALLIATIVE CARE
(2016)
Article
Public, Environmental & Occupational Health
M. R. Lavergne, L. Lethbridge, G. Johnston, D. Henderson, A. F. D'Intino, P. McIntrye
RURAL AND REMOTE HEALTH
(2015)
Article
Health Care Sciences & Services
Serge Dumont, Philip Jacobs, Veronique Turcotte, Stephane Turcotte, Grace Johnston
JOURNAL OF PALLIATIVE CARE
(2014)
