INTRODUCTION The aim of this study is to identify the level and causes of anxiety of sixth year medical students related to working in a rural area and the effect of a 1-day mobile rural health service observation on their anxiety. METHODS In the Ondokuz Mayis University Medical School in Samsun, Turkey, 212 students participated in a 1-day mobile rural health service led by a family physicia...

INTRODUCTION Urban centres often perform audits of vancomycin use as they face outbreaks of resistant organisms. We undertook this study to understand the indications and duration of intravenous vancomycin in a rural setting. METHODS We conducted a retrospective chart audit for all patients who received intravenous vancomycin over a 3-year period at a rural hospital in northwestern Ontario. ...

that in rural Uttar Pradesh (UP), only about one-fourth of women delivered their last child in an institution.a In 2005 the Janani Suraksha Yojana ( JSY) was launched as an intervention to address the barriers to institutional delivery, through the introduction of community-based women volunteers called Accredited Social Health Activists (ASHAs). Women in rural areas in low performing states ar...

Introduction Introduction of comprehensive framework for community-based monitoring (CBM) and planning at various levels of the public health system has been one of the most significant policy initiatives under the national rural health mission. One of the key considerations while introducing this large-scale social experiment was to fill the accountability deficit of the public health system b...

THE ELECTORAL MAP OF 2000—WITH ITS COASTAL BLUE EDGES AND POINtillist urban centers set against great swaths of red—told many political and economic stories. Attitudes toward rural life often reveal a complex mixture of affection and disdain, ideas about neighborliness and isolation, simplicity and provincialism. In his recent essay, “One Nation, Slightly Divisible,” David Brooks argues that th...

THE ELECTORAL MAP OF 2000—WITH ITS COASTAL BLUE EDGES AND POINtillist urban centers set against great swaths of red—told many political and economic stories. Attitudes toward rural life often reveal a complex mixture of affection and disdain, ideas about neighborliness and isolation, simplicity and provincialism. In his recent essay, “One Nation, Slightly Divisible,” David Brooks argues that th...

OBJECTIVES Target door-to-device (DTD) time for ST-elevation myocardial infarction (STEMI) patients has been 90 minutes, with no distinction between urban and rural hospitals. Rural hospitals have longer DTD times for transferred patients attributed to long transportation times from referring hospitals. Longer DTD times have also been reported during after-hours. The aim of the study was to det...

Compared with their urban counterparts, rural populations face substantial disparities in terms of health care and health outcomes, particularly with regard to access to health services. To address ongoing inequities, community perspectives are increasingly important in identifying health issues and developing local solutions that are effective and sustainable. This article has been developed b...

BACKGROUND Travel burden is a key element in conceptualizing geographic access to health care. Prior research has shown that both rural and minority populations bear disproportionate travel burdens. However, many studies are limited to specific types of patient or specific locales. The purpose of our study was to quantify geographic and race-based differences in distance traveled and time spent...