We conducted a qualitative content analysis of barriers to nursing home admission for rural residents. Data came from semi-structured interviews with 23 rural hospital discharge planners across five states (Georgia, Idaho, Minnesota, Pennsylvania, and Wisconsin). From those, we identified four themes around nonmedical barriers to rural nursing home placement with particular salience in rural ar...

INTRODUCTION Despite a widespread public health system, the private healthcare sector is the major provider of health care in rural India. This study describes the profile and medical practices of private rural health providers (PRHPs) in rural Haryana, India. METHODS A cross-sectional study was conducted among PRHPs practicing in the villages of Comprehensive Rural Health Services Project (C...

VOLUME 112 • NO. 6 While emergency care is important in all hospitals, it can be particularly critical in rural hospitals, as their distance from fully equipped medical centers frequently necessitates early triage, stabilization, and transfer of patients. In particular, when a patient arrives at an emergency department (ED) needing time-sensitive care that includes transfer to a tertiary care c...

INTRODUCTION Northern Ontario is a region in Canada with approximately 775,000 people in communities scattered across 803,000 km(2). The Ontario Telemedicine Network (OTN) facilitates access to medical care in areas that are often underserved. We assessed how OTN utilization differed throughout the province. MATERIALS AND METHODS We used OTN medical service utilization data collected through ...

BACKGROUND The complete experience of a single surgeon in a rural hospital over more than 11 years was evaluated with respect to laparoscopic operations performed on pregnant patients. METHODS A retrospective analysis of all laparoscopic operations was carried out with respect to number and types of operations, stage of pregnancy, complications, and fetal outcomes. RESULTS Between October 1...

Benign multicystic peritoneal mesothelioma (BMPM) is an uncommon lesion. It presents as a lump in abdomen or a finding seen on imaging modalities. Surgery is the primary modality of treatment. However, it has a high recurrence rate; this results in adhesions and subsequent surgeries difficult. We present a case of recurrent BMPM in a female operated twice earlier in a rural centre. Imaging moda...

Endoscopic retrograde cholangiopancreatography (ERCP) is a unique specialty tool used for the diagnosis and treatment of biliary and pancreatic disease. The procedure is much more available now and can be used in place of surgery or in conjunction with surgery. This article reviews the indications, applications, and personal experiences with the procedure in a rural referral hospital. Discussio...

Euthyroid state is considered a requisite before planning thyroid surgery. Before such surgery, pharmacotherapy can be used for managing hyperthyroid state. It warrants long-term treatment with agents like imidazole class (carbimazole, methimazole) or propylthiouracil. In cases large goiters, pressure symptoms dyspnoea, dysphagia, dysphonia; surgeon would prefer quicker action than the establis...

Non-adherence to self-management guidelines accounted for 50% of hospital readmissions in heart failure patients. Evidence showed that patient activation affects self-management behaviors in populations living with chronic conditions. The purpose of this study was to describe patient activation level and its relationship with knowledge, self-efficacy and self-management behaviors in heart failu...