The goal of global equity in health care requires that the training of health-care professionals be better tuned to meet the needs of the communities they serve. In fact medical education is being driven into isolated communities by factors including workforce undersupply, education pedagogy, medical practice and research needs. Rural and remote medical education (RRME) happens in rural hospita...

Targeted postgraduate training increases the likelihood young doctors will take up careers in rural generalist medicine. This article describes the postgraduate pathways that have evolved for these doctors in New Zealand. The Cairns consensus statement 2014 defined rural medical generalism as a scope of practice that encompasses primary care, hospital or secondary care, emergency care, advanced...

Tim ExTNSION ofmedical care and health education in remote and sparsely populated rural areas has now become one of the main objectives in the plans for the development of health services throughout the world. Rural health services are receiving, deservedly, a high place in the order of priorities of development planning.1'2 In some countries rural health schemes have already been successfully ...

The Washington State legislature has recently considered several policy options to address a perceived shortage of primary care physicians in rural Washington. These policy options include opening the new Elson S. Floyd College of Medicine at Washington State University in 2017; increasing the number of primary care residency positions in the state; expanding educational loan-repayment incentiv...

CONTEXT The Physician Shortage Area Program (PSAP) of Jefferson Medical College (Philadelphia, Pa) is one of a small number of medical school programs that addresses the shortage of rural primary care physicians. However, little is known regarding why these programs work. OBJECTIVES To identify factors independently predictive of rural primary care supply and retention and to determine which ...

BACKGROUND Rural residents have poorer oral health and more limited access to dental services than their city counterparts. In rural communities, health care professionals often work in an extended capacity due to the needs of the community and health workforce shortages in these areas. Improved links and greater collaboration between resident rural primary care and dental practitioners could h...

Health care access issues present significant challenges for rural populations and health providers. Psychology can support improved access and quality of rural health services through the development of integrated behavior health programs within primary care settings. This article reviews a clinical training and service delivery program, the Rural Hawai’i Behavioral Health Program, which has e...

objective: to find out the quality of anc in the upazila health complexes (phc centres) of bangladesh. materials and methods: this cross sectional study was done in purposively selected three upazilas among the clients receiving antenatal care (anc). data were collected with questionnaire cum checklist in the context of two aspects of quality issues, namely assessment of physical arrangements f...

Introduction There is on-going debate about the merits of programmes supported by international aid, with critics arguing that many programmes are unsustainable, that they follow international agendas and lead to fragmentation of national health systems. The debate focuses on large providing for patients’ health needs and the impact of the programme within the public health system. Vietnam has ...

Integrated primary care is particularly valuable to rural communities. Behavioral health care is often in short supply, and small or close-knit communities can intensify the stigma of seeking specialty mental health in rural settings. These and other barriers result in reduced access to needed behavioral health care. Nonetheless, rural practice of integrated primary care presents unique challen...