This article examines geographic differences in the use of mental health services among Aid to Families with Dependent Children (AFDC)-eligible Medicaid beneficiaries in Maine. Findings indicate that rural AFDC beneficiaries have significantly lower utilization of mental health services than urban beneficiaries. Specialty mental health providers account for the majority of ambulatory visits for...

BACKGROUND Rural communities in Australia face significant disadvantages relating to geographical isolation and limited access to mental health services. Documenting general practitioners' (GP) experiences and perception of mental health services in rural Australia may be useful to gain insight into rural GP management of mild to moderate depression. AIMS To explore GPs' experience and views ...

BACKGROUND The Ghana Community based Health Planning and Services (CHPS) strategy targets to bring health services to the doorsteps of clients in a manner that improves maternal and child health outcomes. In this strategy, referral is an important component but it is threatened in a rural context where transportation service is a problem. Few studies have examined perceptions of rural dwellers ...

BACKGROUND In the past three years, the Government of China initiated health reform with rural public health system construction to achieve equal access to public health services for rural residents. The study assessed trends of public health services accessibility in rural China from 2008 to 2010, as well as the current situation about the China's rural public health system performance. METH...

A cross-sectional study was carried out to assess the impact of perceived quality and cost of utilisation of primary health care services, in relation to malaria, in rural and urban districts in Tanzania. This study intended to explore whether there are differences between rural and urban users in terms of their perceptions of quality of health services and how these perceptions affect househol...

The emergence of HIV in rural India has the potential to heighten gender inequity in a context where women already suffer significant health disparities. Recent Indian health policies provide new opportunities to identify and implement gender-equitable rural HIV services. In this review, we adapt Mosley and Chen's conceptual framework of health to outline determinants for HIV health services ut...

Mainstreaming of mental health care and the prevalence of mental illness have increased the requirement for care by nurses in the general hospital setting. In rural Australia, mental health services are limited and nurses have less access to support and education. Little is known about how these factors influence attitudes and the care of people with mental illness in rural hospitals. A qualita...

BACKGROUND The profession of pharmacy is expanding its involvement in public health, but few studies have examined pharmacists' delivery of public health services. OBJECTIVE To assess Iowa and North Dakota pharmacists' practices, frequency of public health service delivery, level of involvement in achieving the essential services of public health, and barriers to expansion of public health se...

The aim of the Greek healthcare system is stated to be universal coverage and provision of equal services to all citizens 1 . This ambitious aim can hardly be said to have been realised. Primary healthcare in Greece remains poorly organised and highly fractured, as it is delivered by a variety of providers that differ in quantity, quality, effectiveness and efficiency of care provision. As a co...