Family planning and fertility decline in rural Iran: the impact of rural health clinics

2010 ◽  
Vol 19 (S1) ◽  
pp. 159-180 ◽  
Author(s):  
Djavad Salehi-Isfahani ◽  
M. Jalal Abbasi-Shavazi ◽  
Meimanat Hosseini-Chavoshi
Keyword(s):  
Family Planning ◽  
Rural Health ◽  
Fertility Decline ◽  
Health Clinics ◽  
Rural Health Clinics ◽  
The Impact

scholarly journals The Impact of a Diabetes Self-Management Education Program Provided through a Telemedicine Link to Rural California Health Care Clinics

2013 ◽  
Vol 6 ◽  
pp. HSI.S10924
Author(s):  
Jim Nuovo
Keyword(s):  
Rural Health ◽  
Education Program ◽  
Management Education ◽  
Self Care ◽  
Self Management ◽  
Post Intervention ◽  
Health Clinics ◽  
Number Of Patients ◽  
Rural Health Clinics ◽  
The Impact

Background This project investigated the impact of a DM self-management education program provided through a telemedicine link at nine rural health clinics in Northern California. Methods Two hundred thirty nine patients were provided with a single 2-hour class on DM delivered through a live televideo connection. Patients provided pre-intervention information on: demographics and overall health, self-care behaviors, and knowledge about DM. All participants completed a post-education survey on knowledge and self-care behaviors. Results There was a significant decrease in the number of patients who felt overwhelmed with their DM; pre-intervention 18.8%; post-intervention 5.4% ( P < 0.0001). Patients increased the number of days they exercised; pre-intervention 3.4 days; post-intervention 3.9 days ( P = 0.02). Patients increased the number of days they checked their feet; pre-intervention 4.2 days; post-intervention 5.6 days ( P < 0.01). Knowledge about DM improved over the study period ( P < 0.01). Conclusions A single 2-hour class on DM administered through a telemedicine link to patients in rural health clinics resulted in feeling less overwhelmed, more knowledgeable about DM, and demonstrated an increase in self-care behavior; ie, exercise and foot care.

Implementing Enhanced Primary Care Registered Nurse Reimbursement in Rural Health Clinics: A Policy Analysis

2021 ◽  
pp. 152715442110119
Author(s):  
Tina Switzer ◽  
Erika Metzler Sawin ◽  
Melody Eaton ◽  
David Switzer ◽  
Christina Lam ◽  
...  
Keyword(s):  
Rural Communities ◽  
Policy Analysis ◽  
Rural Health ◽  
Policy Option ◽  
Care Needs ◽  
Rural Patient ◽  
Health Clinics ◽  
Sustainable Policy ◽  
Rural Health Clinics ◽  
Clinical Resource

Rural Health Clinics (RHCs) were created in 1977 to address the high health care needs, limited provider access, and poor health outcomes of rural Americans. Although innovative at their inception, the provider-centric model of RHC cost-based reimbursement structures has not evolved, leaving limited opportunities for change; many have failed. Comprehensive, proactive change is needed. Registered nurses (RNs) working at the top of their practice scope are a neglected clinical resource that can improve access, quality, value, and satisfaction for rural patient communities. RHC reimbursement policy must evolve to sustain and support this significant RN role. RNs have demonstrated value in care continuity and disease management, but there is little research on the utilization of RNs using their enhanced skill set in RHCs. Using the Bardach and Patashnik’s eight steps of policy analysis, the authors will describe the background and regulations of RHCs, identify current barriers to improving the health of America’s rural residents, and then provide evidence to support a new policy option according to the Quadruple Aim framework. The result is a sustainable policy recommendation designed to best serve rural communities.

Depression Screening Patterns for Women in Rural Health Clinics

2010 ◽  
Vol 26 (1) ◽  
pp. 44-50 ◽  
Author(s):  
Fred Tudiver ◽  
Joellen Beckett Edwards ◽  
Deborah T. Pfortmiller
Keyword(s):  
Rural Health ◽  
Depression Screening ◽  
Health Clinics ◽  
Rural Health Clinics

scholarly journals Weight management in rural health clinics: The Midwest diet and exercise trial

2018 ◽  
Vol 67 ◽  
pp. 37-46 ◽  
Author(s):  
Anna M. Gorczyca ◽  
Richard A. Washburn ◽  
Lauren Ptomey ◽  
Matthew S. Mayo ◽  
Debra K. Sullivan ◽  
...  
Keyword(s):  
Rural Health ◽  
Weight Management ◽  
Health Clinics ◽  
Diet And Exercise ◽  
Rural Health Clinics

Rural Health Clinics: Up for ownership

1988 ◽  
Vol 2 (3) ◽  
pp. 153-154
Author(s):  
Debra M. Hardy ◽  
Marianne Lile
Keyword(s):  
Rural Health ◽  
Health Clinics ◽  
Rural Health Clinics

Women's Preventive Screening in Rural Health Clinics

2008 ◽  
Vol 18 (3) ◽  
pp. 155-166 ◽  
Author(s):  
Joellen Beckett Edwards ◽  
Fred Tudiver
Keyword(s):  
Rural Health ◽  
Preventive Screening ◽  
Health Clinics ◽  
Rural Health Clinics
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