[ { "key": "PV6T3T3A", "version": 1, "library": { "type": "group", "id": 57068, "name": "Rural Health Report", "links": { "alternate": { "href": "https://www.zotero.org/groups/rural_health_report", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/57068/items/PV6T3T3A", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/rural_health_report/items/PV6T3T3A", "type": "text/html" } }, "meta": { "createdByUser": { "id": 166719, "username": "jcoffey", "name": "Jake Coffey", "links": { "alternate": { "href": "https://www.zotero.org/jcoffey", "type": "text/html" } } }, "creatorSummary": "Mahmood et al.", "parsedDate": "2002-07", "numChildren": 0 }, "data": { "key": "PV6T3T3A", "version": 1, "itemType": "journalArticle", "title": "Utility of participatory rural appraisal for health needs assessment and planning", "creators": [ { "creatorType": "author", "firstName": "M A", "lastName": "Mahmood" }, { "creatorType": "author", "firstName": "K S", "lastName": "Khan" }, { "creatorType": "author", "firstName": "M M", "lastName": "Kadir" }, { "creatorType": "author", "firstName": "N", "lastName": "Barney" }, { "creatorType": "author", "firstName": "S", "lastName": "Ali" }, { "creatorType": "author", "firstName": "R", "lastName": "Tunio" } ], "abstractNote": "BACKGROUND\n\nWhile poverty and lack of life opportunities are root causes of a high burden of disease and infant and maternal mortality, inadequate health care contributes heavily. Often those who are left without care are those who need it most. Existing health services are managed without taking into account acceptance and need perspectives. This further reduces the effectiveness of and equity in health care. In order to guide the planning of reproductive health services by a national NGO, health needs were assessed in a district in Sindh using a combination of participatory rural appraisal (PRA) and qualitative and quantitative research methods. PRA is considered as a better framework to assess, analyse and develop programs with communities.\n\n\nOBJECTIVE\n\nThe objective of PRA was to initiate community involvement and to understand the needs of health care from a community perspective.\n\n\nMETHODOLOGY\n\nPRA was conducted with groups of men and women from three rural areas in a district of Sindh, Pakistan using a life cycle framework. The community members identified various stages of their life with the associated health issues.\n\n\nRESULTS\n\nThis research was empowering to community members as it facilitated community involvement. The respondents took charge of the process of identification of health needs at PRA sessions. PRA helped identify health problems considered prevalent and important by the community. More importantly, it helped potential service providers and the community to initiate community involvement in planning.\n\n\nCONCLUSION\n\nPRA is not only an effective tool for assessment and analysis of health issues but also a vehicle to promote community involvement. Additionally, participatory methods contribute to understand the context of quantitative data generated for planning purposes.", "publicationTitle": "JPMA. The Journal of the Pakistan Medical Association", "publisher": "", "place": "", "date": "Jul 2002", "volume": "52", "issue": "7", "section": "", "partNumber": "", "partTitle": "", "pages": "296-300", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "J Pak Med Assoc", "DOI": "", "citationKey": "", "url": "http://www.ncbi.nlm.nih.gov/pubmed/12481660", "accessDate": "2011-10-11T22:04:23Z", "PMID": "", "PMCID": "", "ISSN": "0030-9982", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "PMID: 12481660", "tags": [ { "tag": "Adolescent", "type": 1 }, { "tag": "Adult", "type": 1 }, { "tag": "Aged", "type": 1 }, { "tag": "Child, Preschool", "type": 1 }, { "tag": "Community Health Planning", "type": 1 }, { "tag": "Consumer Participation", "type": 1 }, { "tag": "Developing Countries", "type": 1 }, { "tag": "Female", "type": 1 }, { "tag": "Health Care Surveys", "type": 1 }, { "tag": "Health Services Needs and Demand", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Infant", "type": 1 }, { "tag": "Infant, Newborn", "type": 1 }, { "tag": "Male", "type": 1 }, { "tag": "Middle Aged", "type": 1 }, { "tag": "Needs Assessment", "type": 1 }, { "tag": "Pakistan", "type": 1 }, { "tag": "Poverty", "type": 1 }, { "tag": "Pregnancy", "type": 1 }, { "tag": "Program Development", "type": 1 }, { "tag": "Program Evaluation", "type": 1 }, { "tag": "Quality of Health Care", "type": 1 }, { "tag": "Reproductive Health Services", "type": 1 }, { "tag": "Risk Factors", "type": 1 }, { "tag": "Rural Health Services", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2011-10-12T22:13:42Z", "dateModified": "2011-10-12T22:13:42Z" } }, { "key": "MBNXIJWQ", "version": 1, "library": { "type": "group", "id": 57068, "name": "Rural Health Report", "links": { "alternate": { "href": "https://www.zotero.org/groups/rural_health_report", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/57068/items/MBNXIJWQ", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/rural_health_report/items/MBNXIJWQ", "type": "text/html" } }, "meta": { "createdByUser": { "id": 166719, "username": "jcoffey", "name": "Jake Coffey", "links": { "alternate": { "href": "https://www.zotero.org/jcoffey", "type": "text/html" } } }, "creatorSummary": "Mulder et al.", "parsedDate": "1999", "numChildren": 1 }, "data": { "key": "MBNXIJWQ", "version": 1, "itemType": "journalArticle", "title": "THE BEHAVIORAL HEALTH CARE NEEDS OF RURAL WOMEN", "creators": [ { "creatorType": "author", "firstName": "P L", "lastName": "Mulder" }, { "creatorType": "author", "firstName": "Ph", "lastName": "D" }, { "creatorType": "author", "firstName": "West", "lastName": "Virginia" }, { "creatorType": "author", "firstName": "Mary Beth", "lastName": "Kenkel" }, { "creatorType": "author", "firstName": "Sylvia", "lastName": "Shellenberger" }, { "creatorType": "author", "firstName": "Madonna G", "lastName": "Constantine" }, { "creatorType": "author", "firstName": "Regina", "lastName": "Streiegel" }, { "creatorType": "author", "firstName": "Angela", "lastName": "Hager" } ], "abstractNote": "", "publicationTitle": "The Rural Women’s Work Group", "publisher": "", "place": "", "date": "1999", "volume": "", "issue": "", "section": "", "partNumber": "", "partTitle": "", "pages": "", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "", "callNumber": "", "rights": "", "extra": "", "tags": [], "collections": [], "relations": {}, "dateAdded": "2011-10-12T22:13:38Z", "dateModified": "2011-10-12T22:13:38Z" } }, { "key": "8FMCJGZV", "version": 1, "library": { "type": "group", "id": 57068, "name": "Rural Health Report", "links": { "alternate": { "href": "https://www.zotero.org/groups/rural_health_report", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/57068/items/8FMCJGZV", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/rural_health_report/items/8FMCJGZV", "type": "text/html" }, "up": { "href": "https://api.zotero.org/groups/57068/items/MBNXIJWQ", "type": "application/json" } }, "meta": { "createdByUser": { "id": 166719, "username": "jcoffey", "name": "Jake Coffey", "links": { "alternate": { "href": "https://www.zotero.org/jcoffey", "type": "text/html" } } } }, "data": { "key": "8FMCJGZV", "version": 1, "parentItem": "MBNXIJWQ", "itemType": "attachment", "linkMode": "linked_url", "title": "KNUS_final_report.pdf (application/pdf Object)", "accessDate": "2011-10-11T17:04:56Z", "url": "http://www.who.or.jp/publications/2008-2010/KNUS_final_report.pdf", "note": "", "contentType": "application/pdf", "charset": "windows-1252", "tags": [], "relations": {}, "dateAdded": "2011-10-12T22:13:38Z", "dateModified": "2011-10-12T22:13:38Z" } }, { "key": "4H5R94JS", "version": 1, "library": { "type": "group", "id": 57068, "name": "Rural Health Report", "links": { "alternate": { "href": "https://www.zotero.org/groups/rural_health_report", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/57068/items/4H5R94JS", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/rural_health_report/items/4H5R94JS", "type": "text/html" } }, "meta": { "createdByUser": { "id": 166719, "username": "jcoffey", "name": "Jake Coffey", "links": { "alternate": { "href": "https://www.zotero.org/jcoffey", "type": "text/html" } } }, "creatorSummary": "Kuntz et al.", "parsedDate": "2009-01-01", "numChildren": 0 }, "data": { "key": "4H5R94JS", "version": 1, "itemType": "journalArticle", "title": "Rural Public Health Policy Models to Address an Evolving Environmental Asbestos Disaster", "creators": [ { "creatorType": "author", "firstName": "Sandra W", "lastName": "Kuntz" }, { "creatorType": "author", "firstName": "Charlene A", "lastName": "Winters" }, { "creatorType": "author", "firstName": "Wade G", "lastName": "Hill" }, { "creatorType": "author", "firstName": "Clarann", "lastName": "Weinert" }, { "creatorType": "author", "firstName": "Kimberly", "lastName": "Rowse" }, { "creatorType": "author", "firstName": "Tanis", "lastName": "Hernandez" }, { "creatorType": "author", "firstName": "Brad", "lastName": "Black" } ], "abstractNote": "ABSTRACT The health-related dangers of asbestos exposure were recognized early in the 20th century when occupational exposure was found to be associated with excess pneumoconiosis among asbestos industry workers. Today, the epicenter for examining the public health effects and the human toll that this toxin has had on a population is located in the rural community of Libby, MT. Rurality and multideterminants of health frame both the history of asbestos-related disease and the service/policy challenges within a community dealing with chronic illness and designation as a Superfund clean-up site. Despite efforts by public health advocates to address the lingering aftermath of an environmental disaster in this community, policy gaps exist that continue to impact the population's health. The purpose of this paper is to describe the history and outcomes of asbestos exposure in a rural community and discuss 3 models that provide public health policy insights related to rural health and health care for a community affected by both a sentinel and ongoing environmental event.", "publicationTitle": "Public Health Nursing", "publisher": "", "place": "", "date": "2009/01/01", "volume": "26", "issue": "1", "section": "", "partNumber": "", "partTitle": "", "pages": "70-78", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "10.1111/j.1525-1446.2008.00755.x", "citationKey": "", "url": "http://onlinelibrary.wiley.com/doi/10.1111/j.1525-1446.2008.00755.x/abstract", "accessDate": "2011-10-12T00:37:41Z", "PMID": "", "PMCID": "", "ISSN": "1525-1446", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "en", "libraryCatalog": "Wiley Online Library", "callNumber": "", "rights": "", "extra": "", "tags": [ { "tag": "asbestos", "type": 1 }, { "tag": "disaster", "type": 1 }, { "tag": "environmental health", "type": 1 }, { "tag": "health care access", "type": 1 }, { "tag": "rural public health policy", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2011-10-12T22:13:32Z", "dateModified": "2011-10-12T22:13:32Z" } }, { "key": "S2KD9PJJ", "version": 1, "library": { "type": "group", "id": 57068, "name": "Rural Health Report", "links": { "alternate": { "href": "https://www.zotero.org/groups/rural_health_report", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/57068/items/S2KD9PJJ", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/rural_health_report/items/S2KD9PJJ", "type": "text/html" } }, "meta": { "createdByUser": { "id": 166719, "username": "jcoffey", "name": "Jake Coffey", "links": { "alternate": { "href": "https://www.zotero.org/jcoffey", "type": "text/html" } } }, "creatorSummary": "Pennel et al.", "parsedDate": "2008-12", "numChildren": 0 }, "data": { "key": "S2KD9PJJ", "version": 1, "itemType": "journalArticle", "title": "Rural health roundtables: a strategy for collaborative engagement in and between rural communities", "creators": [ { "creatorType": "author", "firstName": "Cara L", "lastName": "Pennel" }, { "creatorType": "author", "firstName": "S K", "lastName": "Carpender" }, { "creatorType": "author", "firstName": "Barbara J", "lastName": "Quiram" } ], "abstractNote": "INTRODUCTION\n\nThe lack of formal public health infrastructure and trained health professionals in rural areas has a deleterious impact on rural populations for various health issues. The purpose of this article is to: (1) suggest a strategy regularly used by the authors that encourages relationship building and serves as a catalyst for rural communities to work together to initiate and make changes based on the local assets and dynamics; (2) provide a descriptive overview of this strategy; and (3) provide an illustrative case, using the Rural Ready Communities project, in which this strategy has been used.\n\n\nMETHODS\n\nThe Rural Health Roundtable strategy includes identifying relevant topics and stakeholders; using specific methods to ensure stakeholder attendance; creating an informal, social environment where participants feel comfortable sharing; utilizing targeted questions to engage participants and empower local ownership; and following up with the participants through communication and evaluation.\n\n\nRESULTS\n\nThe Rural Health Roundtable strategy can result in short-term, intermediate and long-term outcomes using various evaluation tools and methods.\n\n\nCONCLUSIONS\n\nThe Rural Health Roundtable strategy has demonstrated its value as an effective tool in working with rural communities. With fewer human and financial resources at their disposal, this strategy can aid rural communities in identifying and utilizing their unique strengths to overcome resource deficits when responding to public health emergencies and natural disasters. Initiated in 1999, the methodology has been refined and enhanced over the past 8 years to more effectively reach stakeholders, ensure attendance and participation, promote sharing and discussions, build stakeholder networks and encourage continued communication and collaboration. The Rural Health Roundtable strategy has significant potential for replication and application to all areas of rural public health.", "publicationTitle": "Rural and Remote Health", "publisher": "", "place": "", "date": "2008 Oct-Dec", "volume": "8", "issue": "4", "section": "", "partNumber": "", "partTitle": "", "pages": "1054", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Rural Remote Health", "DOI": "", "citationKey": "", "url": "http://www.ncbi.nlm.nih.gov/pubmed/19025319", "accessDate": "2011-10-11T22:05:49Z", "PMID": "", "PMCID": "", "ISSN": "1445-6354", "archive": "", "archiveLocation": "", "shortTitle": "Rural health roundtables", "language": "", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "PMID: 19025319", "tags": [ { "tag": "Community Networks", "type": 1 }, { "tag": "Community-Institutional Relations", "type": 1 }, { "tag": "Health Care Coalitions", "type": 1 }, { "tag": "Health Plan Implementation", "type": 1 }, { "tag": "Health Services Research", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Medically Underserved Area", "type": 1 }, { "tag": "Needs Assessment", "type": 1 }, { "tag": "Primary Health Care", "type": 1 }, { "tag": "Rural Health", "type": 1 }, { "tag": "Rural Health Services", "type": 1 }, { "tag": "Rural Population", "type": 1 }, { "tag": "United States", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2011-10-12T22:13:29Z", "dateModified": "2011-10-12T22:13:29Z" } }, { "key": "NRVQDQA8", "version": 1, "library": { "type": "group", "id": 57068, "name": "Rural Health Report", "links": { "alternate": { "href": "https://www.zotero.org/groups/rural_health_report", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/57068/items/NRVQDQA8", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/rural_health_report/items/NRVQDQA8", "type": "text/html" } }, "meta": { "createdByUser": { "id": 166719, "username": "jcoffey", "name": "Jake Coffey", "links": { "alternate": { "href": "https://www.zotero.org/jcoffey", "type": "text/html" } } }, "creatorSummary": "Maalim", "parsedDate": "2006-09", "numChildren": 0 }, "data": { "key": "NRVQDQA8", "version": 1, "itemType": "journalArticle", "title": "Participatory rural appraisal techniques in disenfranchised communities: a Kenyan case study", "creators": [ { "creatorType": "author", "firstName": "A D", "lastName": "Maalim" } ], "abstractNote": "BACKGROUND\n\nDeveloping countries have made great progress in the field of health. However, disparities exist in the distribution of healthcare services. Given the lifestyle of the nomadic Somali community, very little was known about their perceptions about preventive healthcare services or their health needs in general. The best source of information regarding these matters is the community itself.\n\n\nOBJECTIVE\n\nTo apply participatory rapid rural appraisal techniques to health needs and plan nursing services for a disenfranchised, nomadic Somali community of north-eastern Kenya.\n\n\nMETHODS\n\nParticipatory rural appraisal (PRA) is an innovative approach to data collection in participatory research. The philosophy is that the researcher is required to acknowledge and appreciate that the research participants have the necessary knowledge and skills to be partners in the whole research process. Illuminating data were collected in late 1999 using PRA techniques, which underscored the Somali community's perception of the healthcare services and how they could be improved to suit their nomadic lifestyle.\n\n\nFINDINGS\n\nThe nomads diagrammatically described their seasonal movements extensively and postulated that these could be used for planning mobile/outreach services for the community. The study also reveals how the current nursing services have failed to utilize the intricate information network of the community.\n\n\nIMPLICATIONS FOR PRACTICE\n\nNursing personnel need to make friendly participatory relationships with a better understanding of communities' health problems and their socio-cultural practices in order to ensure efficient and effective nursing services.", "publicationTitle": "International Nursing Review", "publisher": "", "place": "", "date": "Sep 2006", "volume": "53", "issue": "3", "section": "", "partNumber": "", "partTitle": "", "pages": "178-188", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Int Nurs Rev", "DOI": "10.1111/j.1466-7657.2006.00489.x", "citationKey": "", "url": "http://www.ncbi.nlm.nih.gov/pubmed/16879180", "accessDate": "2011-10-11T22:04:43Z", "PMID": "", "PMCID": "", "ISSN": "0020-8132", "archive": "", "archiveLocation": "", "shortTitle": "Participatory rural appraisal techniques in disenfranchised communities", "language": "", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "PMID: 16879180", "tags": [ { "tag": "Activities of Daily Living", "type": 1 }, { "tag": "Adult", "type": 1 }, { "tag": "Attitude to Health", "type": 1 }, { "tag": "Community Health Planning", "type": 1 }, { "tag": "Community-Institutional Relations", "type": 1 }, { "tag": "Consumer Participation", "type": 1 }, { "tag": "Data Collection", "type": 1 }, { "tag": "Female", "type": 1 }, { "tag": "Focus Groups", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Kenya", "type": 1 }, { "tag": "Life Style", "type": 1 }, { "tag": "Male", "type": 1 }, { "tag": "Middle Aged", "type": 1 }, { "tag": "Mobile Health Units", "type": 1 }, { "tag": "Models, Psychological", "type": 1 }, { "tag": "Morbidity", "type": 1 }, { "tag": "Needs Assessment", "type": 1 }, { "tag": "Nurse's Role", "type": 1 }, { "tag": "Nursing Methodology Research", "type": 1 }, { "tag": "Qualitative Research", "type": 1 }, { "tag": "Rural Health Services", "type": 1 }, { "tag": "Seasons", "type": 1 }, { "tag": "Transients and Migrants", "type": 1 }, { "tag": "Vulnerable Populations", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2011-10-12T22:13:25Z", "dateModified": "2011-10-12T22:13:25Z" } }, { "key": "XRI559V3", "version": 1, "library": { "type": "group", "id": 57068, "name": "Rural Health Report", "links": { "alternate": { "href": "https://www.zotero.org/groups/rural_health_report", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/57068/items/XRI559V3", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/rural_health_report/items/XRI559V3", "type": "text/html" } }, "meta": { "createdByUser": { "id": 166719, "username": "jcoffey", "name": "Jake Coffey", "links": { "alternate": { "href": "https://www.zotero.org/jcoffey", "type": "text/html" } } }, "creatorSummary": "Moulton et al.", "parsedDate": "2007", "numChildren": 0 }, "data": { "key": "XRI559V3", "version": 1, "itemType": "journalArticle", "title": "Identifying rural health care needs using community conversations", "creators": [ { "creatorType": "author", "firstName": "Patricia L", "lastName": "Moulton" }, { "creatorType": "author", "firstName": "Marlene E", "lastName": "Miller" }, { "creatorType": "author", "firstName": "Sue M", "lastName": "Offutt" }, { "creatorType": "author", "firstName": "Brad P", "lastName": "Gibbens" } ], "abstractNote": "CONTEXT\n\nCommunity input can lead to better-defined goals in an organization. With this in mind, the Center for Rural Health at the University of North Dakota School of Medicine and Health Sciences embarked on a series of 13 meetings with representatives of organizations serving rural communities, including 5 Native American reservations.\n\n\nPURPOSE\n\nTo give a detailed description of the steps involved in planning, and the outcomes and lessons learned from the meetings. Organizations will be able to use this information when incorporating community involvement as part of their planning process.\n\n\nPROJECT\n\nEach meeting included a presentation of the Center for Rural Health efforts throughout the state and a discussion in which residents were asked about health care barriers they have encountered and how the Center for Rural Health could align its efforts to assist communities.\n\n\nCONCLUSIONS\n\nThe conversations from these meetings have provided a wealth of information about barriers to providing quality health care facing rural and Native American residents. The Center for Rural Health has incorporated this information into its strategic planning process and has formed several work groups to address issues raised. Community conversations allow organizations to better determine priorities that will be valid and realistic to the communities they serve.", "publicationTitle": "The Journal of Rural Health: Official Journal of the American Rural Health Association and the National Rural Health Care Association", "publisher": "", "place": "", "date": "2007", "volume": "23", "issue": "1", "section": "", "partNumber": "", "partTitle": "", "pages": "92-96", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "J Rural Health", "DOI": "10.1111/j.1748-0361.2006.00074.x", "citationKey": "", "url": "http://www.ncbi.nlm.nih.gov/pubmed/17300485", "accessDate": "2011-10-11T16:08:03Z", "PMID": "", "PMCID": "", "ISSN": "0890-765X", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "PMID: 17300485", "tags": [ { "tag": "Adult", "type": 1 }, { "tag": "Community Health Planning", "type": 1 }, { "tag": "Community-Institutional Relations", "type": 1 }, { "tag": "Consumer Participation", "type": 1 }, { "tag": "Group Processes", "type": 1 }, { "tag": "Health Priorities", "type": 1 }, { "tag": "Health Services Accessibility", "type": 1 }, { "tag": "Health Services, Indigenous", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Indians, North American", "type": 1 }, { "tag": "Medically Underserved Area", "type": 1 }, { "tag": "Middle Aged", "type": 1 }, { "tag": "Needs Assessment", "type": 1 }, { "tag": "North Dakota", "type": 1 }, { "tag": "Rural Health", "type": 1 }, { "tag": "Rural Health Services", "type": 1 }, { "tag": "Schools, Medical", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2011-10-12T22:13:03Z", "dateModified": "2011-10-12T22:13:03Z" } }, { "key": "8R5NCBTV", "version": 1, "library": { "type": "group", "id": 57068, "name": "Rural Health Report", "links": { "alternate": { "href": "https://www.zotero.org/groups/rural_health_report", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/57068/items/8R5NCBTV", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/rural_health_report/items/8R5NCBTV", "type": "text/html" } }, "meta": { "createdByUser": { "id": 166719, "username": "jcoffey", "name": "Jake Coffey", "links": { "alternate": { "href": "https://www.zotero.org/jcoffey", "type": "text/html" } } }, "creatorSummary": "Birdwell and Calesaric", "parsedDate": "1996", "numChildren": 0 }, "data": { "key": "8R5NCBTV", "version": 1, "itemType": "journalArticle", "title": "Identifying health care needs of rural Ohio citizens: an evaluation of a two-stage methodology.", "creators": [ { "creatorType": "author", "firstName": "S W", "lastName": "Birdwell" }, { "creatorType": "author", "firstName": "H.", "lastName": "Calesaric" } ], "abstractNote": "", "publicationTitle": "The Journal of rural health official journal of the American Rural Health Association and the National Rural Health Care Association", "publisher": "", "place": "", "date": "1996", "volume": "12", "issue": "2", "section": "", "partNumber": "", "partTitle": "", "pages": "130-136", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "", "DOI": "", "citationKey": "", "url": "", "accessDate": "", "PMID": "", "PMCID": "", "ISSN": "", "archive": "", "archiveLocation": "", "shortTitle": "Identifying health care needs of rural Ohio citizens", "language": "", "libraryCatalog": "", "callNumber": "", "rights": "", "extra": "", "tags": [], "collections": [], "relations": {}, "dateAdded": "2011-10-12T22:12:59Z", "dateModified": "2011-10-12T22:12:59Z" } }, { "key": "ZRNDUHSI", "version": 1, "library": { "type": "group", "id": 57068, "name": "Rural Health Report", "links": { "alternate": { "href": "https://www.zotero.org/groups/rural_health_report", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/57068/items/ZRNDUHSI", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/rural_health_report/items/ZRNDUHSI", "type": "text/html" } }, "meta": { "createdByUser": { "id": 166719, "username": "jcoffey", "name": "Jake Coffey", "links": { "alternate": { "href": "https://www.zotero.org/jcoffey", "type": "text/html" } } }, "creatorSummary": "Allan et al.", "parsedDate": "2007-12", "numChildren": 0 }, "data": { "key": "ZRNDUHSI", "version": 1, "itemType": "journalArticle", "title": "Developing sustainable models of rural health care: a community development approach", "creators": [ { "creatorType": "author", "firstName": "J", "lastName": "Allan" }, { "creatorType": "author", "firstName": "P", "lastName": "Ball" }, { "creatorType": "author", "firstName": "M", "lastName": "Alston" } ], "abstractNote": "Globally, small rural communities frequently are demographically similar to their neighbours and are consistently found to have a number of problems linked to the international phenomenon of rural decline and urban drift. For example, it is widely noted that rural populations have poor health status and aging populations. In Australia, multiple state and national policies and programs have been instigated to redress this situation. Yet few rural residents would agree that their town is the same as an apparently similar sized one nearby or across the country. This article reports a project that investigated the way government policies, health and community services, population characteristics and local peculiarities combined for residents in two small rural towns in New South Wales. Interviews and focus groups with policy makers, health and community service workers and community members identified the felt, expressed, normative and comparative needs of residents in the case-study towns. Key findings include substantial variation in service provision between towns because of historical funding allocations, workforce composition, natural disasters and distance from the nearest regional centre. Health and community services were more likely to be provided because of available funding, rather than identified community needs. While some services, such as mental illness intervention and GPs, are clearly in demand in rural areas, in these examples, more health services were not needed. Rather, flexibility in the services provided and work practices, role diversity for health and community workers and community profiling would be more effective to target services. The impact of industry, employment and recreation on health status cannot be ignored in local development.", "publicationTitle": "Rural and Remote Health", "publisher": "", "place": "", "date": "2007 Oct-Dec", "volume": "7", "issue": "4", "section": "", "partNumber": "", "partTitle": "", "pages": "818", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "Rural Remote Health", "DOI": "", "citationKey": "", "url": "http://www.ncbi.nlm.nih.gov/pubmed/18067401", "accessDate": "2011-10-11T22:05:24Z", "PMID": "", "PMCID": "", "ISSN": "1445-6354", "archive": "", "archiveLocation": "", "shortTitle": "Developing sustainable models of rural health care", "language": "", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "PMID: 18067401", "tags": [ { "tag": "Catchment Area (Health)", "type": 1 }, { "tag": "Consumer Participation", "type": 1 }, { "tag": "Focus Groups", "type": 1 }, { "tag": "Geographic Information Systems", "type": 1 }, { "tag": "Health Policy", "type": 1 }, { "tag": "Health Services Accessibility", "type": 1 }, { "tag": "Health Status Disparities", "type": 1 }, { "tag": "Healthcare Disparities", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Interviews as Topic", "type": 1 }, { "tag": "Needs Assessment", "type": 1 }, { "tag": "New South Wales", "type": 1 }, { "tag": "Organizational Case Studies", "type": 1 }, { "tag": "Qualitative Research", "type": 1 }, { "tag": "Rural Health", "type": 1 }, { "tag": "Rural Health Services", "type": 1 }, { "tag": "Social Change", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2011-10-12T22:12:55Z", "dateModified": "2011-10-12T22:12:55Z" } }, { "key": "RIMIR7XX", "version": 1, "library": { "type": "group", "id": 57068, "name": "Rural Health Report", "links": { "alternate": { "href": "https://www.zotero.org/groups/rural_health_report", "type": "text/html" } } }, "links": { "self": { "href": "https://api.zotero.org/groups/57068/items/RIMIR7XX", "type": "application/json" }, "alternate": { "href": "https://www.zotero.org/groups/rural_health_report/items/RIMIR7XX", "type": "text/html" } }, "meta": { "createdByUser": { "id": 166719, "username": "jcoffey", "name": "Jake Coffey", "links": { "alternate": { "href": "https://www.zotero.org/jcoffey", "type": "text/html" } } }, "creatorSummary": "Withy et al.", "parsedDate": "2007", "numChildren": 0 }, "data": { "key": "RIMIR7XX", "version": 1, "itemType": "journalArticle", "title": "Assessing health disparities in rural Hawaii using the Hoshin facilitation method", "creators": [ { "creatorType": "author", "firstName": "Kelley", "lastName": "Withy" }, { "creatorType": "author", "firstName": "January May", "lastName": "Andaya" }, { "creatorType": "author", "firstName": "Judith S", "lastName": "Mikami" }, { "creatorType": "author", "firstName": "Seiji", "lastName": "Yamada" } ], "abstractNote": "CONTEXT\n\nHealth disparities between rural and urban communities are well documented. There are many suggested causes and many proposed solutions but no one-size-fits-all answer. The most successful community interventions have been introduced by communities themselves. However, before communities invest in such interventions, each group must identify and prioritize their needs.\n\n\nPURPOSE\n\nThis article describes the Hoshin facilitation method as a practical option assisting communities in assessing their needs and gaining consensus for future steps.\n\n\nMETHODS\n\nThirty-four meetings were held in 11 rural communities in Hawaii using the Hoshin process to identify factors that impact rural health. Themes were identified by constant comparative analysis and thematic frequency described. Commonality of responses between communities was examined. Informal feedback was collected from meeting participants.\n\n\nFINDINGS\n\nThere was a great deal of commonality between community responses, with economic factors, drug use, lack of community leadership, lack of health care services and access to services, lack of healthy activities for youth, and poor public education being the most common issues noted. Group involvement in the meetings was high, and the facilitation method received positive feedback from participants.\n\n\nCONCLUSIONS\n\nThe Hoshin facilitation method is a very useful tool to help communities rapidly identify and prioritize areas for programmatic attention.", "publicationTitle": "The Journal of Rural Health: Official Journal of the American Rural Health Association and the National Rural Health Care Association", "publisher": "", "place": "", "date": "2007", "volume": "23", "issue": "1", "section": "", "partNumber": "", "partTitle": "", "pages": "84-88", "series": "", "seriesTitle": "", "seriesText": "", "journalAbbreviation": "J Rural Health", "DOI": "10.1111/j.1748-0361.2006.00072.x", "citationKey": "", "url": "http://www.ncbi.nlm.nih.gov/pubmed/17300483", "accessDate": "2011-10-11T22:01:27Z", "PMID": "", "PMCID": "", "ISSN": "0890-765X", "archive": "", "archiveLocation": "", "shortTitle": "", "language": "", "libraryCatalog": "NCBI PubMed", "callNumber": "", "rights": "", "extra": "PMID: 17300483", "tags": [ { "tag": "Community Health Planning", "type": 1 }, { "tag": "Consensus", "type": 1 }, { "tag": "Consumer Participation", "type": 1 }, { "tag": "Female", "type": 1 }, { "tag": "Group Processes", "type": 1 }, { "tag": "Hawaii", "type": 1 }, { "tag": "Health Services Accessibility", "type": 1 }, { "tag": "Health Services Research", "type": 1 }, { "tag": "Humans", "type": 1 }, { "tag": "Male", "type": 1 }, { "tag": "Models, Organizational", "type": 1 }, { "tag": "Needs Assessment", "type": 1 }, { "tag": "Outcome and Process Assessment (Health Care)", "type": 1 }, { "tag": "Primary Health Care", "type": 1 }, { "tag": "Rural Health", "type": 1 }, { "tag": "Rural Health Services", "type": 1 }, { "tag": "Socioeconomic Factors", "type": 1 } ], "collections": [], "relations": {}, "dateAdded": "2011-10-12T22:12:40Z", "dateModified": "2011-10-12T22:12:40Z" } } ]