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  • Report: Interventions for Rural and Remote Youth Mental Health

    Resource Type:
    Report
    Creator:
    Petrie, Sam, Carson, Dean B., Steven, Sebastian, Peters, Paul A., Priest, Liam, Waid, Chelsea, and Sinclair, Laleah
    Description:
    Visit the Spatial Determinants of Health Lab website at  https://carleton.ca/determinants
    Abstract:
    Rural and remote communities in both Australia and Canada have a higher burden of mental illness relative to their urban counterparts. Suicide rates, particularly, are higher across all age groups among men in rural communities as compared to metropolitan areas. Mental health issues are especially present in younger populations within these communities. Additionally, rural and remote communities tend to have higher proportions of Indigenous origin individuals, who face additional challenges and service barriers. Rural and remote communities often encounter significant barriers to accessing mental health care. Individuals from these communities may be serviced solely by general health care providers that are not trained in mental health treatment. Travelling away from the community to alleviate this issue only further hinders accessibility as these individuals must travel larger distances to access specialized health services. When services are accessed, those from rural and remote communities are met with longer wait times than their urban counterparts. With no specialized treatment within the rural or remote community and inaccessible treatment outside the community, mental health care must shift to informal caregivers and the community as a whole. Rural and remote communities are often not trained in mental health care. Interventions to address rural and remote youth mental health are needed to equip communities with the tools and skills to overcome access barriers and support community members. A review of recent literature related to rural and remote youth mental health interventions was conducted. The aim of the review is to characterize these mental health interventions in Australia and Canada and examine how they relate to youth.
    Date Created:
    2019-11-20

  • Report: Telepaediatrics in Rural and Remote Australia and Canada

    Resource Type:
    Report
    Creator:
    Morris, Sydney, Peters, Paul A., LeBlanc, Michele, Steven, Sebastian, Carson, Dean, and Petrie, Sam
    Abstract:
    Rural and remote communities in Australia and Canada experience barriers to accessing healthcare services (1). These barriers are especially pronounced when attempting to access more specialized health care services, such as paediatric (2–4). Both countries have implemented programs that aim to bridge the gap between rural communities and specialized healthcare. One such service is telepaediatrics. Telepaediatrics, as part of telehealth, refers to any paediatric health-related service, network, or medical tool that transmits voice, data, images and information through telecommunication programs as part of providing health services (5–7). Telehealth services are ideal because they remove the need to relocate the rural patient to urban specialist sites (5–7). In a WHO survey (2010), 60% of member countries had telehealth services in place but only 30% of these programs were implemented as part of routine care (8). Only 3 member countries had established telepaediatric services in place (8). No previous investigations examine the use of telehealth programs in urban versus rural settings (8). This review aims to identify the common barriers to telepaediatric services in rural Australia and Canada and outlines suggestions for future implementation.
    Date Created:
    2019-11-20

  • Patient and Provider Perspectives on Rural eHealth Interventions

    Resource Type:
    Report
    Creator:
    Paskaran, Saambavi, Carson, Dean B., Leblanc, Michele, Petrie, Sam, and Peters, Paul A.
    Description:
    Visit the Spatial Determinants of Health Lab website at  https://carleton.ca/determinants
    Abstract:
    Although health care is widely accessible in most developed countries, rural areas often struggle to adequately meet health care needs. Challenges in accessing and receiving adequate health care introduce large variations in disease levels, level of treatment, life expectancy,and overall health status for rural populations. eHealth, or electronic health,defined here as any electronic medium used to access health services,is a method used to bridge the gap between rural and urban centers to improve health care access. Including the above definition, eHealth also includes any technology designed to improve efficiencies and reduce costs in relation to health care. By providing a comprehensive overview of feedback from past interventions, policy-makers and program developers can develop strategies to improve the implementation and the use of eHealth technologies.
    Date Created:
    2019-08-12

  • Report: Recruitment and Retention of Rural Physicians

    Resource Type:
    Report
    Creator:
    Petrie, Sam, Sendanyoye, Claudia, Sebastian, Steven, Carson, Dean, and Peters, Paul A.
    Description:
    See also Carleton's Spatial Determinants of Health Lab:  https://carleton.ca/determinants
    Abstract:
    Rural and remote communities comprise around32% and 22% of Australia’s and Canada’s population. However, only 14% and 16% of family physicians in Australia and Canada, respectively, practice in these communities, resulting in a disproportion in access as compared with urban areas. An erosion of health services occurs when the number of physicians and other health care providers in a region is insufficient or these professionals are non-existent. Even when existing in a rural and remote region, providers are often overburdened. Inaccessibility to services in rural and remote communities’ results in poor health outcomes for all involved. In Canada, 1 in 7 physicians will leave rural practice within two years. Strategies to address these turnover rates and the lessening interest in entering rural practice have focused on supporting recruitment and retention initiatives (RnR) to first bring physicians into rural practice and then encourage physicians to continue in rural practice beyond the short-term. These programs have so far been insufficient or ineffective to address the lack of physicians in rural and remote areas. A review of recent literature related to RnR initiatives focused on rural physicians in Australia and Canada was conducted to investigate the strengths and limitations of initiatives. Further, this review critically examines the short and long-term feasibility of initiatives and develops a conceptual framework for designing or examining RnR initiatives.
    Date Created:
    2019-07-12