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The aim of this case study is to explore the perception of the rural people for regular health check-ups. A survey was conducted in 500 households in a village in Telangana in March 2012 to get an overview about the inhabitants’ health and their willingness to go for regular check-ups. Since majority of the respondents reported not visiting doctors or hospitals regularly, the key determinants for avoidance of such health check-ups was examined. The objective was to discover factors that may be addressed in future when healthcare facilities would be made available to these villages. The major determinants for avoidance of regular health check-ups were estimated through a logit model. The health locus of control index was constructed using five questions related to attitude and perception on regular health check-up. The results indicate that demographic factors like gender and age, economic factors such as family income and family health expenditure, distance, cost of availing a doctor and health locus of control are the key determinants for avoiding regular health check-up in rural India. However, due to increasing awareness among the rural population over the years, majority of the respondents are willing to pay a minimal amount of money and ready to use the electronic device which can monitor their health.
The aim of this case study is to explore the perception of the rural people for regular health check-ups. A survey was conducted in 500 households in a village in Telangana in March 2012 to get an overview about the inhabitants’ health and their willingness to go for regular check-ups. Since majority of the respondents reported not visiting doctors or hospitals regularly, the key determinants for avoidance of such health check-ups was examined. The objective was to discover factors that may be addressed in future when healthcare facilities would be made available to these villages. The major determinants for avoidance of regular health check-ups were estimated through a logit model. The health locus of control index was constructed using five questions related to attitude and perception on regular health check-up. The results indicate that demographic factors like gender and age, economic factors such as family income and family health expenditure, distance, cost of availing a doctor and health locus of control are the key determinants for avoiding regular health check-up in rural India. However, due to increasing awareness among the rural population over the years, majority of the respondents are willing to pay a minimal amount of money and ready to use the electronic device which can monitor their health.
Purpose Telerehabilitation (TR) is increasingly being used to meet the rehabilitation needs of individuals living in rural areas. Nevertheless, reports on TR implementation for rural patients remain limited. As part of a broader evaluation, this study investigated barriers and facilitators to the implementation of a national TR program to meet the needs of rural Veterans Health Administration (VHA) patients. Methods This study applied a qualitative approach to the RE-AIM framework to investigate barriers and facilitators impacting TR implementation. We conducted in-depth, semi-structured interviews with ten program managers and medical directors within the VHA at three time points during the first 18 months of implementation. Interviews were analyzed using thematic analysis. Results Three themes were identified describing key cultural, infrastructural and logistical, and environmental barriers impacting the reach, adoption, and implementation of TR. Within the themes, facilitators for TR were also identified to include, allowing providers flexibility in implementing TR, mentorship and development of creative approaches to TR training, overcoming infrastructural and logistical TR barriers through championing, and continuous sharing of lessons learned in a community of practice. Discussion This study explicates salient barriers and facilitators encountered during the first 18 months of implementation of a TR program within a national healthcare system in the United States. Implementing TR to meet the rehabilitation needs of Veterans in resource-limited rural environments requires creative approaches and flexibility, as well as perseverance and consistent championing in order to overcome cultural challenges. This, in combination with infrastructural challenges, such as lack of broadband, adds greater complexity to meeting the needs of rural patients. This study provides new and in-depth understanding of the processes by which TR is implemented in a large healthcare system and points to practical real-world lessons in implementing TR for rural patients.
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