Disaster management in rural and remote primary healthcare settings: a scoping review protocol

Willson, Katie A; Lim, David

doi:10.11124/jbisrir-d-19-00029

Cited by 6 publications

(2 citation statements)

References 13 publications

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“…Additionally, populations in rural and remote areas may be more vulnerable to the consequences of extreme events due to geographical isolation, less-developed infrastructure, less epidemiological surveillance capacity and less favorable social determinants of health [ 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 ]. We know that in many countries GPs in rural areas already have a heavier workload than their counterparts in semi-urban and urban areas [ 23 , 24 ].…”

Section: Introductionmentioning

confidence: 99%

Differences between Rural and Urban Practices in the Response to the COVID-19 Pandemic: Outcomes from the PRICOV-19 Study in 38 Countries

Petrazzuoli

Collins

Poel

et al. 2023

IJERPH

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This paper explores the differences between rural and urban practices in the response to the COVID-19 pandemic, emphasizing aspects such as management of patient flow, infection prevention and control, information processing, communication and collaboration. Using a cross-sectional design, data were collected through the online PRICOV-19 questionnaire sent to general practices in 38 countries. Rural practices in our sample were smaller than urban-based practices. They reported an above-average number of old and multimorbid patients and a below-average number of patients with a migrant background or financial problems. Rural practices were less likely to provide leaflets and information, but were more likely to have ceased using the waiting room or to have made structural changes to their waiting room and to have changed their prescribing practices in terms of patients attending the practices. They were less likely to perform video consultations or use electronic prescription methods. Our findings show the existence of certain issues that could impact patient safety in rural areas more than in urban areas due to the underlying differences in population profile and supports. These could be used to plan the organization of care for similar future pandemic situations.

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Section: Introductionmentioning

confidence: 99%

Differences between Rural and Urban Practices in the Response to the COVID-19 Pandemic: Outcomes from the PRICOV-19 Study in 38 Countries

Petrazzuoli

Collins

Poel

et al. 2023

IJERPH

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“…A paucity of research exists regarding standards of care provided by rural emergency departments (EDs) in developed countries 1 . Populations in rural communities are older, at increased risk for trauma and less likely to have access to specialised services for their care, when compared to their urban counterparts 2‐4 . Therefore, doctors require a broad skillset in rural settings to manage a diverse range of presentations and complications 5,6 .…”

Section: Introductionmentioning

confidence: 99%

Rural emergency departments: A systematic review to develop a resource typology relevant to developed countries

Kerr

Kealy

Lim

et al. 2021

Australian J Rural Health

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Objective Despite low patient numbers, rural emergency departments have a similar diversity of case presentations as urban tertiary hospitals, with the need to manage high‐acuity cases with limited resources. There are no consistent descriptions of the resources available to rural emergency departments internationally, limiting the capacity to compare clinical protocols and standards of care across similarly resourced units. This review aimed to describe the range of human, physical and specialist resources described in rural emergency departments in developed countries and propose a typology for use internationally. Design and setting A systematic literature search was performed for journal articles between 2000 and 2019 describing the staffing, access to radiology and laboratory investigations, and hospital inpatient specialists. Results Considerable diversity in defining rurality and in resource access was found within and between Australia, New Zealand, Canada and USA. Discussion A typology was developed to account for (a) emergency department staff on‐floor, (b) emergency department staff on‐call, (c) physical resources and (d) access to a specialist surgical service. This provides a valuable tool for relevant stakeholders to effectively communicate rural emergency department resources within a country and internationally. Conclusion The proposed five‐tiered typology draws together international literature regarding rural emergency department services. Although further research is required to test this tool, the formation of this common language allows a base for effective communication between governments, training providers and policy‐makers who are seeking to improve health systems and health outcomes.

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Disaster Management in Rural and Remote Primary Health Care: A Scoping Review

Willson

FitzGerald

Lim

2021

Prehosp. Disaster med.

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Objective: This scoping review aims to map the roles of rural and remote primary health care professionals (PHCPs) during disasters. Introduction: Disasters can have catastrophic impacts on society and are broadly classified into natural events, man-made incidents, or a mixture of both. The PHCPs working in rural and remote communities face additional challenges when dealing with disasters and have significant roles during the Prevention, Preparedness, Response, and Recovery (PPRR) stages of disaster management. Methods: A Johanna Briggs Institute (JBI) scoping review methodology was utilized, and the search was conducted over seven electronic databases according to a priori protocol. Results: Forty-one papers were included and sixty-one roles were identified across the four stages of disaster management. The majority of disasters described within the literature were natural events and pandemics. Before a disaster occurs, PHCPs can build individual resilience through education. As recognized and respected leaders within their community, PHCPs are invaluable in assisting with disaster preparedness through being involved in organizations’ planning policies and contributing to natural disaster and pandemic surveillance. Key roles during the response stage include accommodating patient surge, triage, maintaining the health of the remaining population, instituting infection control, and ensuring a team-based approach to mental health care during the disaster. In the aftermath and recovery stage, rural and remote PHCPs provide long-term follow up, assisting patients in accessing post-disaster support including delivery of mental health care. Conclusion: Rural and remote PHCPs play significant roles within their community throughout the continuum of disaster management. As a consequence of their flexible scope of practice, PHCPs are well-placed to be involved during all stages of disaster, from building of community resilience and contributing to early alert of pandemics, to participating in the direct response when a disaster occurs and leading the way to recovery.

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Disaster management in rural and remote primary healthcare settings: a scoping review protocol

Cited by 6 publications

References 13 publications

Differences between Rural and Urban Practices in the Response to the COVID-19 Pandemic: Outcomes from the PRICOV-19 Study in 38 Countries

Differences between Rural and Urban Practices in the Response to the COVID-19 Pandemic: Outcomes from the PRICOV-19 Study in 38 Countries

Rural emergency departments: A systematic review to develop a resource typology relevant to developed countries

Disaster Management in Rural and Remote Primary Health Care: A Scoping Review

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