Mobile primary health care clinics for Indigenous populations in Australia, Canada, New Zealand and the United States

Beks, Hannah; Ewing, Geraldine; Muir, Rebecca; Charles, James; Paradies, Yin; Clark, Robyn; Versace, Vincent L.

doi:10.11124/jbisrir-d-19-00057

Cited by 8 publications

(8 citation statements)

References 27 publications

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“…This systematic scoping review examines the evidence surrounding the use of mobile primary healthcare clinics implemented for Indigenous populations in Australia, Canada, New Zealand, and the United States [ 43 ]. This review was conducted in accordance with the Joanna Briggs Institute (JBI) Reviewer’s Manual 2017: Methodology for JBI Scoping Reviews [ 44 ].…”

Section: Methodsmentioning

confidence: 99%

“…Search terms were developed using a PCC (Population, Concept, Context) mnemonic. The premise and methods of this review, have been published elsewhere [ 43 ]. The Preferred Reporting Items for Systematic Reviews and Meta-analysis extension for scoping reviews checklist (PRISMA-ScR) [ 45 ] was adhered to in the reporting of this review (Additional file 1 _PRISMA-ScR checklist).…”

Section: Methodsmentioning

confidence: 99%

“…The published data extraction table was used and modified to extract the longitude and latitude coordinates for locations serviced by the included mobile clinics from publicly available information [ 43 ]. The coordinates were then imported into ArcGIS ArcMap 10.6.1 (ESRI, CA, USA), a Geographical Information System (GIS), and mapped as point locations.…”

Section: Methodsmentioning

confidence: 99%

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Mobile primary health care clinics for Indigenous populations in Australia, Canada, New Zealand and the United States: a systematic scoping review

Beks

Ewing

Charles

et al. 2020

Int J Equity Health

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Background Mobile clinics have been used to deliver primary health care to populations that otherwise experience difficulty in accessing services. Indigenous populations in Australia, Canada, New Zealand, and the United States experience greater health inequities than non-Indigenous populations. There is increasing support for Indigenous-governed and culturally accessible primary health care services which meet the needs of Indigenous populations. There is some support for primary health care mobile clinics implemented specifically for Indigenous populations to improve health service accessibility. The purpose of this review is to scope the literature for evidence of mobile primary health care clinics implemented specifically for Indigenous populations in Australia, Canada, New Zealand, and the United States. Methods This review was undertaken using the Joanna Brigg Institute (JBI) scoping review methodology. Review objectives, inclusion criteria and methods were specified in advance and documented in a published protocol. The search included five academic databases and an extensive search of the grey literature. Results The search resulted in 1350 unique citations, with 91 of these citations retrieved from the grey literature and targeted organisational websites. Title, abstract and full-text screening was conducted independently by two reviewers, with 123 citations undergoing full text review. Of these, 39 citations discussing 25 mobile clinics, met the inclusion criteria. An additional 14 citations were snowballed from a review of the reference lists of included citations. Of these 25 mobile clinics, the majority were implemented in Australia (n = 14), followed by United States (n = 6) and Canada (n = 5). No primary health mobile clinics specifically for Indigenous people in New Zealand were retrieved. There was a pattern of declining locations serviced by mobile clinics with an increasing population. Furthermore, only 13 mobile clinics had some form of evaluation. Conclusions This review identifies geographical gaps in the implementation of primary health care mobile clinics for Indigenous populations in Australia, Canada, New Zealand, and the United States. There is a paucity of evaluations supporting the use of mobile clinics for Indigenous populations and a need for organisations implementing mobile clinics specifically for Indigenous populations to share their experiences. Engaging with the perspectives of Indigenous people accessing mobile clinic services is imperative to future evaluations. Registration The protocol for this review has been peer-reviewed and published in JBI Evidence Synthesis (doi: 10.11124/JBISRIR-D-19-00057).

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Mobile primary health care clinics for Indigenous populations in Australia, Canada, New Zealand and the United States: a systematic scoping review

Beks

Ewing

Charles

et al. 2020

Int J Equity Health

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“…However, it has been argued that there is significant value in comparing rural research across the international context, as this could lead to important health developments for rural communities 46 . Although all the studies were conducted in high income countries, the communities that they focused on were almost always characterised as populations experiencing high levels of socio‐economic disadvantage and geographical isolation 47 . Studies from overseas may therefore be relevant to the Australian context, because the majority of the most socio‐economically disadvantaged communities in Australia are in rural and remote areas 48…”

Section: Discussionmentioning

confidence: 99%

Beyond the black stump: rapid reviews of health research issues affecting regional, rural and remote Australia

Osborne¹,

Piper²,

Alston³

et al. 2020

Medical Journal of Australia

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Chapter 1: Retail initiatives to improve the healthiness of food environments in rural, regional and remote communities Objective: To synthesise the evidence for effectiveness of initiatives aimed at improving food retail environments and consumer dietary behaviour in rural, regional and remote populations in Australia and comparable countries, and to discuss the implications for future food environment initiatives for rural, regional and remote areas of Australia. Study design: Rapid review of articles published between January 2000 and May 2020. Data sources: We searched MEDLINE (EBSCOhost), Health and Society Database (Informit) and Rural and Remote Health Database (Informit), and included studies undertaken in rural food environment settings in Australia and other countries. Data synthesis: Twenty‐one articles met the inclusion criteria, including five conducted in Australia. Four of the Australian studies were conducted in very remote populations and in grocery stores, and one was conducted in regional Australia. All of the overseas studies were conducted in rural North America. All of them revealed a positive influence on food environment or consumer behaviour, and all were conducted in disadvantaged, rural communities. Positive outcomes were consistently revealed by studies of initiatives that focused on promotion and awareness of healthy foods and included co‐design to generate community ownership and branding. Conclusion: Initiatives aimed at improving rural food retail environments were effective and, when implemented in different rural settings, may encourage improvements in population diets. The paucity of studies over the past 20 years in Australia shows a need for more research into effective food retail environment initiatives, modelled on examples from overseas, with studies needed across all levels of remoteness in Australia. Several retail initiatives that were undertaken in rural North America could be replicated in rural Australia and could underpin future research. Chapter 2: Which interventions best support the health and wellbeing needs of rural populations experiencing natural disasters? Objective: To explore and evaluate health and social care interventions delivered to rural and remote communities experiencing natural disasters in Australia and other high income countries. Study design: We used systematic rapid review methods. First we identified a test set of citations and generated a frequency table of Medical Subject Headings (MeSH) to index articles. Then we used combinations of MeSH terms and keywords to search the MEDLINE (Ovid) database, and screened the titles and abstracts of the retrieved references. Data sources: We identified 1438 articles via database searches, and a further 62 articles via hand searching of key journals and reference lists. We also found four relevant grey literature resources. After removing duplicates and undertaking two stages of screening, we included 28 studies in a synthesis of qualitative evidence. Data synthesis: Four of us read and assesse...

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“…Primary care. Traditionally, primary care covers a multidisciplinary team of healthcare professionals dealing with areas related to communicable, non-communicable disease, prevention and management [20]. A standard de nition is provided in the Alma Ata Declaration [21]:…”

Section: Key De Nitionsmentioning

confidence: 99%

Global Evidence on the Rapid Adoption of Telemedicine in Primary Care During the First Year of the COVID-19 Pandemic: a Scoping Review Protocol.

Valdes

Alqazlan

Procter

et al. 2021

Preprint

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Background: Before the declaration of the COVID-19 pandemic in March 2020, primary care relied on face-to-face consultations, with relatively limited use of telemedicine. The rapid uptake that occurred following the onset of the pandemic in countries such as the United Kingdom, Canada and New Zealand prompts questions around the drivers and extent of this transformation in clinical practice at global level. The purpose of this scoping review is to explore the global evidence surrounding the rapid adoption of telemedicine in primary care settings during the first year of the COVID-19 pandemic. Methods: A draft protocol was tested through an initial search on Ovid Medline, Web of Science and Google Scholar with additional searches on the Cochrane Database. This informed the final selection of terms which will be use to search Ovid, Web of Science, Google Scholar, PROSPERO and Cochrane Library, filtering for studies from the pandemic declaration onwards. Additional grey literature reports will be sourced through simplified searches on appropriate search engines in widely spoken languages. Duplicates will be removed by screening titles. Abstracts and grey literature text extracts will be screened based on pre-set eligibility criteria by an automated tool and further screened by the lead researcher. Abstracts (and extracts in the case of grey literature) will be mapped against the domains of the Non-adoption, Abandonment, and challenges to Scale-up, Spread and Sustainability (NASSS) framework. Data will be presented in table format. Discussion: This review will map the current literature to identify current gaps in evidence related to the adoption of telemedicine after the declaration of the pandemic in March 2020. The use of simplified searches in the most spoken languages in the world is aimed at capturing more immediate non-academic reflections and experiences on this major service change at a global level.Systematic review registration: Study has been registered on Open Science Framework and can be accessed through the following URL: https://osf.io/4z5ut/

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Mobile primary health care clinics for Indigenous populations in Australia, Canada, New Zealand and the United States

Cited by 8 publications

References 27 publications

Mobile primary health care clinics for Indigenous populations in Australia, Canada, New Zealand and the United States: a systematic scoping review

Mobile primary health care clinics for Indigenous populations in Australia, Canada, New Zealand and the United States: a systematic scoping review

Beyond the black stump: rapid reviews of health research issues affecting regional, rural and remote Australia

Global Evidence on the Rapid Adoption of Telemedicine in Primary Care During the First Year of the COVID-19 Pandemic: a Scoping Review Protocol.

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Mobile primary health care clinics for Indigenous populations in Australia, Canada, New Zealand and the United States

Cited by 8 publications

References 27 publications

Mobile primary health care clinics for Indigenous populations in Australia, Canada, New Zealand and the United States: a systematic scoping review

Mobile primary health care clinics for Indigenous populations in Australia, Canada, New Zealand and the United States: a systematic scoping review

Beyond the black stump: rapid reviews of health research issues affecting regional, rural and remote Australia

Global Evidence on the Rapid Adoption of Telemedicine in Primary Care During the First Year of the COVID-19&nbsp;Pandemic: a Scoping Review Protocol.

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About

Global Evidence on the Rapid Adoption of Telemedicine in Primary Care During the First Year of the COVID-19 Pandemic: a Scoping Review Protocol.