Providing Rehabilitative Services in Rural Communities: Report of a Conference

Jones, Harold P.; Brand, Marcia K.

doi:10.1111/j.1748-0361.1995.tb00405.x

Cited by 6 publications

(3 citation statements)

References 2 publications

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“…Furthermore, many of the nonmusculoskeletal physiatrists practice in urban‐based academic medical centers and do not interact as much with community‐based physicians and therapists. As a result, patients who live in remote rural areas have difficulty accessing this specialty care [7].…”

Section: Introductionmentioning

confidence: 99%

Clinical Telerehabilitation: Applications for Physiatrists

Gregory

Alexander

Satinsky

2011

PM&R

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Telemedicine offers an innovative approach to increase access to rehabilitation medicine services for patients who live in areas where physiatrists are scarce or absent. This article reviews the current status of telerehabilitation services delivered through real-time videoconferencing to provide support, assessment, and interventions to individuals with impairments or disabilities. A literature review demonstrates various uses of telerehabilitation by physical therapists, occupational therapists, speech and language pathologists, audiologists, recreational therapists, neuropsychologists, nurses, other physician specialists, and physiatrists. We also provide more in-depth examples of 2 current programs that involve physiatrists: One furnishes telerehabilitation services to adult stroke survivors, and the other addresses the special health care needs of children with developmental disabilities. We discuss the benefits of using telemedicine via real-time videoconferencing to care for individuals with disabilities, outline the challenges of successfully implementing a physiatric telerehabilitation program, and finish with a list of potential applications for physiatrists interested in incorporating telemedicine into their practice. Further investigation of the use of telehealth technologies to deliver physiatric services, care coordination, and education is needed. We recommend that our professional societies develop and publish guidelines to facilitate development and use of telerehabilitation technologies to increase access to physiatric services.

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Section: Introductionmentioning

confidence: 99%

Clinical Telerehabilitation: Applications for Physiatrists

Gregory

Alexander

Satinsky

2011

PM&R

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“…23,24 Shortages of rural health care practitioners may also be a factor in delaying care. 25 A rural-urban contrast is seldom made with regard to pain. There is limited evidence that rural residential settings are associated with a higher prevalence of arthritis and associated pain than urban settings.…”

Section: Prevalence Of Visitsmentioning

confidence: 99%

Orofacial Pain: Patient Satisfaction and Delay of Urgent Care

2005

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“…Several pockets of particular need exist. The rural population is aging faster than the population in general (Jones & Brand, 1995), which results in increased need, especially for restorative and rehabilitative dentistry. The geriatric population has a unique subset of dental needs stratified most succinctly by age.…”

Section: Dental Needmentioning

confidence: 99%

Rural dentistry.

Friedrichsen¹,

Stamm²

2003

Rural Behavioral Health Care: An Interdisciplinary Guide.

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Of all health professionals, dentists have the most opportunity to provide services in a rural location independently of other health care services. The dental workforce is not as diverse as those of other health professions, and thus it can be relatively more available in rural locations. In this chapter, we review dental needs, including problems amenable to collaboration with behavioral health such as dental fear, as well as dental disease and special populations, such as patients infected with the human immunodeficiency virus (HIV). This chapter also addresses the availability of dental services in rural areas, considers sociodemographic and access issues, and reviews the crossover literature. The chapter concludes with recommendations for training and collaboration between dentistry and mental health.Dentistry and mental or behavioral health have points of potential interaction. These points are diverse and range from addressing dental fears and phobias to helping dental professionals deal with personal crises of stress and isolation. Between those extremes lie multiple areas of interaction. Examples of areas of interaction include designing appropriate and effective patient compliance measures, tobacco cessation counseling, dealing with traumatic stress disorders, and helping patients cope with the chronic pain response seen in temporomandibular disorders (TMD). Dentists can also benefit from additional skills in recognizing the role that depressive disorders can play in dental care behaviors and in employing effective education and communication techniques for working with both dental staff and patients. An increasing area of interaction involves assessment of patient competence. Patient competence is a necessary aspect of understanding dental procedures and of providing informed consent.Nearly all of these areas of potential interaction between the behavioral and dental sciences are present and, in some cases, magnified in rural areas. In all locations, particularly rural locations, the potential interaction between dental personnel and mental health professionals is rarely more than a dormant potential. There is room for significant development of professional interactions in the training of both types of professionals and in fostering practical interactions in the practice of their respective fields.One of the most germane areas of latent interaction involves dental fears. Nearly all people experience some degree of reluctance with regard to dental

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Providing Rehabilitative Services in Rural Communities: Report of a Conference

Cited by 6 publications

References 2 publications

Clinical Telerehabilitation: Applications for Physiatrists

Clinical Telerehabilitation: Applications for Physiatrists

Orofacial Pain: Patient Satisfaction and Delay of Urgent Care

Rural dentistry.

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