AJRH Volume 21, Issue 4, August 2013

Monday, 19 August 2013

The August edition of the Australian Journal of Rural Health (AJRH) is now available on line.

A new study of women’s care in maternity services has revealed a major lack of maternity services in rural areas of Tasmania. With information drawn from six rural communities in the State, the study has concluded that the lack of rural maternity services shifts costs and risks away from the health care system and onto rural women and their families. The authors, Ha Hoang and Quynh Le, recommend that basic antenatal and postnatal services, and high quality hospital care, should be provided for women in their local communities. The findings from the study are published in the August edition of the AJRH.

Also in this edition, Kasia Bail reports that care for people with dementia in rural areas is constrained by the physical design of hospitals built for acute illness and injury. Additionally there is limited access to specialist aged care services for diagnosis and management. The report highlights the creativity of rural clinicians using available resources and concludes that support is warranted for creative local solutions in delivering quality care for people with dementia.

Many Aboriginal and Torres Strait Islander people take multiple medicines and often find managing their medicines difficult and worrying, yet very little research has been conducted into their perceptions, experience and understanding of medicines. This situation led Lindy Swain and Lesley Barclay to explore Aboriginal people’s views on medication use. Their conclusions are reported in the August AJRH and include the need for more comprehensive information to be provided, for culturally appropriate and jargon-free written resources about medicines, and for empowerment about medicine choices.

A study by Julie Depczynski, Emily Herde, Lyn Fragar and Tony Lower, reinforces the awareness that many farms do not provide a secure safe area in which young children can play. Data from studies on swimming pool fences provide compelling evidence that having a securely fenced house yard or safe play area will reduce injury risks to young children on farms and rural properties.

Other original research in this issue focuses on thrombolysis use in stroke by rural clinicians and job stress and burnout among urban and rural hospital physicians in Japan. There are short reports on eating disorder clients in rural areas and on perceptions of body satisfaction among rural adolescents.

In the editorial, David Perkins considers some likely impacts of the new National Primary Health Care Strategic Framework on primary health care in rural Australia.

Intending authors can submit papers on line at http://mc.manuscriptcentral.com/ajrh

Visit the AJRH page in the Wiley online library.

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