Development Of Rural Health Care Research Articles

MODERN ISSUES OF RURAL HEALTH CARE

Introduction. The study of health problems requires the development of rural health care in conditions of increasing morbidity, global pandemic, sanction restrictions and poor life quality of the rural population. These problems influence the sustainability of rural development. This article considers healthcare problems from the point of view of a systematic approach. We aim to study rural health problems in Russia and in the Stavropol Territory and to develop recommendations for the elimination of rural health problems, focused primarily on solving the problems of personnel and logistical support. Methodology. Methods of logical and statistical analysis, SWOT analysis and expert assessments were used in studying health problems. Results. 13 priority areas for the development of rural healthcare in the medium term have been identified. Conclusions. The conducted research showed many problems in the health care of rural areas, including systemic ones that require prompt solutions. It is concluded that promising areas for the development of rural healthcare should be: solving the problems of staffing by stimulating medical personnel, changing approaches to the education of medical personnel and their distribution, solving organizational issues on the organization of medical care and drug provision in rural areas, increasing the financial provision of rural healthcare within the framework of the Rural Medicine subprogram, structural transformation of medical organizations in rural areas, development of telemedicine.

УСЛОВИЯ РАЗВИТИЯ ИНФРАСТРУКТУРЫ ПОТЕНЦИАЛА ЗДОРОВЬЯ НА СОЦИАЛЬНО-ЭКОНОМИЧЕСКОЕ РАЗВИТИЕ СЕЛЬСКИХ ТЕРРИТОРИЙ

The purpose of the article is to analyze the introduction of rural health care facilities in the social infrastructure of rural areas as an important condition for comprehensive development. The article presents materials of theoretical and empirical studies of state measures to support the development of social infrastructure in rural areas in the field of building the health potential of the rural population based on data from the program «Sustainable development of rural areas for 2014-2017 and for the period until 2020», reports on the implementation of the federal target programs and the Ministry of Health of Russia. The study presents an analysis of the state and commissioning of healthcare facilities in the countryside from 2010 to 2019. The dynamics of the number of hospital institutions in the countryside is analyzed according to the statistics of the Ministry of Agriculture of Russia, their total input for the constituent entities of the Russian Federation from 1991 to 2020 (cartogram). The dynamics of the number of outpatient polyclinic institutions (units and thousands per shift), the introduction of outpatient polyclinic institutions, visits per shift, as well as a cartogram for the constituent entities of the Russian Federation of the number and commissioning of outpatient polyclinic institutions serving rural residents are presented. The statistics of the number and commissioning of paramedic stations serving rural residents from 2004 to 2020 are considered. The main institutions for the development of rural health care after 2020 are considered. Two important blocks of state support for rural health care are considered: equipping rural settlements with high-quality medical care and the formation of medical personnel for work in rural areas, their problems are highlighted. The practical significance of the results obtained lies in the possibi- lity of using the analysis data for the construction of strategic documents for the development of rural health care.

The problems and perspectives of development of rural health care

The changes in social and economic life that took place in Russia during last decades resulted in significant reduction in agricultural production, deterioration of life of rural population, limitation of accessibility and decreasing of quality of medical care that negatively impacted health of rural residents. The results of research studies testify low level of rural population health, which by many indices is worse as compared with urban population. The persistent tendency of its deterioration is established. These processes occur against the background of implementation of the Federal target program "The sustainable development of rural areas in 2014-2017 and until 2020" which is a logical continuation of the program "The social development of rural areas until 2013". The programs determine main directions of regulating integrated development of rural areas including such an integrated section as development of rural health care. The study was targeted present proposals concerning reformation and prospects of development of rural health care on the basis of analysis of key indices of medical organizations functioning, supporting rural population, with consideration of morbidity and accessibility of medical care to rural areas residents.

Moving mountains with mobiles: Spatiotemporal perspectives on mHealth in Nepal

Community healthcare workers (CHW) are an important component of rural healthcare service delivery to remote rural communities in developing countries. The field of mHealth proposes that mobile technologies will have a beneficial impact on rural healthcare development. Current analyses advance the proposition that the utilization of mobile technologies leads to the shifting of space and time (Ling & Campbell, 2009). The current research examined the potential for a sustainable mHealth system for CHW in Achham, Nepal. The community aspect of mobile usage was overlaid with a spatio-temporal lens to examine the information and communication needs and practices of stakeholders within the healthcare infrastructure. Fieldwork was conducted in conjunction with Nyaya Health, at the Bayalpata Hospital, in Accham, Nepal. Qualitative research methods, focus group discussions, and in-depth interviews included 57 respondents. The findings revealed that limited relevance and information-sharing, limited access due to individual ownership and low income, and ineffective training programs were key barriers to the delivery of rural healthcare services. The spatio-temporal perspective, particularly community communicative practices, revealed technological mHealth design solutions to alleviate the problems identified. The potential shifts in power relationships by using mobile technologies and hybrid fixed wireless technologies provide opportunities for further theoretical investigation.

From the patient's viewpoint: The value of studying micro‐level support systems in the development of rural health care

From the patient's viewpoint: The value of studying micro‐level support systems in the development of rural health care

Development of rural health care in the TASSR

The Soviet people are persistently implementing the majestic plans of communist construction, adopted at the 26th Congress of the CPSU. The working people of our republic are doing everything possible for the successful implementation of the national economic plans for the 11th five-year plan. This year, the upcoming celebration of the 60th anniversary of the founding of the USSR is causing a special labor and political upsurge. Soviet people are meeting this significant event with new achievements in work and in all spheres of social life, carrying out the decisions of the 26th Congress.

A Legal Guide for Rural Health Programs. By G David. J.D. Warren (Cambridge, Massachusetts: The Rural Health Care Development Series, Ballinger Publishing Co., 1979) 197 pp., $15.00 (cloth), $5.95 (paper).

A Legal Guide for Rural Health Programs. By G David. J.D. Warren (Cambridge, Massachusetts: The Rural Health Care Development Series, Ballinger Publishing Co., 1979) 197 pp., $15.00 (cloth), $5.95 (paper).