Instead of asking how to fix the rural GP shortage, we should look at the bigger picture and ask how nurse practitioners could work to their full capacity.
Common approaches used to encourage internationally educated health-care professionals to work in smaller communities often focus primarily on attraction, but do not address the reasons why they tend to leave.
(Shutterstock)
Small communities struggle to retain needed internationally educated health-care professionals. Challenges will persist until the compounding effects of social and professional isolation are addressed.
Sean Blocksidge/PR Handout/WA Dept Fire and Emergency Services/AAP Image
Inuit living in their traditional territory must travel long distances — often with no personal support — for specialized health-care services like cancer care, obstetrics and dialysis.
Kat Becker’s Wisconsin farm shows some of the challenges facing young farm families.
Kat Becker
Poor indoor air on tribal lands can cause a range of respiratory illnesses, including viral infections. Here’s how people are fixing the problem while preserving traditional ways.
Residents of the remote town of Norris Point launched their own meals-on-wheels program to help the community cope with the COVID-19 pandemic.
Roza Tchoukaleyska
Bennett Doughty, Binghamton University, State University of New York and Pamela Stewart Fahs, Binghamton University, State University of New York
The vaccines’ cold storage requirements and shipment rules put small, rural communities at a disadvantage, but that’s only part of a long-running challenge.
Small rural hospitals across the country are struggling to find enough space, staff and supplies.
AP Photo/Charlie Riedel
Hospitals are losing staff to quarantines as rural COVID-19 cases rise, and administrators fear flu season will make it worse. And then there’s the politics.
For rural people, these stresses are cumulative and contribute to higher levels of trauma, mental ill-health and in some cases, suicidal behaviour.
Business restrictions early in the pandemic, when rural towns had few cases, triggered a backlash that haunts them now.
Johannes Eisele/AFP/Getty Images
Lauren Hughes, University of Colorado Anschutz Medical Campus and Roberto Silva, University of Colorado Denver
Coronavirus cases have risen sharply across the Mountain West, Midwest and plains. Over 70% of nonmetropolitan counties are now “red zones,” suggesting viral spread is out of control.
Rural health providers have had to adapt to the pandemic by providing services in locations like school gyms and community centers.
Spencer Platt/Getty Images
Mobile health service providers should empower their personnel through the provision of periodic training on good customer relations.
Workers wait to enter a Tyson Foods pork processing plant in Logansport, Indiana. The plant had been closed after nearly 900 employees tested positive for the coronavirus.
AP Photo/Michael Conroy
Being able to identify communities that are susceptible to the pandemic ahead of time would allow officials to target public health interventions to slow the spread of the infection and avoid deaths.
A housing crisis combined with inadequate access to health care in many communities makes Canada’s North vulnerable to COVID-19.
(Julia Christensen)
Despite chronic housing need and persistent health and infrastructural inequities, northern communities are turning to the land and each other to prevent the spread of COVID-19.
Drug-related deaths in rural areas rose by 41% since 2008.
Shuang Li/Shutterstock
Many rural communities have experienced economic decline in recent years and have poorer access to drug treatment services. This increases the risk of drug use and overdoses.
Australian women can have an early medical termination – which involves taking two oral medications – up to the ninth week of pregnancy.
Jonatán Becerra/Unsplash
Reader in Population and Public Health, MRC/Wits Rural Public Health and Health Transitions Research Unit, School of Public Health, University of the Witwatersrand