This study has revealed that almost one quarter of all women residing in rural South Australia relocate to another area to give birth. This is a significant concern for rural women and their families through the expectation of separation, and for the local health services who might now not have the facilities and skills to manage an unplanned maternity presentation. These concerns need to be considered and addressed in order to provide safe and effective care for child-bearing women regardless of location.

Objective: The authors aim to demonstrate that the current drive-through testing model at one health district was improved in certain parameters compared to a previous testing protocol, and also aim to provide the methodology of the current model for other COVID-19 testing sites to potentially emulate. Methods: Initially, a small drive-through site was constructed at a converted tuberculosis clinic, but due to an increase in testing needs, an expanded point of screening and testing (POST) system was developed in an event center parking lot to administer tests to a higher volume of patients. Results: An average of 51.1 patients were tested each day (2.0 tests per personnel in PPE per hour) at the initial tuberculosis clinic drive-through site, which increased to 217.8 patients tested each day (5.9 tests per personnel in PPE per hour) with the new drive-through POST system (p<0.001). Mean testing time was 3.4 minutes and the total time on site averaged 14.4 minutes. Conclusions: This POST drive-through testing system serves as an efficient, safe, and adaptable model for high volume COVID-19 nasopharyngeal swabbing that the authors recommend other COVID-19 testing sites nationwide consider adopting for their own use.

Since the Griffiths Report (1988), the profile of community care has risen. At the same time, economic constraints imposed on the health care system have led to increased pressure on acute hospital beds. This has had an effect on the nature of the occupational therapy service. At the Royal Infirmary of Edinburgh NHS Trust, a move has been taken to address this challenge by setting up an occupational therapy service in the Acute Medical Admission Unit (AMAU). This article examines the role of occupational therapy in this setting and provides details of a 6-month audit. It was identified that occupational therapy in this area enabled people to be discharged home successfully within a 48-hour period and, as a result of the early screening in the AMAU, the assessment of patients in the medical services began on average 3 days earlier.

Background: The Six Building Blocks Program is an evidence-based approach to primary care redesign for opioid management among patients with chronic pain. This analysis assesses the impact of implementing the Six Building Blocks on the work-life of primary care providers and staff. Methods: Six rural and rural-serving primary care organizations with 20 clinic locations implemented the Six Building Blocks with support from a practice facilitator, clinical experts, and an informatics specialist. After 15 months of support, interviews and focus groups were conducted with staff and clinicians in each organization to stimulate reflection on the process and outcomes of implementing the Six Building Blocks Program. Transcripts of interviews and focus groups were coded and analyzed using template analysis. Once a set of themes was agreed on, the primary qualitative analyst revisited the source data to confirm that they accurately reflected the data. Results: Overall, implementing the Six Building Blocks improved provider and staff work-life experience. Reported improvements to work-life included increased confidence and comfort in care provided to patients with long-term opioid therapy, increased collaboration among clinicians and staff, improved ability to respond to external administrative requests, improved relationships with patients using longterm opioid therapy, and an overall decrease in stress. Conclusions: Clinicians and staff reported improvement in their work-life after implementing the Six Building Blocks Program to improve opioid medication management. Further research is needed on patient experiences specific to practice redesign programs.

The resulting conceptual model of weight management in OWO AAFs provides a framework for research interventions applicable in a variety of settings.