Telebehavioral health delivery of clinical supervision trainings in rural Alaska: An emerging best practices model for rural practitioners.

Nelson, Danielle; Hewell, Valerie; Roberts, Larry E.; Kersey, Elizabeth; Avey, Jaedon P

doi:10.1037/h0095810

Cited by 5 publications

(8 citation statements)

References 5 publications

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“…Weather and seasonal conditions Ten articles directly addressed weather conditions that can affect individuals' ability to gain access to healthcare services by limiting safe travel for both patients and healthcare providers [15,18,19,27,[33][34][35][36][37][38]. For example, in rural Alaskan communities, "it is not uncommon for airplanes to be grounded for low visibility due to fog, high winds, horizontal rains, or low clouds" [37, p. 11].…”

Section: Distance To Urban Centresmentioning

confidence: 99%

“…Ten studies addressed ways that limited transportation options available in the Circumpolar North pose obstacles to healthcare service delivery [7,18,33,34,[37][38][39][40][41][42].…”

Section: Limited Transportation Optionsmentioning

confidence: 99%

“…Research found that infrastructure in rural areas may limit the amount of ground transportation individuals are able to utilise [7,40,41]. Some communities may face closures due to weather [33], or seasonal accessibility [37,38]. For communities that are only accessible by air or water, transportation to and from them is subject to weather and seasonal conditions described above [37].…”

Section: Limited Transportation Optionsmentioning

confidence: 99%

“…Some communities may face closures due to weather [33], or seasonal accessibility [37,38]. For communities that are only accessible by air or water, transportation to and from them is subject to weather and seasonal conditions described above [37]. For instance, a study conducted in Greenland found that the lack of roads between cities, as well as limited access by plane or ship, influenced the ability to reach perinatal healthcare services [39].…”

Section: Limited Transportation Optionsmentioning

confidence: 99%

“…The majority of articles (33 of 43) addressed barriers to healthcare delivery and access that were related to healthcare professionals specifically [6,7,[10][11][12][13][14]17,[19][20][21][22][24][25][26][27][28][29][30][33][34][35][36][37][38]40,42,[44][45][46][47][48][49]. Practitioner-related barriers included staff shortages and high staff turnover, as well as lack of training, professional knowledge, skills and clinical expertise in treating specific medical conditions and working in areas that are distant from urban centres.…”

Section: Healthcare Provider-related Barriersmentioning

confidence: 99%

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Identifying barriers to healthcare delivery and access in the Circumpolar North: important insights for health professionals

Huot

et al. 2019

International Journal of Circumpolar Health

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Lack of access to healthcare services for people living in the Circumpolar North may have important consequences for their health and well-being, both in terms of the actual treatment and other possible health-related consequences intertwined with their life situation. The aim of the present study was to identify the specific challenges to healthcare service delivery and access for populations in the Circumpolar North that are addressed in contemporary literature. A scoping review of literature published between 2005 and 2016 was conducted and 43 articles were selected for inclusion into the review. The review findings address 4 main themes identified in the literature: (1) the influence of physical geography, (2) healthcare provider-related barriers, (3) the importance of culture and language and (4) the impact of systemic factors. The review of the literature enabled us to identify existing gaps in both health service access and issues discussed in the available literature, particularly for informing healthcare services in the Circumpolar North, as well as point towards opportunities for future research. The thematic findings drawn from interdisciplinary and international literature inform understandings of the impact of health system barriers on healthcare services and the opportunities for Northern residents to support their own health.

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Section: Distance To Urban Centresmentioning

confidence: 99%

“…Ten studies addressed ways that limited transportation options available in the Circumpolar North pose obstacles to healthcare service delivery [7,18,33,34,[37][38][39][40][41][42].…”

Section: Limited Transportation Optionsmentioning

confidence: 99%