The Australian journal of rural health
-
Aust J Rural Health · Apr 2012
Randomized Controlled Trial Multicenter StudyDo clinical pathways enhance access to evidence-based acute myocardial infarction treatment in rural emergency departments?
The objective of this study is to measure the impact of a five-step implementation process for an acute myocardial infarction (AMI) clinical pathway (CPW) on thrombolytic administration in rural emergency departments. ⋯ The lack of impact of the implementation process for a chest pain CPW on thrombolytic delivery or time to electrocardiogram in these rural hospitals can be explained by a ceiling effect in outcome measures but was also compromised by the small sample. Results suggest that quality of AMI treatment in rural emergency departments (EDs) is high and does not contribute to the worse mortality rate reported for AMIs in rural areas.
-
Aust J Rural Health · Aug 2009
Randomized Controlled TrialApproach to treatment of mental illness and substance dependence in remote Indigenous communities: results of a mixed methods study.
To develop and evaluate a culturally adapted brief intervention for Indigenous people with chronic mental illness. ⋯ These results suggest that MCP is an effective treatment for Indigenous people with mental illness and provide insight into the experience of mental illness in remote communities.