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Rural Healthcare was the first textbook of rural medicine in the UK. In this fully revised second edition, it continues to fulfil the requirement for a resource dedicated to the particular needs of those living and practising in rural areas. Offering an authoritative, informative, evidence-based, practical reference book, it is required reading for undergraduate and postgraduate students of rural healthcare, a foundation for rural healthcare curriculae and an inspirational read.

It is invaluable for both intending and established rural primary healthcare workers, including general practitioners, nurses, midwives, paramedics, therapists, managers and administrators.

Arvustused

Policy makers may be preoccupied with metropolitan issues but the authors of this book remind us that for so many of the challenges facing general practice - keeping care personal, meeting the needs of local communities, addressing inequalities, fair distribution of resources - the answers lie in rural practices. This is a book for all clinicians, all managers and all system leaders.

Martin Marshall, Chair, Royal College of General Practitioners

Whilst remote and rural medicine might sound idyllic, both doctors and patients can face real and often unexpected challenges. The authors of this immensely impressive guide to rural medicine know the role intimately, and offer real wisdom, support, insight and encouragement. I only wish that this book had been around at the start of my career as a rural GP.

Sir David Haslam CBE FRCGP FRCP FFPH, Past President, Royal College of General Practitioners; Past President, British Medical Association; Past Chair, NICE

This pioneering and comprehensive textbook is essential reading for any generalist or ruralist healthcare practitioner who is practising, or considering to practice, in challenging rural environments where limited medical, socio-economic and cultural resources confound clinical decision making. Multi-pathology and biopsychosocial factors are covered in the context of isolation, inaccessibility and interdependence for clinician, patient and community. Very clearly set out to help you prepare to practice as a generalist and ruralist working in a wide geographic setting with a diverse sociological cohort which requires decisive risk mitigation combined with confident decision making where you may only have your own knowledge, experience, instinct and this textbook to survive.

Rikard Moen, Chair, Faculty of Remote, Rural and Humanitarian Healthcare, Royal College of Surgeons of Edinburgh

Rural Healthcare, which includes the clinical manifestations of pathologies specific to rural communities, is detailed but easy to read. It is essential reading for students of all disciplines who need to understand remote and rural healthcare.

Natasha Singh, Chair of GP Society, University of Central Lancashire

List of figures
viii
List of tables
ix
List of boxes
x
Foreword xi
List of contributors
xiii
Acknowledgements xvi
1 Introduction
1(5)
Jim Cox
Christopher E. Clark
Tim Sanders
2 What Is Rurality?
6(42)
2.1 Scotland
8(16)
Charlie Siderfin
2.2 Republic of Ireland
24(3)
Liam Glynn
2.3 Northern Ireland
27(3)
Miriam Dolan
2.4 Wales
30(4)
Mel Plant
2.5 England
34(14)
Tim Sanders
3 Role of the Generalist
48(13)
Christopher E. Clark
Amanda Howe
4 Rural Diseases
61(32)
Tim Sanders
5 Rural Mental Health
93(6)
Andrew Brittlebank
6 Animal Diseases
99(15)
Neil Frame
7 Teamwork
114(11)
Martin Woodham
8 Remote Healthcare
125(6)
Sean Hudson
Natalie Taylor
9 Emergencies
131(7)
Nick Wright
10 Rural Pharmacy and Dispensing
138(13)
Christopher E. Clark
Rosina Cross
Sinead Tj Mcdonagh
11 Rural Maternity Care and Family Support
151(12)
Jaki Lambert
Helen Cheyne
12 Rural Nursing
163(8)
Tim Sanders
Margaret Nelson
Ruth Blundell
13 Safeguarding
171(13)
Venetia Young
14 Technology
184(16)
Helen Atherton
Dan Lasserson
15 Public Health
200(15)
Stephen Singleton
16 Rural Social Exclusion
215(15)
Jim Cox
17 Research
230(17)
Christopher E. Clark
Index 247
Jim Cox OBE DL MD FRCP Edin FRCGP MICGP is a retired rural GP, Cumbria, UK.

Christopher E. Clark PhD FRCP FRCGP is Clinical Senior Lecturer in General Practice, University of Exeter, UK.

Tim Sanders MRCGP is Clinical Lecturer in Rural Medicine, University of Central Lancashire, UK.