589 resultados para Australia -- Emigration and immigration


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At head of title: Virginia Department of agriculture and immigration ...

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G. W. Koiner, commissioner.

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Maps and atlases are found with the issue numbers.

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Description based on: 2nd (1902).

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The report comprises: General report, containing Annual report of the Commissioner of Labor, 1st-14th, Mar. 6, 1901-June 1914; Annual report of the Free Employment Bureau, 6th-11th, 1901-1905/06; Annual report of the Bureau of Mediation and Arbitration, 15th- 1901-1910/11; Annual report of the Bureau of Factory Inspection, 16th- 1900/01-1910/11; Annual report of the Bureau of Labor Statistics, 19th- 1900/01-1911/12; Annual report of the Bureau of Mercantile Inspection, [1st]- 1908/09-1910/11; Annual report of the Bureau of Industries and Immigration, 1st-2nd, 1910/11-1911/12

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Bureau established by law of 1895.

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Objective: To identify factors influencing the prescribing of medicines by general practitioners in rural and remote Australia. Design: A qualitative study using a questionnaire to determine attitudes about prescribing, specific prescribing habits and comments on prescribing in ‘rural practice’. Setting: General practice in rural and remote Queensland. Subjects: General practitioners practising in rural and remote settings in Queensland (n = 258). Main outcome measures: The factors perceived to influence the prescribing of medicines by medical practitioners in rural environments. Results: A 58% response rate (n = 142) was achieved. Most respondents agreed that they prescribe differently in rural compared with city practice. The majority of respondents agreed that their prescribing was influenced by practice location, isolation of patient home location, limited diagnostic testing and increased drug monitoring. Location issues and other issues were more likely to be identified as ‘influential’ by the more isolated practitioners. Factors such as access to continuing medical education and specialists were confirmed as having an influence on prescribing. The prescribing of recently marketed drugs was more likely by doctors practising in less remote rural areas. Conclusion: Practising in rural and remote locations is perceived to have an effect on prescribing. These influences need to be considered when developing quality use of medicines policies and initiatives for these locations. What is already known: Anecdotal and audit based studies have shown that rural general practice differs to urban-based practice in Australia, including some limited data showing some variations in prescribing patterns. No substantiated explanations for these variations have been offered. It is known that interventions to change prescribing behaviour are more likely to be effective if they are perceived as relevant and hence increasing our knowledge of rural doctors’ perceptions of differences in rural practice prescribing is required. What this study adds: Rural doctors believed that they prescribe differently in rural compared with city practice and they described a range of influences. The more remotely located doctors were more likely to report the ‘rural’ influences on prescribing, however, most results failed to reach statistical significance when compared to the less remotely located doctors. These perceptions should be considered when developing medicines policy and education for rural medical practitioners to ensure it is perceived rurally relevant.