Rebecca J Evans

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BACKGROUND Many women see their general practitioner for 'well woman' checks, which often include Pap tests and a pelvic examination. A recent review of the evidence revealed pelvic examination in asymptomatic women is not a valid screening test, particularly with regard to ovarian cancer screening. METHOD This project explored the attitudes of GPs(More)
OBJECTIVE To describe the use of telemedicine in cancer care (teleoncology model of care) for rural patients in North Queensland. DESIGN This is a descriptive study. Data on demographical and clinical factors were retrieved from the teleoncology database of Townsville Hospital and review of medical records for the period between May 2007 and May 2011. (More)
BACKGROUND Well woman health checks are offered in general practice and may include breast examination. METHODS The authors explored the attitudes of general practitioners toward clinical breast examination as a screening test in asymptomatic women. Twenty-seven GPs were interviewed about their current practice and opinions of the value, advantages and(More)
Shared decision making (SDM) is a process within a patient centred consultation that involves both the patient and doctor discussing management options and agreeing on management decisions in partnership. Decision aids are designed to help patients understand the options relating to management for certain conditions and their possible benefits and potential(More)
INTRODUCTION A substantial proportion of health services for rural Australians is provided in rural health facilities by rurally based generalist health professionals. These services include procedural care within smaller rural hospitals, where teams of health professionals--medical practitioners, nurses and other support staff--work in teams to deliver a(More)
We explored the experiences of patients using the Townsville Tele-oncology clinic, where most patients are no longer seen face-to-face. All medical oncology patients who received services via telehealth at the Townsville Cancer Centre in 2012 were invited to participate in an interview. None refused. Thirty two patients were interviewed by telephone and(More)
BACKGROUND This study explores the factors influencing students to seek medical help, and student perceptions in relation to student-doctor interactions with implications for health help-seeking behaviours. METHOD Students were interviewed across year groups. The interviews were audiotaped, transcribed and qualitatively analysed. RESULTS We interviewed(More)
INTRODUCTION While rural Australians receive much of their procedural medical care from local health professionals in local hospitals, the current workforce shortages, rural economic decline and poor rural health care status all pose challenges to the quality of care they receive. Rural doctors struggle to receive appropriate procedural skills training,(More)
OBJECTIVE To explore rural residents' experiences of access to maternity care with consideration of the policy context. DESIGN This paper describes findings from focus groups with parents which formed part of case study data from a larger study. SETTING Four north Queensland rural towns. PARTICIPANTS Thirty-three parents living in one of the four(More)
BACKGROUND Current evidence suggests that doctors do not always involve patients in decisions; this may be due to lack of training. This study explores the feasibility of using web based decision aids (DAs) to improve the skills of general practice registrars in sharing decisions with patients. METHOD Interviews were conducted with registrars to explore(More)