Progress made on access to rural healthcare in Canada

Wilson, C. Ruth; Rourke, James; Oandasan, Ivy; Bosco, Carmela

doi:10.4103/cjrm.cjrm_84_19

Cited by 65 publications

(76 citation statements)

References 0 publications

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“… 44 In addition, there is often limited guidance for which service should take over patient care, especially in rural to urban connections. 50 By not funding specialist support of rural colleagues, this support is inherently undervalued. As capacity stresses are universal, explicitly delineating duties of care can be a source of conflict during consultations.…”

Section: Discussionmentioning

confidence: 99%

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Rural family physician perspectives on communication with urban specialists: a qualitative study

et al. 2021

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ObjectiveCommunication is a key competency for medical education and comprehensive patient care. In rural environments, communication between rural family physicians and urban specialists is an essential pathway for clinical decision making. The aim of this study was to explore rural physicians’ perspectives on communication with urban specialists during consultations and referrals.SettingNewfoundland and Labrador, Canada.ParticipantsThis qualitative study involved semistructured, one-on-one interviews with rural family physicians (n=11) with varied career stages, geographical regions, and community sizes.ResultsFour themes specific to communication in rural practice were identified. The themes included: (1) understanding the contexts of rural care; (2) geographical isolation and patient transfer; and (3) respectful discourse; and (4) overcoming communication challenges in referrals and consultations.ConclusionsCommunication between rural family physicians and urban specialists is a critical task in providing care for rural patients. Rural physicians see value in conveying unique aspects of rural clinical practice during communication with urban specialists, including context and the complexities of patient transfers.

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Section: Discussionmentioning

confidence: 99%

“… 48 In Canada, physician groups have highlighted the need to develop and apply rural-specific evidence and interventions. 50 51 …”

Section: Discussionmentioning

confidence: 99%

Rural family physician perspectives on communication with urban specialists: a qualitative study

et al. 2021

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“…The success of the VFS program is in part due to the emphasis on peer-to-peer coaching (Cheng et al, 2017) where support is provided by experienced fellow rural and remote healthcare providers who understand the practicalities of practicing in a low-resource setting (Wilson & Oandasan, 2020). This peer-to-peer model is operationalized through the intentional engagement of the RRC clinical nurse educators who act as a bridge between the VFS team and the RRC team (Masters et al, 2017).…”

Section: Discussionmentioning

confidence: 99%

“…Prior studies have concluded that virtual SBE is non-inferior to in-person SBE and that high-quality feedback is more important than the platform through which debriefing is delivered (Ilgen, Sherbino, & Cook, 2013;Savoldelli et al, 2006;Christenson, Oestergaard, & Watterson, 2018). In Canada, the need for development of virtual simulation for distributed postgraduate medical education has been recognized by the Future of Medical Education in Canada Postgraduate Project (Bates, Frost, Schrewe, Jamieson, & Ellaway, 2011) as well as a more general need for development of distance technology by the Rural Road Map for Action (Wilson & Oandasan, 2020). In rural Australia, educators have leveraged RRC clinical educators for virtual SBE, but not specifically in the context of COVID-19 preparedness (Masters, Elliott, Boyd, & Dunbar, 2017).…”

Section: Highlightsmentioning

confidence: 99%

Use of Virtually Facilitated Simulation to Improve COVID-19 Preparedness in Rural and Remote Canada

Reece

Johnson

Simard

et al. 2021

Clinical Simulation in Nursing

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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“…This study further highlights the possibility that enhancing health delivery in rural areas may improve health outcomes. A recent report by the Rural Road Map Implementation Committee in Canada shows there are continued challenges regarding healthcare access in rural parts of Canada including di culties of attracting and retaining physicians (59).…”

Section: Discussionmentioning

confidence: 99%

Geographic Disparities in Saskatchewan Prostate Cancer Incidence and its Association with Physician Density: Analysis Using Bayesian Models.

Andkhoie

Szafron

2021

Preprint

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Background: Saskatchewan has one of the highest incidence of prostate cancer (PCa) in Canada. This study assesses if geographic factors in Saskatchewan, including location of where patients live and physician density are affecting the PCa incidence. First, the objective of this study is to estimate the PCa standardized incidence ratio (SIRs) in Saskatchewan stratified by PCa risk-level. Second, this study identifies clusters of higher than and lower than expected PCa SIRs in Saskatchewan. Lastly, this study identifies the association (if any) between family physician density and estimated PCa SIRs in Saskatchewan. Methods: First, using Global Moran’s I, Local Moran’s I, and the Kuldorff’s Spatial Scan Statistic, the study identifies clusters of PCa stratified by risk-levels. Then this study estimates the SIRs of PCa and its association with family physician density in Saskatchewan using the Besag, York, and Mollie (BYM) Bayesian method.Results: Higher than expected clusters of crude estimated SIR for metastatic PCa were identified in north-east Saskatchewan and lower than expected clusters were identified in south-east Saskatchewan. Areas in north-west Saskatchewan have lower than expected crude estimated SIRs for both intermediate-risk and low-risk PCa. Family physician density was negatively associated with SIRs of metastatic PCa (IRR: 0.935 [CrI: 0.880 to 0.998]) and SIRs of high-risk PCa (IRR: 0.927 [CrI: 0.880 to 0.975]). Conclusions: This study identifies the geographical disparities in risk-stratified PCa incidence in Saskatchewan. The study identifies areas with a lower family physician density have a higher-than-expected incidences of metastatic and high-risk PCa. Hence policies to increase the number of physicians should ensure an equitable geographic distribution of primary care physicians to support early detection of diseases, including PCa.

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Progress made on access to rural healthcare in Canada

Cited by 65 publications

References 0 publications

Rural family physician perspectives on communication with urban specialists: a qualitative study

Rural family physician perspectives on communication with urban specialists: a qualitative study

Use of Virtually Facilitated Simulation to Improve COVID-19 Preparedness in Rural and Remote Canada

Geographic Disparities in Saskatchewan Prostate Cancer Incidence and its Association with Physician Density: Analysis Using Bayesian Models.

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