Regular doctor, changing doctor, no doctor: does it make a difference to rural residents?

Mathews, Maria; Park, Amanda D.

doi:10.22605/rrh674

Cited by 7 publications

(6 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The review also revealed that a vast majority of the studies have a singular focus on educational interventions situated to influence physician disposition in rural or remote areas, with less consideration for underserved communities in urban areas. Future program evaluations should consider designing curricula and medical education initiatives that expose learners to working in underserved urban communities as populations with certain ethnic, cultural and/or socioeconomic backgrounds residing in urban locations experience challenges with accessing primary care [12][13][14][15][16][17][18]20].…”

Section: Discussionmentioning

confidence: 99%

“…These disparities are even more pronounced amongst vulnerable and minority populations, including Indigenous and Francophone populations [10,11]. Challenges of accessing primary care are also experienced in urban areas by individuals who are unhoused [12], recent immigrants [13][14][15] from certain ethnic or racial backgrounds [14,16,17], with low socioeconomic status [13][14][15]18], individuals who are uninsured [19] and/or without full-time employment [14,20].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Medical education interventions influencing physician distribution into underserved communities: a scoping review

et al. 2022

View full text Add to dashboard Cite

Background and objective Physician maldistribution is a global problem that hinders patients’ abilities to access healthcare services. Medical education presents an opportunity to influence physicians towards meeting the healthcare needs of underserved communities when establishing their practice. Understanding the impact of educational interventions designed to offset physician maldistribution is crucial to informing health human resource strategies aimed at ensuring that the disposition of the physician workforce best serves the diverse needs of all patients and communities. Methods A scoping review was conducted using a six-stage framework to help map current evidence on educational interventions designed to influence physicians’ decisions or intention to establish practice in underserved areas. A search strategy was developed and used to conduct database searches. Data were synthesized according to the types of interventions and the location in the medical education professional development trajectory, that influence physician intention or decision for rural and underserved practice locations. Results There were 130 articles included in the review, categorized according to four categories: preferential admissions criteria, undergraduate training in underserved areas, postgraduate training in underserved areas, and financial incentives. A fifth category was constructed to reflect initiatives comprised of various combinations of these four interventions. Most studies demonstrated a positive impact on practice location, suggesting that selecting students from underserved or rural areas, requiring them to attend rural campuses, and/or participate in rural clerkships or rotations are influential in distributing physicians in underserved or rural locations. However, these studies may be confounded by various factors including rural origin, pre-existing interest in rural practice, and lifestyle. Articles also had various limitations including self-selection bias, and a lack of standard definition for underservedness. Conclusions Various educational interventions can influence physician practice location: preferential admissions criteria, rural experiences during undergraduate and postgraduate medical training, and financial incentives. Educators and policymakers should consider the social identity, preferences, and motivations of aspiring physicians as they have considerable impact on the effectiveness of education initiatives designed to influence physician distribution in underserved locations.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Medical education interventions influencing physician distribution into underserved communities: a scoping review

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Individuals living with chronic diseases in Newfoundland and Labrador access health care services primarily through family physicians (Government of Newfoundland and Labrador, 2002). However, high rates of family physician turnover have created a barrier to access and lack of continuity of care for many individuals in the province, particularly in rural areas (Mathews, Edwards, & Rourke, 2008;Mathews & Park, 2007). In response to the prevalence and burden of chronic diseases, the Government of Newfoundland and Labrador (2011) published a policy framework aimed at preventing and managing chronic diseases in the province.…”

Section: Background and Purposementioning

confidence: 99%

Nursing Within Primary Care Settings in Atlantic Canada: A Scoping Review

Curnew

Lukewich

2018

Sage Open

View full text Add to dashboard Cite

To address the prevalence of chronic diseases in Newfoundland and Labrador, the province has committed to primary health care reform, including implementing interdisciplinary primary care (PC) teams. To inform discussions regarding integrating nurse practitioners (NPs), registered nurses (RNs), and licensed practical nurses (LPNs) into these teams, better understanding of their roles in PC is needed. A scoping review was conducted to examine and synthesize existing evidence related to nursing roles and resources in PC settings across Atlantic Canada (Newfoundland and Labrador, New Brunswick, Nova Scotia, Prince Edward Island), and associated contributions to patient care. Joanna Briggs Institute scoping review methodology was used. The Nursing Role Effectiveness Model guided the review. Twenty articles met inclusion criteria. Roles of RNs and NPs in PC included chronic disease management, education, and health promotion. No literature focused on LPNs. Interdisciplinary collaboration was evident across studies. However, nurses' functions within teams were limited by institutional constraints and other providers. PC settings with nurses had positive clinical outcomes, improved access to services, and high patient satisfaction. The prevalence of nursing in PC throughout Atlantic Canada and how nurses' roles are enacted is unclear. There is opportunity for future inquiry into specific attributes of nursing and PC teams that result in positive patient and system outcomes.

show abstract

“…Approximately 20% of the Canadian population resides in rural areas, but only 9.3% of physicians work rurally [ 9 ]. According to the Chauhan et al [ 10 ] study, one in seven rural physicians plans to leave practice in rural areas within the next two years.…”

Section: Introductionmentioning

confidence: 99%

Virtual Healthcare in Rural and Remote Settings: A Qualitative Study of Canadian Rural Family Physicians’ Experiences during the COVID-19 Pandemic

Anaraki

Mukhopadhyay

Wilson

et al. 2022

IJERPH

View full text Add to dashboard Cite

Objective: This paper aims to explore the experiences of rural family physicians using virtual healthcare in their clinical practice during the COVID-19 pandemic in Canada. Design: A community-based participatory approach. Setting: Rural and remote communities in Canada. Participants: Eleven rural family physicians with at least one year of clinical experience. Results: The data illustrate significant issues associated with virtual healthcare in rural healthcare. The adoption of virtual healthcare has been expressed to pose a harsh polarity; the benefit conferred to rural family physicians with the opportunity to have flexible working hours and work at home while interacting with family members is starkly contrasted with the struggles of insufficient financial support to facilitate setting up virtual healthcare for rural physicians, unreliable technological infrastructure, and inadequate technological resources, which are all exacerbated by the lack of adequate health literacy in rural communities. Results were compiled into five major categories underpinning the lived experiences of rural family physicians: 1—Potential trade-off between convenience and quality of care; 2—work–family boundaries; 3—patient-doctor communication; 4—technology as barrier or enabler; 5—increased call duration. Conclusion: The differing trends assessed in the findings illustrate the complications faced in providing virtual healthcare, which resonates with the experiences and views of rural physicians. The findings of this study may guide the development of tailored technologies that adjust for the complexity of administering virtual healthcare in rural communities.

show abstract

Regular doctor, changing doctor, no doctor: does it make a difference to rural residents?

Cited by 7 publications

References 5 publications

Medical education interventions influencing physician distribution into underserved communities: a scoping review

Medical education interventions influencing physician distribution into underserved communities: a scoping review

Nursing Within Primary Care Settings in Atlantic Canada: A Scoping Review

Virtual Healthcare in Rural and Remote Settings: A Qualitative Study of Canadian Rural Family Physicians’ Experiences during the COVID-19 Pandemic

Contact Info

Product

Resources

About