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Canadian Journal of Anesthesia/Journal canadien d'anesthésie

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13.10.2022 | Editorials

No community left behind: advancing rural anesthesia, surgery, and obstetric care in Canada

verfasst von: Jason A. McVicar, MD, Beverley A. Orser, MD, C. Ruth Wilson, MD

Erschienen in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie | Ausgabe 12/2022

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Excerpt

Since the first consensus statement on networks for high-quality surgery and obstetric care in rural Canada was released in 2001, the demographic schism between the size of the rural population and the physician workforce has grown.¹ Currently, approximately 18% of Canadians live in rural regions, whereas only 8% of the country’s physicians work in these areas.² Poor workforce planning has contributed to a scarcity of “closer to home” medical care and has created barriers to diagnostic services and treatments. Such shortages have contributed to poorer health outcomes for rural Canadians, with disproportionate effects on First Nations, Inuit, and Métis peoples.^3‐6 …

Statistics Canada. Proportion of the population living in rural areas, Canada 1851-2011, 2015. Available from URL: https://www12.statcan.gc.ca/census-recensement/2011/as-sa/98-310-x/2011003/fig/fig3_2-1-eng.cfm (accessed June 2022).

McVicar JA, Poon A, Caron NR, et al. Postoperative outcomes for Indigenous Peoples in Canada: a systematic review. CMAJ 2021; 193: E713–22. https://doi.org/10.1503/cmaj.191682CrossRefPubMedPubMedCentral

Canadian Institute for Health Information. Supply, distribution and migration of physicians in Canada, 2020–data tables, 2021. Available from URL: https://www.cihi.ca/sites/default/files/document/supply-distribution-migration-physicians-in-canada-2020-data-tables-en.xlsx (accessed June 2022).

Rourke J. Increasing the number of rural physicians. CMAJ 2007; 178: 322–5. https://doi.org/10.1503/cmaj.070293CrossRef

Bosco C, Oandasan I. Review of Family Medicine within Rural and Remote Canada: Education, Practice, and Policy. Mississauga: College of Family Physicians of Canada, 2016.

Canadian Post-M.D. Education Registry. 2019-2020 Specialty report, 2021. Available from URL: https://caper.ca/sites/default/files/pdf/province/2019-20_Individual_Specialty_Tables.pdf (accessed June 2022).

Iglesias S, Carson G, Wilson CR, et al. Consensus statement on networks for high-quality rural anesthesia, surgery, and obstetric care in Canada. Can Fam Physicians 2022; 68: 258–62. https://doi.org/10.46747/cfp.6804258

Department of Family and Community Medicine. Enhanced skills program: OHTN HIV residency in primary care, 2022. Available from: https://www.dfcm.utoronto.ca/enhanced-skills-program-ohtn-hiv-residency-primary-care#:~:text=To%20promote%20the%20development%20of,skills%20program%20in%20HIV%2FAIDS (accessed June 2022).

College of Family Physicians of Canada. Certificates of Added competence in family medicine 2022. Available from URL: https://www.cfpc.ca/en/education-professional-development/examinations-and-certification/certificates-of-added-competence-in-family-medicin (accessed June 2022).

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Royal College of Physicians and Surgeons of Canada. Royal College medical workforce knowledgebase 2022. Available from URL: https://www.royalcollege.ca/rcsite/health-policy/medical-workforce-knowledgebase-e (accessed June 2022).

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World Federation of Societies of Anesthesiologists. World anesthesiology workforce map 2022. Available from URL: https://wfsahq.org/resources/workforce-map/ (accessed June 2022).

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Canadian Institute for Health Information. COVID-19's impact on hospital services, 2021. Available from: https://www.cihi.ca/en/covid-19-resources/impact-of-covid-19-on-canadas-health-care-systems/hospital-services (accessed June 2022).

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Orser B, Wilson R, Simkin S, Bourgeault I. Canada's rural anesthesia workforce: trends 1996-2018. Anesth Analg 2022; 5.

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Orser BA, Wilson CR. Canada needs a national strategy for anesthesia services in rural and remote regions. CMAJ 2020; 192: E861–3. https://doi.org/10.1503/cmaj.200215CrossRefPubMedPubMedCentral

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College of Respiratory Therapists of Ontario. What is a respiratory therapist? 2022 Available from URL: https://www.crto.on.ca/public/what-is-respiratory-therapy/ (accessed June 2022).

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Orser BA, Wilson CR. The authors respond to “Nurse anesthesiologists”. CMAJ 2020; 192: E1215. https://doi.org/10.1503/cmaj.76648CrossRefPubMedPubMedCentral

19.

Smylie J, O’Brien K, Beaudoin E, et al. Long-distance travel for birthing among Indigenous and non-Indigenous pregnant people in Canada. CMAJ 2021; 193: E948–55. https://doi.org/10.1503/cmaj.201903CrossRefPubMedPubMedCentral

20.

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21.

Bourgeault I, Simkin S, Chamberland-Rowe C. Poor health workforce planning is costly, risky and inequitable. CMAJ 2019; 191: E1147–8. https://doi.org/10.1503/cmaj.191241CrossRefPubMedPubMedCentral

22.

Orser BA, Wilson CR, Bainbridge D. Improving anesthesia care and pain medicine in rural Canada: nothing about us without us. Can J Anesth 2021; 68: 1731–7. https://doi.org/10.1007/s12630-021-02098-9CrossRefPubMed

Titel: No community left behind: advancing rural anesthesia, surgery, and obstetric care in Canada
verfasst von: Jason A. McVicar, MD
Beverley A. Orser, MD
C. Ruth Wilson, MD
Publikationsdatum: 13.10.2022
Verlag: Springer International Publishing
Erschienen in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie / Ausgabe 12/2022
Print ISSN: 0832-610X
Elektronische ISSN: 1496-8975
DOI: https://doi.org/10.1007/s12630-022-02340-y

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No community left behind: advancing rural anesthesia, surgery, and obstetric care in Canada

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