Hostname: page-component-78c5997874-mlc7c Total loading time: 0 Render date: 2024-11-05T00:49:24.907Z Has data issue: false hasContentIssue false

Access to emergency care in rural Canada: should we be concerned?

Published online by Cambridge University Press:  04 March 2015

Richard Fleet*
Affiliation:
Department of Family and Emergency Medicine, Université Laval, Quebec City, QC Centre of the Hôtel-Dieu de Lévis Hospital – a Université Laval Affiliated Hospital
Patrick Archambault
Affiliation:
Department of Family and Emergency Medicine, Université Laval, Quebec City, QC Centre of the Hôtel-Dieu de Lévis Hospital – a Université Laval Affiliated Hospital
Jeff Plant
Affiliation:
Faculty of Medicine, University of British Columbia, Vancouver, BC Department of Emergency Medicine, Penticton Regional Hospital, Penticton, BC
Julien Poitras
Affiliation:
Department of Family and Emergency Medicine, Université Laval, Quebec City, QC Centre of the Hôtel-Dieu de Lévis Hospital – a Université Laval Affiliated Hospital
*
Research Centre, Hôtel-Dieu de Lévis, 143 Wolfe Street, Lévis, QC G6V 3Z1; [email protected]

Abstract

Image of the first page of this content. For PDF version, please use the ‘Save PDF’ preceeding this image.'
Type
Editorial • Commentary
Copyright
Copyright © Canadian Association of Emergency Physicians 2013

References

REFERENCES

1.Statistics Canada. Canada’s rural population since 1851. 2011. Available at: http://www12.statcan.gc.ca/census-recensement/2011/as-sa/98-310-x/98-310-x2011003_2-fra.cfm (accessed July 23, 2012).Google Scholar
2.Canadian Institute for Health Information. How healthy are rural Canadians? An assessment of their health status and health determinants. 2006. Available at: http://www.phac-aspc.gc.ca/publicat/rural06/ (accessed July 23, 2012).Google Scholar
3.Fleet, R, Archambault, P, Poitras, J, et al. Limited access to services in Canada rural emergency departments: pilot study. CJEM 2012;14:S7.Google Scholar
4.Rourke, JTB. Trends in small hospital medical services in Ontario. Can Fam Physician 1998;44:2107–12.Google Scholar
5.Roberge, D, Pineault, R, Larouche, D, et al. The continuing saga of emergency room overcrowding: are we aiming at the right target? Healthc Policy 2010;5(3):2739.Google Scholar
6.Fleet, R, Plant, J, Ness, R, et al. An experience in patient advocacy by rural emergency physicians after major services cuts: the case of Nelson, BC. CJEM 2010;12:275.Google Scholar
7.Newman, S. Nelson doctors issue emergency aid plea. The Globe and Mail 2008 Oct 7;S1-2.Google Scholar
8.Minister of Justice. Canada Health Act. 2011. Available at: http://laws-lois.justice.gc.ca/eng/acts/C-6/ (accessed July 23, 2012).Google Scholar
9.Barua, B, Esmail, N. The Fraser Institute hospital report card: British Columbia. 2011. Available at: http://www.hospitalreportcards.ca/bc/ (accessed July 23, 2012).Google Scholar
10.Department of Health and Human Services Agency for Healthcare Research and Quality. Patient safety indicators. 2006. Available at: http://www.qualityindicators.ahrq.gov/Downloads/Software/SAS/V30/psi_guide_v30.pdf (accessed July 23, 2012).Google Scholar
11.Minister of Health. Canada Health Act - annual report 2009–2010. 2010. Available at: http://www.hc-sc.gc.ca/hcs-sss/pubs/cha-lcs/2010-cha-lcs-ar-ra/index-eng.php (accessed July 23, 2012).Google Scholar
12.Hameed, S, Schuurman, N, Razek, T, et al. Access to trauma systems in Canada. J Trauma 2010;69:1350–61, doi:10.1097/TA.0b013e3181e751f7.Google Scholar
13.Canadian Medical Protective Association. Changing physicianhospital relationships: managing the medico-legal implications of change. 2011. Available at: http://www.cmpa-acpm.ca/cmpapd04/docs/submissions_papers/com_2011_changing_physician-e.cfm (accessed July 23, 2012).Google Scholar
14.Public Health Agency of Canada. Facts on injury. 2006. Available at: http://www.phac-aspc.gc.ca/injury-bles/factseng.php (accessed July 23, 2012).Google Scholar
15.Gomez, D, Bérubé, M, Xiong, W, et al. Identifying targets for potential interventions to reduce rural trauma deaths: a population-based analysis. J Trauma 2010;69:633–9, doi:10.1097/TA.0b013e3181b8ef81.Google Scholar
16.Simons, R, Brasher, P, Taulu, T, et al. A population-based analysis of injury-related deaths and access to trauma care in rural-remote northwest British Columbia. J Trauma 2010; 69:11–9, doi:10.1097/TA.0b013e3181e17b39.Google Scholar
17.Larsen Soles, TM. A strategic plan for eliminating rural hospital services through the process of regionalization. Can J Rural Med 2005;10:107–8.Google Scholar
18.Berwick, DM, James, B, Coye, MJ. Connections between quality measurement and improvement. Med Care 2003;41(1 Suppl):130–8.Google Scholar
19.Schull, MJ, Hatcher, CM, Guttmann, A. et al. Development of a consensus on evidence-based quality of care indicators for Canadian emergency departments. Toronto: Institute for Clinical Evaluative Sciences; 2010.Google Scholar
20.Recommendations for the management of rural, remote and isolated emergency health care facilities in Canada. Ottawa: Canadian Association of Emergency Physician; 1997.Google Scholar
21.Ministère de la Santé et des Services sociaux du Québec. Guide de gestion de l’urgence. Québec: Government duQuébec; 2006.Google Scholar
22.Kornelsen, J, Grzybowski, S, Iglesias, S. Is rural maternity care sustainable without general practioner surgeons? Can J Rural Med 2006;11:218–20.Google Scholar
23.Lyon, ML, Blaivas, M, Brannam, L. Use of emergency ultrasound in a rural ED with limited radiology services. Am J Emerg Med 2005;23:212–4, doi:10.1016/j.ajem.2004.05.007.Google Scholar
24.Shuaib, A, Khan, K, Whittaker, T, et al. Introduction of portable computed tomography scanners, in the treatment of acute stroke patients via telemedicine in remote communities. Int J Stroke 2010;51:62–6, doi:10.1111/j.1747-4949.2010.00408.x.Google Scholar