DeWitt Daughtry Department of Surgery, Miller School of Medicine, University of Miami, 1800 NW 10th Avenue, T247, Miami, FL 33136, USA.
World J Surg. 2013 Sep;37(9):2086-93. doi: 10.1007/s00268-013-2094-6.
The delivery of equitable trauma care in Canada is not without challenges within our universal health care system. Notably, the tyranny of geography is intermittently at odds with adequate access for our rural, indigenous, and impoverished populations. Other differences exist when compared with neighbouring trauma systems, for example in the United States.
As a critical review, we chose to compare and critique the overall system of trauma organization and perceived societal expectations of a high-income, North American country (Canada) to assist with discussions on trauma systems for the future.
Tele-technology is providing some early solutions. Trauma systems and delivery of care in Canada differ from the United States due to our single-payer system, regionalization and universal provision. Care for injured Canadians has a long history of being multidisciplinary, with collaborative research programs. Canada also has a history of global surgical endeavours, beginning with Dr. Norman Bethune and his recognition of the political causes of trauma and continuing as a global public health concern for all.
While challenges continue to exist for the provision of equitable trauma care in Canada, unique multidisciplinary, collaborative and technology-based solutions continue to be developed, both locally and globally, to address this critical public health issue.
在加拿大全民医疗保健体系下，公平提供创伤护理并非没有挑战。值得注意的是，地理上的限制不时与我们农村、土著和贫困人群的充分获得相冲突。与邻国的创伤系统相比，还存在其他差异，例如在美国。
作为一项批判性评论，我们选择比较和批评创伤组织的整体系统以及对高收入北美国家（加拿大）的社会期望，以协助讨论未来的创伤系统。
远程技术正在提供一些早期解决方案。由于我们的单一支付者系统、区域化和普遍供应，加拿大的创伤系统和护理与美国不同。受伤的加拿大人的护理有着多学科合作的悠久历史，并有合作研究计划。加拿大还具有全球外科努力的历史，始于诺曼·白求恩医生，他认识到创伤的政治原因，并将其作为全球公共卫生问题继续关注。
虽然在加拿大提供公平的创伤护理方面仍然存在挑战，但独特的多学科、协作和基于技术的解决方案继续在本地和全球范围内得到开发，以解决这一关键的公共卫生问题。
