Grzybowski Stefan, Kornelsen Jude
Centre for Rural Health Research, Department of Family Practice, University of British Columbia, Vancouver, BC, Canada.
Healthc Policy. 2013 Feb;8(3):10-6.
Many rural communities across canada are facing challenges to the sustainability of core emergency and acute care health services, primarily due to problems with medical and nursing staffing. Data related to service efficacy and effectiveness are not well organized. Most of Canada still relies on reporting by large geopolitical areas (local health areas) that do not always relate natural catchment population outcomes to community hospital services. Re-organizing rural health services' outcome reporting by the characteristics of geographically defined catchment populations would facilitate better planning, systemic quality improvement and stronger continuing professional development for health professionals. It may also serve to inform the transformation of core health services in larger communities.
加拿大许多农村社区的核心急诊和急性护理医疗服务的可持续性面临挑战,主要原因是医疗和护理人员配备问题。与服务功效和有效性相关的数据整理不善。加拿大大部分地区仍依赖大型地缘政治区域(当地卫生区域)的报告,这些区域并不总是将自然集水区人口结果与社区医院服务联系起来。按地理定义的集水区人口特征重新组织农村卫生服务成果报告,将有助于更好地规划、系统性质量改进以及为卫生专业人员提供更有力的持续专业发展。这也可能有助于为更大社区的核心医疗服务转型提供信息。