Fleet Richard
psychologist and associate professor, Laval University, Québec, Canada, endowed research chair of emergency medicine, Centre de recherche du CISSS Chaudière-Appalaches, Lévis, Canada and Centre de recherche sur les soins et services de première ligne de l'Université Laval, Québec, Canada.
Future Healthc J. 2020 Feb;7(1):15-21. doi: 10.7861/fhj.2019-0067.
More than 6 million Canadians live in rural areas (approximately 20% of the population) and emergency services are a critical safety net for them.
We want to create, in Baie-Saint-Paul (rural emergency department, Québec, Canada), an experimental milieu where all stakeholders develop, implement and evaluate solutions to address the problems that beset their environment.
The Living Lab will rely on the quadruple aim approach to improve health system performance and will use a multimethod approach based on the philosophy of open and user-driven innovation. Three pilot projects will be implemented (quality of work life programme, computed tomography implementation study and telemedicine in ambulances). Other possible solutions will be evaluated and prioritised ( simulation, care protocol, telemedicine, point-of-care ultrasound, helicopters and drones).
We are confident that this Living Lab will contribute to saving lives, will improve the quality of work life for rural healthcare professionals, and will inspire similar innovation internationally.
超过600万加拿大人生活在农村地区（约占总人口的20%），应急服务对他们来说是至关重要的安全保障。
我们希望在加拿大魁北克省圣保罗湾的农村急诊科创建一个实验环境，让所有利益相关者开发、实施和评估解决方案，以解决困扰他们环境的问题。
生活实验室将依靠四重目标方法来提高卫生系统绩效，并将采用基于开放和用户驱动创新理念的多方法途径。将实施三个试点项目（工作生活质量计划、计算机断层扫描实施研究和救护车远程医疗）。其他可能的解决方案将得到评估并确定优先顺序（模拟、护理协议、远程医疗、床旁超声、直升机和无人机）。
我们相信，这个生活实验室将有助于挽救生命，提高农村医疗专业人员的工作生活质量，并在国际上激发类似的创新。
