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加拿大农村医疗保健可及性报告卡。

Report card on access to rural health care in Canada.

机构信息

Queen's University, Yellowknife, NT, Canada

出版信息

Rural Remote Health. 2023 Jan;23(1):8108. doi: 10.22605/RRH8108. Epub 2023 Jan 10.

Abstract

INTRODUCTION

Canadians living in rural communities continue to experience challenges in accessing rural health care. The Rural Road Map for Action (RRM) was developed in February 2017 and provides a guiding framework for a coordinated, pan-Canadian approach to physician rural work force planning and improved access to rural health care.

METHODS

The Rural Road Map Implementation Committee (RRMIC) was formed in February 2018 to support the implementation of the RRM. The RRMIC was co-sponsored by the College of Family Physicians of Canada and the Society of Rural Physicians of Canada and had a broad membership that deliberately crossed sectors supporting the RRM's social accountability vision.

RESULTS

In April 2021, the "Rural Road Map: Report Card on Access to HealthCare in Rural Canada" was discussed at a Society of Rural Physicians of Canada national forum. Next steps included: focusing on equitable access to rural health care service delivery; enhancing rural physician resource planning including national medical licensure and the adoption of more effective strategies for rural physician recruitment and retention; improving access to rural specialty care; supporting the work of the National Consortium on Indigenous Medical Education; and developing metrics as useful tools to facilitate change in rural health care, social accountability in medical education and provisions for supporting the delivery of virtual health care.

DISCUSSION

Collaborative partnerships and commitments from all key stakeholders will be critical to addressing national and regional health work force needs. No one sector alone can fix the inequitable health care realities of people living in rural communities in Canada.

摘要

引言

加拿大农村社区的居民在获得农村医疗保健方面仍面临挑战。《农村行动路线图》于 2017 年 2 月制定,为协调、全加范围的医生农村劳动力规划和改善农村医疗保健提供了指导框架。

方法

2018 年 2 月成立了农村路线图实施委员会(RRMIC),以支持《农村路线图》的实施。该委员会由加拿大家庭医生学院和加拿大农村医生学会共同赞助,成员广泛,有意跨越支持《农村路线图》社会问责愿景的部门。

结果

2021 年 4 月,在加拿大农村医生学会全国论坛上讨论了“农村路线图:加拿大农村医疗保健获取情况报告卡”。下一步包括:关注农村医疗保健服务提供的公平获取;加强农村医生资源规划,包括国家医疗许可和更有效的农村医生招聘和留用策略;改善农村专科医疗服务的获取;支持国家原住民医学教育联盟的工作;制定指标作为促进农村医疗保健变革、医学教育社会问责制和提供虚拟医疗保健支持的有用工具。

讨论

所有主要利益攸关方的协作伙伴关系和承诺对于满足国家和区域卫生劳动力需求至关重要。没有一个部门能够单独解决加拿大农村社区居民不平等的医疗保健现实问题。

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