Comparing spatial accessibility to conventional medicine and complementary and alternative medicine in Ontario, Canada

Meyer, Stephen

doi:10.1016/j.healthplace.2011.10.005

Cited by 22 publications

(14 citation statements)

References 35 publications

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“…This has led to variability in access to and use of qualified and regulated CAM practitioners across the country. [19202122] For example while cancer patients in the province of British Columbia may access (for a fee) licensed naturopaths, TCM doctors, acupuncturists, massage therapists and chiropractors, those living in the Atlantic provinces have limited access to a small range of regulated CAM practitioners.…”

Section: Landscape: the Canadian Context For Complementary And Alternmentioning

confidence: 99%

Integrating complementary and alternative medicine into cancer care: Canadian oncology nurses′ perspectives

Truant

Balneaves

Fitch

2015

Asia-Pacific Journal of Oncology Nursing

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The integration of complementary and alternative medicine (CAM) and conventional cancer care in Canada is in its nascent stages. While most patients use CAM during their cancer experience, the majority does not receive adequate support from their oncology health care professionals (HCPs) to integrate CAM safely and effectively into their treatment and care. A variety of factors influence this lack of integration in Canada, such as health care professional(HCP) education and attitudes about CAM; variable licensure, credentialing of CAM practitioners, and reimbursement issues across the country; an emerging CAM evidence base; and models of cancer care that privilege diseased-focused care at the expense of whole person care. Oncology nurses are optimally aligned to be leaders in the integration of CAM into cancer care in Canada. Beyond the respect afforded to oncology nurses by patients and family members that support them in broaching the topic of CAM, policies, and position statements exist that allow oncology nurses to include CAM as part of their scope. Oncology nurses have also taken on leadership roles in clinical innovation, research, education, and advocacy that are integral to the safe and informed integration of evidence-based CAM therapies into cancer care settings in Canada.

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Section: Landscape: the Canadian Context For Complementary And Alternmentioning

confidence: 99%

Integrating complementary and alternative medicine into cancer care: Canadian oncology nurses′ perspectives

Truant

Balneaves

Fitch

2015

Asia-Pacific Journal of Oncology Nursing

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“…Other CAM studies evaluate spatial patterns with more precision by utilizing actual (or an aggregation of) geocoded points of CAM supply. Examples of this style of research include: Verheij et al () in the Netherlands; Smith and Carber () and Albert and Butar () in the United States; Hughes () in the Republic of Ireland; Wardle et al () in Australia; Egan et al () in the United Kingdom; Sanders et al () in New Zealand; and Meyer (, ) in Canada. Although not specifically emphasizing accessibility, studies by Williams (), Albert and Butar (), and Albert () uniquely consider both spatial and temporal aspects of CAM supply.…”

Section: Introductionmentioning

confidence: 99%

Spatial‐temporal trends in complementary and alternative medicine (CAM) offices in Ontario, Canada

Meyer

2019

Canadian Geographies / Géographies canadiennes

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This paper assesses complementary and alternative medicine (CAM) from a spatial‐temporal perspective; it would be of particular interest to those who evaluate health care resource accessibility over space. The analysis compares CAM supply (number of offices, employment, and sales) in Ontario by provincial district, metropolitan influence classification, and health care and social assistance employment quintiles using summary statistics, Kruskal‐Wallis and median analyses, and local spatial autocorrelation evaluation. Metropolitan areas throughout Ontario, but especially in the southcentral part of the province, are well endowed with CAM supply and tend to be most important in terms of CAM change. CAM offices are increasing in size in the most populated parts of the province and shrinking in regions that are more peripheral. CAM supply per capita is highest in census subdivisions with moderate levels of health care and social assistance employment, a result that is not offset by significant temporal change. While CAM supply is restructuring in many of Ontario's most populated urban locations, the overall attraction of CAM resources to large and small metropolitan areas is clear. If current spatial‐temporal trends continue, CAM spatial disparities will be exacerbated as accessibility to CAM in Ontario's most peripheral locations worsen.

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“…Scholars choose accessibility calculation methods based on their research perspectives (Geurs and Wee, 2004). For example, Holl (2007) used several indicators that are based on a gravity model to compare accessibility changes related to highway construction, Hou and Li (2011) determined highway and expressway accessibility by considering the average travel times to refine accessibility improvement, and Meyer (2012) employed the road network distance to measure spatial accessibility. In particular, scholars have emphasized the importance of network effects (Laird et al, 2005;Condeço-Melhorado et al, 2011) and suggest that the topological structure characteristics of networks are an important consideration when measuring accessibility (Dupuy and Stransky, 1996;Meijers et al, 2012;Yu et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Exploring the relationship between multilevel highway networks and local development patterns—a case study of Taiwan

Tsou

Cheng

Tseng

2015

Journal of Transport Geography

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Comparing spatial accessibility to conventional medicine and complementary and alternative medicine in Ontario, Canada

Cited by 22 publications

References 35 publications

Integrating complementary and alternative medicine into cancer care: Canadian oncology nurses′ perspectives

Integrating complementary and alternative medicine into cancer care: Canadian oncology nurses′ perspectives

Spatial‐temporal trends in complementary and alternative medicine (CAM) offices in Ontario, Canada

Exploring the relationship between multilevel highway networks and local development patterns—a case study of Taiwan

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