Patient perspectives on primary health care in rural communities: effects of geography on access, continuity and efficiency

Wong, Sabrina T.; Regan, Sandra

doi:10.22605/rrh1142

Cited by 104 publications

(101 citation statements)

References 40 publications

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“…For rural Canadians, limited availability of health services and travel time to health centres is a common barrier [2,4–6,38]. For cancer care, this may limit treatment options.…”

Section: Discussionmentioning

confidence: 99%

Cancer mortality in Yukon 1999–2013: elevated mortality rates and a unique cancer profile

Simkin

Woods

Elliott

2017

International Journal of Circumpolar Health

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Background: Although cancer is the leading cause of death in Canada, cancer in the North has been incompletely described.Objective: To determine cancer mortality rates in the Yukon Territory, compare them with Canadian rates, and identify major causes of cancer mortality.Design: The Yukon Vital Statistics Registry provided all cancer deaths for Yukon residents between 1999-2013. Age-standardised mortality rates (ASMRs) were calculated using direct standardisation and compared with Canadian rates. Standardised mortality ratios (SMRs) were calculated using indirect standardisation relative to age-specific rates from Canada, British Columbia (BC), and three sub-provincial BC administrative health regions : Interior Health (IH), Northern Health (NH) and Vancouver Coastal Health (VCH). Trends in smoothed ASMRs were examined with graphical methods.Results: Yukon’s all-cancer ASMRs were elevated compared with national and provincial rates for the entire period. Disparities were greatest compared with the urban VCH: prostate (SMRVCH=246.3, 95% CI 140.9–351.6), female lung (SMRVCH=221.2, 95% CI 154.3–288.1), female breast (SMRVCH=169.0 95% CI, 101.4–236.7), and total colorectal (SMRVCH=149.3, 95% CI 101.8–196.8) cancers were significantly elevated. Total stomach cancer mortality was significantly elevated compared with all comparators.Conclusions: Yukon cancer mortality rates were elevated compared with national, provincial, urban, and southern-rural jurisdictions. More research is required to elucidate these differences.

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“…For rural Canadians, limited availability of health services and travel time to health centres is a common barrier [2,4–6,38]. For cancer care, this may limit treatment options.…”

Section: Discussionmentioning

confidence: 99%

Cancer mortality in Yukon 1999–2013: elevated mortality rates and a unique cancer profile

Simkin

Woods

Elliott

2017

International Journal of Circumpolar Health

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“…It also allows for the development of a positive patient-provider relationship. All are identified variables impacting health care utilization and adherence [13][14][15][16][17]. Also, the client's perceived need for service, another determinant of health care utilization and adherence, may be high if the threat to health for not following care is appreciated [11,13,14,18].…”

Section: Discussionmentioning

confidence: 99%

“…Dependent upon a patient's place of residency, distance to the clinic varies from several miles to over 500 miles. Given this large geographic area, we wondered if geographic proximity to the clinic impacted adherence to Molecular Genetics and Metabolism 108 (2013) [13][14][15][16][17] Abbreviations: PKU, phenylketonuria; HPA, hyperphenylalaninemia; Phe, phenylalanine; N, number of monitoring phenylalanine samples; diffN, difference between the number of monitoring phenylalanine samples and the expected number of samples based on clinic guidelines; Phe Mean , mean of phenylalanine levels; Phe Median , median of phenylalanine levels; Phe_diffTarget, difference between the median of phenylalanine levels and the upper target level by clinic guidelines. management recommendations and metabolic control in our PKU population.…”

Section: Introductionmentioning

confidence: 99%

Impact of geographic access to care on compliance and metabolic control in phenylketonuria

Freehauf

Hove

Gao

et al. 2013

Molecular Genetics and Metabolism

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“…Access to primary health care (PHC) services is a pathway by which inequalities (geographic, economic, and cultural) can affect a population's health across geographic locations [5]. Videoconsultation (VC) offers increased access for patients because it reduces waiting time, enables access to specialists' physician, multiple medical opinions, and provides immediate feedback to patients about diagnoses and plans for treatment [6].…”

Section: Introductionmentioning

confidence: 99%

Views of residents of rural areas on accessibility to specialist care through videoconference

Johansson

Söderberg

Lindberg

2014

THC

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BACKGROUND: Accessibility to specialized health care is important for residents in rural areas. Videoconsultation can provide increased accessibility to health care. Before implementation of new technologies, it is important to study residents' views. OBJECTIVE: This study describes views of residents of rural areas on accessibility to specialist care and the use of videoconsultation as tool to increase accessibility. METHOD: A questionnaire was distributed via the primary health care centres in rural areas of northern Sweden. Data was analysed with both quantitative and qualitative methods. RESULTS: The quantitative analysis revealed three main areas: savings in time, environmental damage and cost of not having to travel were important; security of information must be coupled with increased availability of specialist care; responses depended on an individual's specific health care needs. The open-ended answers resulted into two categories: 1) experiences related to availability of specialist care and 2) views on participating in VC. CONCLUSION: Despite the fact that rural residents considered the distance as important factor in access to care, there was uncertainty regarding videoconsultation as solution. Although respondents were familiar with different types of communication technologies, they probably hesitated because they did not have information on what videoconsultation would mean to them.

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Patient perspectives on primary health care in rural communities: effects of geography on access, continuity and efficiency

Abstract: Patient perspectives on primary health care in rural communities: effects of geography on access, continuity and efficiencyRural and Remote Health 9: 1142. (Online), 2009

Cited by 104 publications

References 40 publications

Cancer mortality in Yukon 1999–2013: elevated mortality rates and a unique cancer profile

Cancer mortality in Yukon 1999–2013: elevated mortality rates and a unique cancer profile

Impact of geographic access to care on compliance and metabolic control in phenylketonuria

Views of residents of rural areas on accessibility to specialist care through videoconference

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