rural medicine

Keeping doctors where we need them

Maria Matthews Healthy Debate

How do we get more doctors to practice in rural communities?  This has been a long standing challenge in Canada — getting physicians to work where we need them — especially in provinces with large rural populations.  Policy makers have created and implemented some promising solutions, but until recently, there has been little evidence on

Health system decisions in Alberta lack guidance from strong vision, values, principles or evidence

Robert Bear blogger

In late March, Alberta Health Services (AHS) discontinued maternity services in Banff’s Mountain Springs Hospital. This decision fell out of a regional planning process. It resulted in public outcry, demonstrations, media attention and a pending judicial challenge; it prompted both a Healthy Debate article and webchat. The economic impact of this decision on the AHS

Maternity services disappearing in rural Canada

Maternity Services Disappearing rural Alberta

The plan to eliminate obstetrical care at Banff’s Mountain Springs Hospital, and to replace it with enhanced vascular and plastic surgery services, was labelled a potential “quick win” in a 2012 community and rural health planning document. Babies would no longer be delivered in Banff (population about 8,200) and instead obstetrical care would be “consolidated”

Innovative medical education in Northern Ontario

The Northern Ontario School of Medicine (NOSM) has developed a model of medical education to address the needs of people living in northern Ontario.  NOSM was founded in 2005 with mandate of social accountability to the communities of the region. As the first NOSM graduates begin to enter practice, there are hopes that this school

Approaches to improving access to specialists in rural regions: Ontario & Germany

In Ontario, specialists are concentrated in larger cities, and Ontarians living in smaller cities and rural regions have challenges accessing specialist services. In Ontario, Local Health Integration Networks (LHINs) use non-financial incentives to try to attract specialists to practice in hospitals that serve rural areas, and provide telemedicine and outreach clinics for patients. In contrast,