Canadian Journal of Rural Medicine最新文献_第8页

Pan-Canadian physician licensure will improve access to care for rural, remote and Indigenous communities across Canada. 泛加拿大医生执照将改善加拿大各地农村、偏远地区和土著社区的医疗服务。

IF 1.1

Canadian Journal of Rural Medicine Pub Date : 2023-04-01 DOI: 10.4103/cjrm.cjrm_80_22

Kyle Sue

引用次数: 0

Cover Artist - Linda L. Kelly. 封面艺术家——琳达·l·凯利。

IF 1.1

Canadian Journal of Rural Medicine Pub Date : 2023-04-01

引用次数: 0

President's Message - Rural emergency room closures. 总统致辞-关闭农村急诊室

IF 1.1

Canadian Journal of Rural Medicine Pub Date : 2023-01-01 DOI: 10.4103/cjrm.cjrm_81_22

Sarah Lesperance

引用次数: 0

Message de la présidente. Fermeture des salles d'urgence en milieu rural. 来自总统的消息。关闭农村地区的急诊室。

IF 1.1

Canadian Journal of Rural Medicine Pub Date : 2023-01-01 DOI: 10.4103/1203-7796.366284

Sarah Lesperance

引用次数: 0

Building More Bridges: Indigenous leadership in a study assessing the impact of distance to care on markers of quality HIV care in Saskatchewan. 建立更多的桥梁:在一项评估萨斯喀彻温省护理距离对高质量艾滋病毒护理标志影响的研究中，土著领导。

IF 1.1

Canadian Journal of Rural Medicine Pub Date : 2023-01-01 DOI: 10.4103/cjrm.cjrm_3_22

Denise Jaworsky

{"title":"Building More Bridges: Indigenous leadership in a study assessing the impact of distance to care on markers of quality HIV care in Saskatchewan.","authors":"Denise Jaworsky","doi":"10.4103/cjrm.cjrm_3_22","DOIUrl":"https://doi.org/10.4103/cjrm.cjrm_3_22","url":null,"abstract":"Introduction: Individuals in rural and remote areas face barriers to chronic disease care, including HIV. Saskatchewan has the highest HIV incidence among Canadian provinces and 35.6% of the population lives outside of an urban centre. In this study, we explored the relationship between distance to HIV care and markers of quality HIV care in Saskatchewan as part of the Canadian Observational HIV Cohort (CANOC). Methods: We used a Two-Eyed Seeing approach and honoured the experience of Indigenous team members living with HIV. The Positive Partnership Score (PPS) was the primary outcome (including frequency of viral load and CD4 measurements, baseline CD4 count, antiretroviral medication regimen and virologic suppression). Multivariable linear regression analysis was performed with distance to care defined in two ways: (1) categorical based on distance from home to HIV specialist care and (2) road distance from CANOC enrolment site. Results: Two hundred and seventy-six individuals were included in the analyses. Living ≤25 km from a visiting HIV specialist (where no HIV specialist lives in the community permanently) and living >100 km from the closest HIV specialist (either visiting or permanent) were both associated with lower PPS compared to living ≤25 km from where an HIV specialist practises permanently. Each 10 km further from the CANOC enrolment site was associated with a 0.01-point reduction (95% CI-0.02, 0, P = 0.024) in PPS. Conclusion: Through a strength-based approach that was grounded in culture, connection, land and Ceremony, we demonstrated how Indigenous people with HIV can play a key role in research. Distance from care was associated with a poorer quality of HIV care in Saskatchewan highlighting the need for better rural HIV care.","PeriodicalId":44615,"journal":{"name":"Canadian Journal of Rural Medicine","volume":"28 1","pages":"7-17"},"PeriodicalIF":1.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10652989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Increasing diabetes testing adherence with incentives in rural Northwestern Ontario. 在安大略省西北部农村增加糖尿病检测的依从性。

IF 1.1

Canadian Journal of Rural Medicine Pub Date : 2023-01-01 DOI: 10.4103/cjrm.cjrm_11_22

Jai Mashru, Gabrielle Gagnon, Carly Kaus, Yvon Gagnon, Adam Moir

{"title":"Increasing diabetes testing adherence with incentives in rural Northwestern Ontario.","authors":"Jai Mashru, Gabrielle Gagnon, Carly Kaus, Yvon Gagnon, Adam Moir","doi":"10.4103/cjrm.cjrm_11_22","DOIUrl":"https://doi.org/10.4103/cjrm.cjrm_11_22","url":null,"abstract":"Introduction: The health outcomes of rural Canadians have been described as poor and can in some part be related to diabetes mellitus. Despite the high mortality and morbidity rates associated with the disease, compliance with management remains low. Research has shown that a small financial incentive used to modify patient behaviour, can improve outcomes in cardiac disease and exercise adherence. This study aims to evaluate if a small financial incentive awarded to rural Northwestern Ontario patients with diabetes who complete an haemoglobin A1c (HbA1c) test, would result in greater compliance in test completion.Methods: Patients were recruited through two Northern rural clinics. Participants were divided into two groups: Group A received a financial incentive, whereas Group B received a letter of reminder. HbA1c tests were recorded every 6 months for 2 years and compliance was analysed using a t-test and Chi-square.Results: One hundred and forty-six participants were recruited with 30 lost to follow-up. Overall, the incentive group completed a statistically significantly higher number of HbA1c tests compared to those in the control group. In addition, it was noted that there was an increase in test adherence for participants that received reminder letters, although not an initially expected outcome of the study.Conclusion: The results suggest that either a financial incentive or a reminder directed towards rural Canadians could have a benefit in promoting health behaviours to subsequent medical management of diabetes mellitus.","PeriodicalId":44615,"journal":{"name":"Canadian Journal of Rural Medicine","volume":"28 1","pages":"18-24"},"PeriodicalIF":1.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10511663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Une froide nuit d'hiver. 一个寒冷的冬夜。

IF 1.1

Canadian Journal of Rural Medicine Pub Date : 2023-01-01 DOI: 10.4103/1203-7796.366283

Peter Hutten-Czapski

引用次数: 0

Examining the status of rural post-graduate family medicine education. 农村家庭医学研究生教育现状调查。

IF 1.1

Canadian Journal of Rural Medicine Pub Date : 2023-01-01 DOI: 10.4103/cjrm.cjrm_9_22

Brenton L G Button, Ghislaine Attema, Megan Gao, Erin Cameron, Carmela Bosco, Ivy Oandasan

{"title":"Examining the status of rural post-graduate family medicine education.","authors":"Brenton L G Button, Ghislaine Attema, Megan Gao, Erin Cameron, Carmela Bosco, Ivy Oandasan","doi":"10.4103/cjrm.cjrm_9_22","DOIUrl":"https://doi.org/10.4103/cjrm.cjrm_9_22","url":null,"abstract":"Introduction: Rural populations in Canada are generally in worse health when compared to their urban counterparts. In 2014, the College of Family Physicians of Canada and the Society of Rural Physicians of Canada formed a joint Task force to advocate for improved health in rural communities. As a task force, they developed the Rural Road Map for Action. This paper uses the Rural Road Map for Action as a framework to examine the current state of family medicine's Post-Graduate Medical Education (PGME) in Canada.Methods: Surveys were sent to the programme directors of all English- and French-speaking post-graduate family medicine programmes. Both quantitative and qualitative methods were used to analyse survey responses.Results: Thirteen of 17 respondents completed the questionnaire. Despite on-going efforts, our results suggest that few programmes have equity and diversity admission's policies for rural and Indigenous students; a gap exists between the number of residents who are educated in rural areas and those who end up practising in rural areas; residents lack skills in Indigenous health; and more funded professional development opportunities are needed for rural physicians.Conclusion: Rural healthcare concerns are typically under-represented in PGME. The Rural Road Map for Action brings focus to the specific healthcare needs of rural areas, highlighting a recruitment and retention strategy that aligns education, practice, policy and research activities. Medical schools and national physician organisations need to continue to advocate for the health of rural communities through increasing the rural physician workforce and providing appropriate training for rural practice.","PeriodicalId":44615,"journal":{"name":"Canadian Journal of Rural Medicine","volume":"28 1","pages":"25-33"},"PeriodicalIF":1.1,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10519084","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A cold winter's night. 一个寒冷的冬夜。

IF 1.1

Canadian Journal of Rural Medicine Pub Date : 2023-01-01 DOI: 10.4103/cjrm.cjrm_78_22

Peter Hutten-Czapski

引用次数: 0

The occasional abdominal paracentesis. 偶尔腹腔穿刺。

IF 1.1

Canadian Journal of Rural Medicine Pub Date : 2023-01-01 DOI: 10.4103/cjrm.cjrm_61_22

Peter Hutten-Czapski

引用次数: 0