The experiences of rural British Columbians accessing surgical and obstetrical care

The attrition of small volume surgical and maternity services in rural Canada over the past three decades has made access to these services especially challenging for rural citizens. While many of these closures have occurred as consequences of regionalization,<em> </em>a strategy to reg...

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Autores principales: Aria Jazdarehee, Anshu Parajulee, Jude Kornelsen
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Publicado: The Beryl Institute 2021
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spelling oai:doaj.org-article:04d1026c44624d4980783679ba3869d12021-11-15T04:33:47ZThe experiences of rural British Columbians accessing surgical and obstetrical care2372-0247https://doaj.org/article/04d1026c44624d4980783679ba3869d12021-04-01T00:00:00Zhttps://pxjournal.org/journal/vol8/iss1/15https://doaj.org/toc/2372-0247The attrition of small volume surgical and maternity services in rural Canada over the past three decades has made access to these services especially challenging for rural citizens. While many of these closures have occurred as consequences of regionalization,<em> </em>a strategy to regionally centralize healthcare services, many studies investigating outcomes of regionalization have focused on costs and medical endpoints rather than the direct experiences of the rural patients affected. In this study, we aimed to understand and document the experiences of rural residents accessing procedural and maternity care both locally and away from home. This study is part of a larger evaluation framework which prioritizes the insight of rural residents regarding healthcare issues. We conducted focus groups and interviews with 54 participants in six communities across British Columbia’s southeastern and northern regions. Thematic analysis showed that rural residents experienced unique challenges when leaving their communities to access care. This included logistics of travel, poor coordination of care between multiple providers, and financial and psychosocial issues. Despite being mostly content with the medical care received, participants expressed needing more attention to their unique needs and preferences as patients leaving their home communities for care. Understanding these challenges facilitates the planning of healthcare services in a more equitable manner. Our findings suggest that we need increased patient-centered healthcare planning that aims to alleviate the financial and psychosocial strain on rural residents. <strong>Experience Framework</strong> This article is associated with the Policy & Measurement lens of The Beryl Institute Experience Framework. (<a href="https://www.theberylinstitute.org/ExperienceFramework">https://www.theberylinstitute.org/ExperienceFramework</a>). <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Policy%20%26%20Measurement%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-PolicyMeasurement">Access other resources</a> related to this lens.</li> </ul>Aria JazdareheeAnshu ParajuleeJude KornelsenThe Beryl Institutearticlerural health servicesrural health inequitiespatient experiencespatient-centered carehealth services accessibilitypatient satisfactionMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2021)
institution DOAJ
collection DOAJ
language EN
topic rural health services
rural health inequities
patient experiences
patient-centered care
health services accessibility
patient satisfaction
Medicine (General)
R5-920
Public aspects of medicine
RA1-1270
spellingShingle rural health services
rural health inequities
patient experiences
patient-centered care
health services accessibility
patient satisfaction
Medicine (General)
R5-920
Public aspects of medicine
RA1-1270
Aria Jazdarehee
Anshu Parajulee
Jude Kornelsen
The experiences of rural British Columbians accessing surgical and obstetrical care
description The attrition of small volume surgical and maternity services in rural Canada over the past three decades has made access to these services especially challenging for rural citizens. While many of these closures have occurred as consequences of regionalization,<em> </em>a strategy to regionally centralize healthcare services, many studies investigating outcomes of regionalization have focused on costs and medical endpoints rather than the direct experiences of the rural patients affected. In this study, we aimed to understand and document the experiences of rural residents accessing procedural and maternity care both locally and away from home. This study is part of a larger evaluation framework which prioritizes the insight of rural residents regarding healthcare issues. We conducted focus groups and interviews with 54 participants in six communities across British Columbia’s southeastern and northern regions. Thematic analysis showed that rural residents experienced unique challenges when leaving their communities to access care. This included logistics of travel, poor coordination of care between multiple providers, and financial and psychosocial issues. Despite being mostly content with the medical care received, participants expressed needing more attention to their unique needs and preferences as patients leaving their home communities for care. Understanding these challenges facilitates the planning of healthcare services in a more equitable manner. Our findings suggest that we need increased patient-centered healthcare planning that aims to alleviate the financial and psychosocial strain on rural residents. <strong>Experience Framework</strong> This article is associated with the Policy & Measurement lens of The Beryl Institute Experience Framework. (<a href="https://www.theberylinstitute.org/ExperienceFramework">https://www.theberylinstitute.org/ExperienceFramework</a>). <ul> <li><a href="https://www.theberylinstitute.org/page/PXSEARCH#resource-list-all/?view_28_page=1&view_28_filters=%5B%7B%22field%22%3A%22field_38%22%2C%22operator%22%3A%22in%22%2C%22value%22%3A%5B%22PXJ%20Article%22%5D%7D%2C%7B%22field%22%3A%22field_20%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%2C%7B%22field%22%3A%22field_40%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%2C%22Policy%20%26%20Measurement%22%5D%7D%2C%7B%22field%22%3A%22field_41%22%2C%22operator%22%3A%22is%22%2C%22value%22%3A%5B%22%22%5D%7D%5D">Access other PXJ articles</a> related to this lens.</li> <li><a href="https://www.theberylinstitute.org/page/Ecosystem-PolicyMeasurement">Access other resources</a> related to this lens.</li> </ul>
format article
author Aria Jazdarehee
Anshu Parajulee
Jude Kornelsen
author_facet Aria Jazdarehee
Anshu Parajulee
Jude Kornelsen
author_sort Aria Jazdarehee
title The experiences of rural British Columbians accessing surgical and obstetrical care
title_short The experiences of rural British Columbians accessing surgical and obstetrical care
title_full The experiences of rural British Columbians accessing surgical and obstetrical care
title_fullStr The experiences of rural British Columbians accessing surgical and obstetrical care
title_full_unstemmed The experiences of rural British Columbians accessing surgical and obstetrical care
title_sort experiences of rural british columbians accessing surgical and obstetrical care
publisher The Beryl Institute
publishDate 2021
url https://doaj.org/article/04d1026c44624d4980783679ba3869d1
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