title: Integrated Community Policy Uptake Model: responding to select Manitoba and Saskatchewan rural women's experiences of health reform/renewal.
abstract: OBJECTIVE
  To explore the impacts and implications of health reform/renewal for rural women in Saskatchewan and Manitoba, Canada.
  
  
  METHODS
  The study was a multiple case study approach using mixed methods of focus groups, individual interviews, and trends/utilization analysis.
  
  
  METHODS
  Three rural communities - two in Saskatchewan; one in Manitoba.
  
  
  METHODS
  Rural women; non-health providers.
  
  
  METHODS
  None.
  
  
  METHODS
  None.
  
  
  RESULTS
  This paper presents a four phase Integrated Community Policy Uptake Model which is derived from the experiences of rural women during the operationalizing of health reform policy. The model depicts a four phase integration of the health reform or renewal policy; specifically, 'Taking In', 'Taking On', 'Taking Over', and 'Taking Beyond'. The Integrated Community Policy Uptake Model is firmly rooted in the perceptions and opinions of rural women, and is informed by their understanding of health policy.
  
  
  CONCLUSIONS
  The involvement of rural women in the policy process is necessary. The model proposed potentially encourages women to become more directly engaged in future health policy making and planning. There is also significant potential for this model to inform decision makers of the perceptions, needs, and solutions offered by stakeholders such as rural women.
authors.affiliation: University of Saskatchewan - Nursing, Regina, Saskatchewan, Canada. pammla.petrucka@usask.ca
authors.forename: Pammla
authors.initials: P
authors.lastname: Petrucka
authors.forename: Donna Lynn
authors.initials: DL
authors.lastname: Smith
mesh_terms: D000328:Adult; D000368:Aged; D003153:Community Health Services / Q000458:organization & administration*; D003657:Decision Making; D005260:Female; D017144:Focus Groups; D018166:Health Care Reform / Q000458:organization & administration*; D007722:Health Knowledge, Attitudes, Practice; D006291:Health Policy; D006801:Humans; D008350:Manitoba; D008875:Middle Aged; D008962:Models, Theoretical; D010865:Pilot Projects; D019035:Rural Health Services / Q000458:organization & administration*; D012525:Saskatchewan; D012938:Social Perception