title: Rural health services: finding the light at the end of the tunnel.
abstract: Many rural communities across canada are facing challenges to the sustainability of core emergency and acute care health services, primarily due to problems with medical and nursing staffing. Data related to service efficacy and effectiveness are not well organized. Most of Canada still relies on reporting by large geopolitical areas (local health areas) that do not always relate natural catchment population outcomes to community hospital services. Re-organizing rural health services' outcome reporting by the characteristics of geographically defined catchment populations would facilitate better planning, systemic quality improvement and stronger continuing professional development for health professionals. It may also serve to inform the transformation of core health services in larger communities.
authors: Centre for Rural Health Research, Department of Family Practice, University of British Columbia, Vancouver, BC, Canada. sgrzybow@mail.ubc.ca
authors: Stefan
authors: S
authors: Grzybowski
authors: Jude
authors: J
authors: Kornelsen
mesh_terms: D001955:British Columbia; D002170:Canada; D006801:Humans; D058996:Quality Improvement / Q000458:organization & administration; D019035:Rural Health Services / Q000458:organization & administration* / Q000592:standards
references: Can Fam Physician. 1998 Oct;44:2117-24
references: 9805166
references: Health Policy. 2009 Oct;92(2-3):149-57
references: 19361880
references: Aust J Rural Health. 1997 Nov;5(4):198-203
references: 9444118
references: Int J Health Geogr. 2006 Oct 03;5:43
references: 17018146
references: Can J Rural Med. 2009 Summer;14(3):111-4
references: 19594995
references: J Obstet Gynaecol Can. 2004 Dec;26(12):1077-85
references: 15607044
references: Int J Health Geogr. 2004 Feb 26;3(1):3
references: 14987337
references: Med Care Rev. 1994 Fall;51(3):337-77
references: 10138051
references: Int J Health Geogr. 2006 Sep 19;5:40
references: 16984650
references: BMC Health Serv Res. 2011 Jun 10;11:147
references: 21663676
references: Rural Remote Health. 2005 Apr-Jun;5(2):390
references: 15913450