Trauma systems in Canada: striving for quality across an expansive landmass

Natasha G. Caminsky, Evan G. Wong
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Abstract

Although Canada has a universal health care program that provides free in-hospital services to all citizens, its vast landmass and nonstandardized prehospital and posthospital systems make delivering quality trauma care challenging, particularly to resource-limited rural regions. This article summarizes the strengths of the prehospital system, facility-based care, trauma network, trauma registry, rehabilitation, and governance/financing/quality assurance components of Canada’s trauma system. Future directions, including the use of telemedicine, standardization of practices, and resource optimization, are also explored. Canada’s trauma system is well developed, yet geography impedes equitable access. More standardization and resource optimization are needed.
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加拿大的创伤系统:在广阔的土地上努力提高质量
尽管加拿大有一个向所有公民提供免费住院服务的全民医疗保健计划,但其广阔的土地和非标准化的院前和院后系统使提供高质量的创伤护理具有挑战性,尤其是在资源有限的农村地区。本文总结了加拿大创伤系统的院前系统、基于设施的护理、创伤网络、创伤登记、康复和治理/融资/质量保证组成部分的优势。还探讨了未来的方向,包括远程医疗的使用、实践的标准化和资源优化。加拿大的创伤系统发展良好,但地理位置阻碍了公平的治疗。需要更多的标准化和资源优化。
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