加拿大西部北极地区的外科手术:家庭医生与专科外科医生合作提高手术技能的相对影响。

IF 0.7 Q3 MEDICINE, GENERAL & INTERNAL Canadian Journal of Rural Medicine Pub Date : 2023-04-01 DOI:10.4103/cjrm.cjrm_44_22
Ryan Falk, Dawnelle Topstad
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引用次数: 0

摘要

引言:对加拿大农村、偏远地区或极地地区人口的手术需求知之甚少;这些地区也是全国一半土著人民的家园。在本研究中,我们试图了解具有增强手术技能的家庭医生(FP-ESS)和专科外科医生在加拿大西部北极地区一个主要是土著农村和偏远社区的外科护理中的相对影响。方法:进行了一项描述性和回顾性定量研究,以确定2014年4月1日至2019年3月31日的5年间,为西北地区博弗特三角洲地区定义的集水区人口进行的手术次数和范围,以及手术提供者的类型和服务地点。结果:Inuvik的FP-ESS医生完成了79%的内窥镜手术和22%的外科手术,占总手术的近一半。超过50%的手术在当地完成(47.7%由FP-ESS完成,5.6%由来访的专科医生完成)。仅就外科病例而言,近三分之一在当地进行,三分之一在耶洛奈夫进行,其余三分之一在境外进行。结论:这种网络化模式降低了对外科专家的总体需求,他们可以更好地专注于FP-ESS范围之外的外科护理。由于这一人群近一半的手术需求由FP-ESS在当地满足,因此降低了医疗保健费用,改善了获得机会的机会,并在离家较近的地方提供了更多的外科护理。
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Surgery in the western Canadian Arctic: The relative impact of family physicians with enhanced surgical skills working collaboratively with specialist surgeons.

Introduction: Little is known about the surgical needs of rural, remote or circumpolar populations in Canada; these same regions are also home to half of all Indigenous people in the country. In the present study, we sought to understand the relative impact of family physicians with enhanced surgical skills (FP-ESS) and Specialist Surgeons in the surgical care of a mostly Indigenous rural and remote community in the western Canadian Arctic.

Methods: A descriptive and retrospective quantitative study was conducted to determine the number and range of procedures performed for the defined catchment population of the Beaufort Delta Region of the Northwest Territories, as well as the type of surgical provider and location of that service, over the 5 years from 1 April, 2014, to 31 March, 2019.

Results: FP-ESS physicians in Inuvik performed 79% of all endoscopic and 22% of all surgical procedures, which accounted for nearly half of the total procedures performed. Over 50% of all procedures were performed locally (47.7% by FP-ESS and 5.6% by visiting specialist surgeons). For surgical cases alone, nearly one-third were performed locally, one-third in Yellowknife and the remaining one-third out-of-territory.

Conclusions: This networked model reduces the overall demand on surgical specialists, who can better focus their efforts on surgical care that is beyond the scope of FP-ESS. With nearly half of the procedural needs of this population being met locally by FP-ESS, there are decreased health-care costs, better access and more surgical care closer to home.

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来源期刊
Canadian Journal of Rural Medicine
Canadian Journal of Rural Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
1.70
自引率
18.20%
发文量
38
期刊介绍: The Canadian Journal of Rural Medicine (CJRM) is a quarterly peer-reviewed journal available in print form and on the Internet. It is the first rural medical journal in the world indexed in Index Medicus, as well as MEDLINE/PubMed databases. CJRM seeks to promote research into rural health issues, promote the health of rural and remote communities, support and inform rural practitioners, provide a forum for debate and discussion of rural medicine, provide practical clinical information to rural practitioners and influence rural health policy by publishing articles that inform decision-makers.
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