Lights, camera ... inaction? Trends in rural health care in Canada. 2004

John Wootton
Centre de Santé du Pontiac, 200 rue Argue, Shawville, Québec, J0X 2Y0. john_wootton@ssss.gouv.qc.ca

In summary, rural practice in Canada has had its image burnished in recent years and its model of practice (comprehensive, multi-tasking autonomous practice in multiple environments--"polyvalence" in good Québecois) increasingly recognized as an efficient model, which could apply to many settings. Where it thrives it has succeeded in distributing these tasks among enough individuals to allow itself room to breathe, and it has developed its skills and scope of practice in ways that support the self-reinforcing duality of competence and confidence. In short, it has made rural practice into "something someone would want to do." Whether this success will be repeated in enough places for it to be said that rural medicine is no longer in jeopardy remains to be seen.

UI MeSH Term Description Entries
D009313 National Health Programs Components of a national health care system which administer specific services, e.g., national health insurance. National Health Insurance, Non-U.S.,Health Services, National,National Health Insurance,National Health Insurance, Non U.S.,National Health Services,Services, National Health,Health Insurance, National,Health Program, National,Health Programs, National,Health Service, National,Insurance, National Health,National Health Program,National Health Service,Program, National Health,Programs, National Health,Service, National Health
D009936 Organizational Innovation Introduction of changes which are new to the organization and are created by management. Organizational Change,Change, Organizational,Innovation, Organizational,Changes, Organizational,Innovations, Organizational,Organizational Changes,Organizational Innovations
D010559 Personnel Management Planning, organizing, and administering all activities related to personnel. Client-Staff Ratio,Client Staff Ratio,Client-Staff Ratios,Management, Personnel,Ratio, Client-Staff,Ratios, Client-Staff
D010820 Physicians Individuals licensed to practice medicine. Physician
D011365 Professional Practice Location Geographic area in which a professional person practices; includes primarily physicians and dentists. Location, Professional Practice,Locations, Professional Practice,Practice Location, Professional,Practice Locations, Professional,Professional Practice Locations
D002170 Canada The largest country in North America, comprising 10 provinces and three territories. Its capital is Ottawa.
D004501 Education, Medical Use for general articles concerning medical education. Medical Education
D006284 Health Plan Implementation Those actions designed to carry out recommendations pertaining to health plans or programs. Health Plan Implementations,Implementation, Health Plan,Implementations, Health Plan,Plan Implementation, Health,Plan Implementations, Health
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D017146 Models, Organizational Theoretical representations and constructs that describe or explain the structure and hierarchy of relationships and interactions within or between formal organizational entities or informal social groups. Organizational Models,Model, Organizational,Organizational Model

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