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Review of Family Medicine Within Rural and Remote Canda: Education, Practice, and Policy


South Okanagan Similkameen Primary Care Network Issues Paper 
September 2019
The South Okanagan Similkameen (SOS) Primary Care Network (PCN) encompasses the entire SOS region. It serves approximately 90,000 residents in 8 communities.

The following paper contains an environmental scan of issues that have surfaced in our region. Input was given by physicians, Nurse Practitioners, Interior Health, Indigenous partners, local government, and patient voices. 
Similar concerns were echoed by other Wave 1 communities.

South Okanagan Similkameen PCN – Vulerabilities and Solutions
September 201
The first five months of Primary Care Network funding have been full of great progress, allowing our region to address vulnerabilities and to strengthen our existing network of care, as we continue our shift towards team-based primary care delivery.

For context we have highlighted each of our networks of care, their vulnerabilities, and solutions to address those vulnerabilities. Some of these solutions pre-date Primary Care Network funding, some are being shored up by Primary Care Network funding, while still others are being introduced as a result of Primary Care Network funding.

We have also highlighted some process issues and proposed solutions in order to increase the success of Primary Care Network implementation, which began in Penticton, Summerland and Okanagan Falls, with service plan deveopment underway with the communities of Oliver, Osoyoos, Osoyoos Indian Band, Keremeos, Lower Similkameen Indian Band, Upper Similkameen Indian Band, Hedley and Princeton.

Link: South Okanagan Similkameen Primary Care Network
Vulnerabilities and Solutions

Citizen-Patient-Community Participation in Health Care Planning, Decision Making and Delivery through Rural Health Councils
Policy Brief Rural Evidence Review (RER)
September 2019
To: British Columbia Ministry of Health & Health Authorities Policy Makers
From: Rural Evidence Review Project Centre for Rural Health Research, UBC

Provincial Health Care Partners’ Planning Retreat
Summary Report
January 27, 28, 29, 2019
This event was co-sponsored and organized by the Rural Coordination Centre of BC, Doctors of BC, and the BC Ministry of Health. 
The purpose of the gathering was to “engage in learning about primary health care re-design and transformation, with a focus on rural and remote communities.”
 A provincial planning team was formed under the leadership of the Rural Coordination Centre of BC, which included: Dr. Ray Markham (RCCBC), Dr. Alan Ruddiman (GPSC), Dr. Granger Avery (Doctors of BC), Meghan Hunt (First Nations Health Authority), Paula Carr (Doctors of BC), Ed Staples (BC Rural Health Network), Kim Williams (RCCBC), Anne Lesack (RCCBC) and Scott Graham (SPARC BC).
Videos collected during the gathering have been produced and can be viewed here:

Report on the Policy Discussion between the BC Rural Health Network and the BC Ministry of Health – June 21, 2018
The BC Rural Health Network would like to thank the BC Ministry of Health for providing the opportunity to participate in the policy discussion on Community Health Centres.

Putting Our Minds Together: Research and Knowledge Management Strategy
This document serves as the response to the Ombudsperson’s recommendation 35 of Misfire: The 2012 Ministry of Health Employment Terminations and Related Matters:
By December 31, 2017,  the Ministry of Health publicly released a plan, to address the gaps.

It signals the Ministry’s commitment to work with the research community, including the Michael Smith Foundation for Health Research, as well as other stakeholders, to co-develop solutions for the health system’s toughest challenges.

Report on the Health Sciences Association Conference, April 2018
Achieving High-Performing Primary and Community Care: the Critical Role of Health Science Professions (Summary)
Edward Staples, President of SOHC (Support Our Health Care) and
BC Rural Health Network Lead.

Rural Health Services Research Conference, May 2018, Nelson/BCRHN pic
May 31  – June 1, 2018

pdf BCRHN Report to the MoH on CHC policy development – final
On June 21, 2018, the BC Rural Health Network and the BC Ministry of Health held a policy discussion on Community Health Centres.
Report by Edward Staples – President of SOHC (Support Our Health Care) – Princeton

Putting out fires: a qualitative study exploring the use of patient complaints to drive improvement at three academic hospitals
Background and objectives – Recent years have seen increasing calls for more proactive use of patient complaints to develop effective system-wide changes, analogous to the intended functions of incident reporting and root cause analysis (RCA) to improve patient safety. Given recent questions regarding the impact of RCAs on patient safety, we sought to explore the degree to which current patient complaints processes generate solutions to recurring quality problems.
Jessica J Liu, Leahora Rotteau Chaim M Bell, Kaveh G Shojania

Seniors Advocate BC – Residential Care Facilities – 2018
The British Columbia Residential Care Facilities Quick Facts Directory lists information for 293 publicly subsidized facilities in British Columbia.

UBC Rural Evidence Review aims to identify highest-priority health needs in rural BC communities
Written by Alex Nguyen

Physician retention and recruitment outside urban British Columbia (Thommasen 2000)
BC Medical Journal, vol. 42 , No. 6 , July August 2000

Workforce retention in rural and remote Australia – determining factors that influence length of practice (Humphreys et al 2002)
Objectives: To ascertain which factors are most significant in a general practitioner’s decision to stay in rural practice and whether these retention factors vary in importance according to the geographical location of the practice and GP characteristics.

Delivery models of rural surgical services in BC (1996-2005) – are general practitioner-surgeons still part of the picture (Humber and Frecker 2008)
Objective: To define the models of surgical service delivery in rural communities that rely solely on general practitioner (GP)–surgeons for emergency care, to examine how they have changed over the past decade and to identify some effects on communities that have lost their local surgical program.

The Entrepreneurial Activities of Citizen Led Coalitions
May 2017 – Kelowna
The principal investigators of the study were Kathy Rush, PhD, RN Associate Professor at the School of Nursing UBC Okanagan and Dr. Mike Chiasson, Professor, Faculty of Management, University of British Columbia Okanagan. Seven diverse CLCs (n = 40) from different rural communities participated in focus groups and in individual and coalition-level surveys.
Note: it was at this meeting in Kelowna, on April 27, 2017 that discussion began that led to the formation of the BC Rural Health Network, officially launched seven months later on December 1, 2017.