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September 2019
South Okanagan Similkameen Primary Care Network Issues Paper 
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.


September 2019
South Okanagan Similkameen Primary Care Network
Vulnerabilities and Solutions


Aging Out: moving toward queer and trans competent care for seniors.
This discussion paper is a summary of findings and recommendations to provide culturally competent care for LGBTQ seniors in Residential Care and Assisted Living.
This report has been prepared by QMUNITY as part of the Aging Out Project with generous funding from the Vancouver Foundation.

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

BC Association of Community Health Centres

BC Health Coalition

BC Ministry of Health

BC Patient Advisory Committee
The Patient Advisory is composed of 10 volunteer members from across BC. Members review and provide input on research projects based on their personal experience as a patients, share information with their networks, and support and advise the Advisory Committee and the BC-PHCRN leadership. The Patient Advisory is currently engaged in designing a provincial primary health care priority setting project.

BC Primary Health Care Research Network
The BC Primary Health Care Research Network (BC-PHCRN) is one of 11 Strategy for Patient Oriented Research (SPOR) Primary and Integrated Health Care Innovations (PIHCI) networks in Canadian provinces/territories, designed to support evidence-informed transformation of the delivery of primary and integrated health care.
The BC-PHCRN is funded by the Canadian Institutes of Health Research and the Michael Smith Foundation for Health Research 

BC Healthy Communities Society (BCHC) provides services, programs, and resources to support multi-sectoral collaboration and engagement for creating healthy and resilient communities. BCHC is a province-wide, not-for-profit organization.

Citizen-Patient-Community Participation in Health Care Planning: Decision-Making and Delivery through Rural Health Councils.
Jude Kornelsen (Principal Investigator) Christine Carthew (Lead Reviewer) & Zeena Yusufu, MPH (Reviewer) 
The Rural Evidence Review (RER) project is a joint collaboration between the Centre for Rural Health Research (Department of Family Practice, University of BC) and the Rural Coordination Centre of British Columbia (RRC_bc).
The RER is funded under Canada’s Strategy for Patient-Oriented Research – SPOR and Canadian Institutes of Health Research – CIHR. The goal of the project is to work with rural citizens-patients-communities to provide high quality and useful evidence for rural health services planning in British Columbia.

Centre for Rural Health Research – Patients Travelling From Urban Geographies To Rural Hospitals For Procedural Care: A Realist Consideration
Centralization has been shown to have deleterious consequences for many rural patients and to contribute to population health disadvantage among rural Canadians.  Meanwhile, increasing distance to basic care has been shown to have dramatic negative consequences for the health outcomes in BC.

Centre for Rural and Remote Mental Health (Australia)
The Centre for Rural and Remote Mental Health exists to provide leadership in rural and remote mental health research and program delivery. We work closely with rural communities and our valued partners to provide evidence-based service design, delivery and education around the country.

Cohen/Longhurst – The importance of community health centres in BC’s primary care reforms: What the research tells us.

Delivery models of rural surgical services in BC (1996-2005) – are general practitioner-surgeons still part of the picture (Humber and Frecker 2008)

Entrepreneurial Activities of Rural Coalitions in Advancing Access to Healthcare. 
Considerable evidence has advanced the role of citizen-led coalitions (CLC) in supporting the health and social needs of rural citizens. There has been little research focusing on the experiences and strategies of coalitions, with their limited resources and status, in targeting health inequities in their rural communities. The aim of this study was to understand the entrepreneurial strategies and experiences of rural coalitions to effect change in the delivery of health services for their older adult populations.
International Journal for Equity in Health, 18, Article number: 119.
Rush, K.L., Chiasson, M., Butterfield, M., Straka, S., Buckley, B.J. (2019).
Note: It was at this meeting that a suggestion was made to have the participants in the research project form a network, which eventually became the BC Rural Health Network

General Practice Services Committee
Read the latest news about team based care, patient medical homes, and primary care networks
Patient Medical Homes (PMH)
Primary Care Networks (PCN)
PMH/PCN – the differences
Team Based Care

Health Sciences Association
The HSA represents more than 20,000 health care and social services professionals in hospitals, community health settings, child development centres, transition houses, and other community agencies across British Columbia.

Physician retention and recruitment outside urban BC
Thommasen, 2000

Plan H, implemented by BC Healthy Communities Society, facilitates local government learning, partnership development and planning for healthier communities where we live, learn, work and play. Working together with health authorities, UBCM and the Ministry of Health, PlanH supports the Province’s health promotion strategy. 

Plan H – Healthy Housing Action Guide
This guide supports local governments across British Columbia as they create healthy and thriving places for all people.
What you’ll  find in this Action Guide:
– Information about healthy housing and its co-benefits
– Actions and examples from B.C. communities
– Funding opportunities and strategies
– A checklist of healthy housing actions
– Further reading and resources
– Local and provincial housing legislation
– A glossary of terms

The Rural Coordination Centre of BC works on behalf of the 
Joint Standing Committee on Rural Issues (JSC), an entity that advises the BC government and the Doctors of BC (formerly the BCMA) on matters pertaining to rural medical practice.

An investigation of Rural-Citizen-Patient Priorities for Health Planning – SURVEY
Rural Evidence Review Project/Centre for Rural Health Research
Please answer a few questions at the link below to share your health care priorities with us and help us to address the issues that are most important to you and your community.
Find our short, anonymous survey here!

Citizen Patient Community Participation in Health Care Planning, Decision Making and Delivery through Rural Health Councils – July 2019,
Rural Evidence Review. A scoping review of the international evidence to understand the structure, function and impact of rural health councils that include citizens, patients and communities in health care planning, decision-making and delivery activities. Jude Kornelsen PhD (Principal Investigator), Christine Carthew MPH (Lead Reviewer) and Zeena Yesufu MPH – C (Reviewer)

Community-Level Strategies for Recruiting and Retaining Health Care Providers to Rural and Remote Areas: A Scoping Review – December 2018
Rural Evidence Review – International evidence, exploring community-level factors and strategies to facilitate and improve the recruitment and retention of health care providers to rural and remote areas. Conducted through the Rural Evidence Review project.

Local Evidence for Health Planning through a Rural Lens.
Rural Evidence Review – UBC/Centre for Rural Health Research/Department of Family Practice.

Rural Evidence Review: Patients Travelling From Urban Geographies To Rural Hospitals For Procedural Care:A Realist Consideration – 2018
UBC Rural Evidence Review aims to identify highest-priority health needs in rural BC communities

Progress Made in the Rural Road Map
The Rural Road Map Implementation Committee (RRMIC) has made significant progress raising awareness across Canada about the need for improved access to rural health care close to home, as highlighted in the attached update. College of Family Physicians, Society of Rural Physicians in Canada, CIHI and others
Rural Road Map Implementation Committee Update Summer 2019


Summit to Improve Health Care Access and Equity for Rural Communities in Canada
The Rural Road Map for Action – 2017
The College of Family Physicians, The Canadian Collaborative Taskforce, Society of Rural Physicians in Canada
Additional Resources and Reports of the Taskforce’s work can be found at:

Select Standing Committee on Health – Looking Forward
Improving Rural Health Care, Primary Care, and Addiction Recovery Programs
2017 Report

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

Seniors Advocate – Residential Care Survey
September 15, 2017
Results of the Office of the Seniors Advocate’s landmark survey of people living in B.C.’s residential care facilities.

The Society of Rural Physicians of Canada
The SRPC is the national voice of Canadian rural physicians. Founded in 1992, the SRPC’s mission is championing rural generalist medical care through education, collaboration, advocacy and research. 

Workforce retention in rural and remote Australia – determining factors that influence length of practice (Humphreys et al 2002)
Humphreys et al 2002

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