Resources

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What do people mean when they talk about the Patient’s Medical Home (PMH)?
And what are the 10 pillars?
Find out here:  Patient’s Medical Home (PMH)

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BC Healthy Communities Society (BCHC) is a province-wide not-for-profit that facilitates the ongoing development of healthy, thriving and resilient communities. We provide a range of resources, programs and fee-for-service offerings that support multi-sectoral groups to collaborate around a shared vision for a common purpose. We work closely with, and have strong partnerships with local governments and health authorities across the province.

We have adopted and adapted the Healthy Communities Approach in our work to support local governments as they create equitable policies that address community health and well-being. The Healthy Communities movement recognizes that 60% of what makes us healthy is determined by our built, social, environmental and economic environments, and helps local governments design these various environments to support maximum health and well-being.

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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.

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Academic Health Science Network Conference
To watch Recordings and Presentations from this Conference, click on the link

The event program was co-developed by the Rural Coordination Centre of BC, the Canadian Frailty Network and the BC Academic Health Science Network and was planned to achieve scientific integrity, objectivity and balance.

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BC Academic Health Science Network – Strategic Plan – Looking Forward
BC has major strengths in health care, health research and health education. The role of BC AHSN is to assist in better employing these strengths to reinforce the Province’s leadership in health care innovation and improvement. In alignment with this role, and in keeping with BC AHSN’s mandate to “foster collaboration and the diffusion of excellence in care,” this Strategic Plan represents a commitment by the Board, Management, staff and associates of our organization to work diligently with others to improve health and health care in BC. Trusted partnerships and collaborations with other entities also charged with health research and innovation are key to how BC AHSN intends to fulfill its role. It is one of our guiding principles to foster the relationships necessary to achieve system‐level change of significant impact and value.
To read the full strategic plan, click on AHSN – Strategic Plan https://bcahsn.ca/wp-content/uploads/2019/09/Looking-Forward.pdf

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Seniors helping seniors is the foundation of Senior Peer Counselling in BC.  Peer counselling is based on the principles of self-help and mutual aid.
The purpose of the Society is to address the health of aged persons by providing for senior peer counselling services 

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FNHA’s Policy Statement on Cultural Safety and Humility
This policy statement provides the FNHA’s view on creating cultural safety and humility for First Nations in the health care system. It builds a common understanding of cultural safety and humility for FNHA, communicates our views with our health partners and provides recommended actions to embed cultural safety into the health system across multiple levels.

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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

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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.
www.qmunity.ca

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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

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BC PATIENT SAFETY & QUALITY COUNCIL
Our vision is high quality and sustainable health care for all.
We provide system-wide leadership through collaboration with patients, caregivers, the public and those working within the health care system in a relentless pursuit of quality.
The Council provides system-wide leadership to efforts designed to improve the quality of health care in British Columbia. Through collaborative partnerships with health authorities, patients, and those working within the health care system, we promote and inform a provincially-coordinated, patient-centred approach to quality.

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BC Association of Community Health Centres
Our mission is to support and increase access to Community Health Centres so that more individuals, families and communities throughout British Columbia have access to the integrated, high-qualityhealth and social services they deserve.
Learn more about where things stand and what still needs to be done
Grow a Local CHC
If your community has or would like to form a local steering group to establish a Community Health Centre, please make sure to let us know! We want to add you to the list of “communities of record” so that we may begin supporting you to advance your local efforts. Please contact us using the form at the bottom of this page.

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What are Community Health Centres?

Community Health Centres (CHCs) have been an effective but under-valued model for delivering primary health care for decades in Canada and the US. One of the unique features of the model is its strong focus on the social determinants of health and preventing acute illness . among groups who are more likely to experience poor health and suffer from chronic conditions, including low-income people, ethno-cultural communities, Indigenous peoples, and frail seniors. Find out more by clicking on the bold text:The importance of community health centres in BC’s primary care reforms: What the research tells us. Marcy Cohen/Andrew Longhurst March 1, 2019 

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BC Health Coalition
The BCHC is a network of individuals and organizations with a shared passion for public health care. Our coalition community is comprised of over 800,000 people in B.C. – and growing.We are young people, seniors, health care workers, faith communities, health policy experts, and people with disabilities.The BCHC a non-profit and non-partisan organization.

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BC Ministry of Health
The Ministry of Health has overall responsibility for ensuring that quality, appropriate, cost effective and timely health services are available for all British Columbians. 

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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.

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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 

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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.

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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.

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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.

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

So what are community health centres? CHCs are non-profit primary care organizations that provide integrated health care and social services, with a focus on addressing the social determinants of health. Five commonly accepted characteristics include:

1. CHCs provide team-based inter-professional primary care that includes a range of health care and social service providers, including social workers, family physicians, nurse practitioners, nurses, dieticians, occupational therapists, clinical pharmacists, physiotherapists, respiratory therapists, cross-cultural health brokers, First Nations elders, mental health counsellors, and outreach workers, among others.

2. CHCs integrate medical care, mental health and substance use services, health promotion and chronic disease management programs. Many CHCs also provide vision and dental care.

3. CHCs are community-governed and responsive to the patients/members they serve. This means that they are legally established as non-profit societies or co-operatives and provide open membership to their patients (who are members of the organization). It also means that patient-members can participate on the board of directors and in other parts of the governance of the organization.

4. CHCs actively address the social determinants of health such as poverty, access to housing, education, language barriers and other factors that have a direct impact on health. CHCs take an upstream approach intended to prevent illness and promote wellness.

5. CHCs demonstrate commitment to health equity and social justice, and recognize that disparities in health status among the population are socially, economically, and institutionally structured—and that these disparities are avoidable and unfair. CHCs work to eliminate these health inequities through a community development approach and advocating for public policies that address the upstream determinants of health, including fair taxation, living wages, decent working conditions, safe and affordable housing and quality public services.

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

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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 form a network, which eventually became the BC Rural Health Network

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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
Videos

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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.
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Physician retention and recruitment outside urban BC
Thommasen, 2000
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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.
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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
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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.
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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!
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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)
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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.
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Local Evidence for Health Planning through a Rural Lens.
Rural Evidence Review – UBC/Centre for Rural Health Research/Department of Family Practice.

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Rural Evidence Review: Patients Travelling From Urban Geographies To Rural Hospitals For Procedural Care:A Realist Consideration – 2018
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https://www.ubyssey.ca/science/rural-health-review/?fbclid=IwAR2JB6WRt-Nygi1x9qbkSibmq9JYmcnUNgbi_AXoWYF84FeV2Cg51dQtrQo
UBC Rural Evidence Review aims to identify highest-priority health needs in rural BC communities
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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

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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: www.cfpc.ca/ARFM_resources
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Select Standing Committee on Health – Looking Forward
Improving Rural Health Care, Primary Care, and Addiction Recovery Programs
2017 Report

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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.

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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.
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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. 

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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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