Rural physician–community engagement: Building, supporting and maintaining resilient health care strategies in three rural Canadian communities.

Objective: To explore rural physician–community engagement through three case studies in order to understand the role that these relationships can play in increasing community‐level resilience to climate change and ecosystem disruption. Design: Qualitative secondary case study analysis. Setting: Thr...

Descripción completa

Detalles Bibliográficos
Publicado en:Australian Journal of Rural Health Vol. 32; no. 5; pp. 930 - 938
Autores principales: Bland, Alexandra, Meyer, Anthon, Orrantia, Eliseo, Hale, Ilona, Grzybowski, Stefan
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Oct2024
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=181569543&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 181569543
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        10385282
        FQO
      jtl: Australian Journal of Rural Health
      issn: 10385282
      maglogo: Y
    pubinfo:
      dt: Oct2024
      vid: 32
      iid: 5
      pid: 480
      pub: Wiley-Blackwell
      place: Malden, Massachusetts
    artinfo:
      ui:
        181569543
        178017561
        181569543
        181569543
        10.1111/ajr.13154
        181569543
      ppf: 930
      ppct: 8
      formats:
        fmt:
          – @attributes:
              type: T
          – @attributes:
              type: P
      tig:
        atl: Rural physician–community engagement: Building, supporting and maintaining resilient health care strategies in three rural Canadian communities.
      aug:
        au:
          Bland, Alexandra
          Meyer, Anthon
          Orrantia, Eliseo
          Hale, Ilona
          Grzybowski, Stefan
        affil: Centre for Rural Health Research, University of British Columbia, Department of Family Practice, Vancouver British Columbia,, Canada
      sug:
        subj:
          Rural Health Personnel
          Physicians, Family Psychosocial Factors
          Social Participation
          Communities Canada
          Support, Psychosocial
          Health Care Delivery
          Hardiness
          Climate Change
          Trust
          Interpersonal Relations
          Canada
          Human
          Case Studies
          Qualitative Studies
          Semi-Structured Interview
          Thematic Analysis
          Data Analysis Software
          Continuity of Patient Care
          Collaboration
          COVID-19 Pandemic
          Cultural Safety
          Funding Source
          British Columbia
          Ontario
      ab: Objective: To explore rural physician–community engagement through three case studies in order to understand the role that these relationships can play in increasing community‐level resilience to climate change and ecosystem disruption. Design: Qualitative secondary case study analysis. Setting: Three Canadian rural communities (BC n = 2, Ontario n = 1). Participants: Rural family physicians and community members. Methods: Twenty‐eight semi‐structured virtual interviews, conducted between November 2021 and February 2022, were included. Communities were selected from the larger data set based on data availability, level of physician engagement and demographic factors. Thematic analysis was completed in NVivo using deductive coding. Main Findings: The presented qualitative case studies shed light on the strategies employed by physicians to establish and foster relationships within rural communities during challenging circumstances. In Community A, the implementation of a Primary Care Society (PCS) not only addressed physician shortages but also facilitated the development of strong continuity of care through proactive recruitment efforts. Community B showcased the adoption of an 'intentional physician community' model, emphasising collaboration and community consultation, resulting in effective communication of public health directives and innovative interdisciplinary action during the COVID‐19 pandemic. In Community C, engaged physicians and community advocates are aligned to contribute to the long‐term sustainability of the rural community, particularly in the context of food security and climate change vulnerabilities. Conclusion: These findings underscore the significance of trust building, transparent communication and collaboration in addressing health care challenges in rural areas and emphasise the need to recognise and support physicians as agents of change.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N