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Non-clinical determinants of Medevacs in Nunavut: perspectives from northern health service providers and decision-makers

A medevac involves the transport of a critically ill patient, usually by plane or helicopter, to access necessary and at times life-saving care, most often only accessible in urban centres. Medevacs are commonly used in resource-limited and geographically isolated areas in Canada. The objective of t...

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Autores principales: McDonnell, Leah, Lavoie, Josée G., Healey, Gwen, Wong, Sabrina, Goulet, Sara, Clark, Wayne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Taylor & Francis 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6366434/
https://www.ncbi.nlm.nih.gov/pubmed/30724715
http://dx.doi.org/10.1080/22423982.2019.1571384
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author McDonnell, Leah
Lavoie, Josée G.
Healey, Gwen
Wong, Sabrina
Goulet, Sara
Clark, Wayne
author_facet McDonnell, Leah
Lavoie, Josée G.
Healey, Gwen
Wong, Sabrina
Goulet, Sara
Clark, Wayne
author_sort McDonnell, Leah
collection PubMed
description A medevac involves the transport of a critically ill patient, usually by plane or helicopter, to access necessary and at times life-saving care, most often only accessible in urban centres. Medevacs are commonly used in resource-limited and geographically isolated areas in Canada. The objective of this study was to explore the determinants of medevac decision-making from the perspective of frontline care providers and decision-makers in Nunavut. For this purpose, we conducted a secondary analysis of 90 in-depth interviews. Findings indicate that medevacs can be the result of a number of intersecting factors, including the referring and receiving provider’s experience, insufficient staffing in health centres, lack of access to diagnostic or treatment-related, and challenges related to recruitment and retention. An expanded scope of practice for frontline care providers, and a related lack of training and/or confidence in skills, only add to these challenges. Medevacs play an important role related to managing shifting community nursing workloads, which expands and contracts in response to local needs. Attention to structural issues, putting in place virtual peer support systems, resolving vacancies left by the lag between attrition and recruitment, increasing access to training, and local diagnostic and treatment equipment, might decrease reliance of medevacs.
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spelling pubmed-63664342019-02-15 Non-clinical determinants of Medevacs in Nunavut: perspectives from northern health service providers and decision-makers McDonnell, Leah Lavoie, Josée G. Healey, Gwen Wong, Sabrina Goulet, Sara Clark, Wayne Int J Circumpolar Health Research Article A medevac involves the transport of a critically ill patient, usually by plane or helicopter, to access necessary and at times life-saving care, most often only accessible in urban centres. Medevacs are commonly used in resource-limited and geographically isolated areas in Canada. The objective of this study was to explore the determinants of medevac decision-making from the perspective of frontline care providers and decision-makers in Nunavut. For this purpose, we conducted a secondary analysis of 90 in-depth interviews. Findings indicate that medevacs can be the result of a number of intersecting factors, including the referring and receiving provider’s experience, insufficient staffing in health centres, lack of access to diagnostic or treatment-related, and challenges related to recruitment and retention. An expanded scope of practice for frontline care providers, and a related lack of training and/or confidence in skills, only add to these challenges. Medevacs play an important role related to managing shifting community nursing workloads, which expands and contracts in response to local needs. Attention to structural issues, putting in place virtual peer support systems, resolving vacancies left by the lag between attrition and recruitment, increasing access to training, and local diagnostic and treatment equipment, might decrease reliance of medevacs. Taylor & Francis 2019-02-06 /pmc/articles/PMC6366434/ /pubmed/30724715 http://dx.doi.org/10.1080/22423982.2019.1571384 Text en © 2019 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group. http://creativecommons.org/licenses/by-nc/4.0/ http://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
McDonnell, Leah
Lavoie, Josée G.
Healey, Gwen
Wong, Sabrina
Goulet, Sara
Clark, Wayne
Non-clinical determinants of Medevacs in Nunavut: perspectives from northern health service providers and decision-makers
title Non-clinical determinants of Medevacs in Nunavut: perspectives from northern health service providers and decision-makers
title_full Non-clinical determinants of Medevacs in Nunavut: perspectives from northern health service providers and decision-makers
title_fullStr Non-clinical determinants of Medevacs in Nunavut: perspectives from northern health service providers and decision-makers
title_full_unstemmed Non-clinical determinants of Medevacs in Nunavut: perspectives from northern health service providers and decision-makers
title_short Non-clinical determinants of Medevacs in Nunavut: perspectives from northern health service providers and decision-makers
title_sort non-clinical determinants of medevacs in nunavut: perspectives from northern health service providers and decision-makers
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6366434/
https://www.ncbi.nlm.nih.gov/pubmed/30724715
http://dx.doi.org/10.1080/22423982.2019.1571384
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