ArticleCanadian journal of surgery. Journal canadien de chirurgie2010
Rural patients' experiences accessing surgery in British Columbia.
Article in Canadian journal of surgery. Journal canadien de chirurgie, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Surgical Experiences of Patients From the Circumpolar North: A Scoping Review.World journal of surgery · 2025Article
- Growing Up With Congenital Heart Disease: A Qualitative Research Study of Parents' and Clinicians' Experiences and Perspectives.CJC pediatric and congenital heart disease · 2025Article
- Social Determinants of Health in Pediatric Ophthalmology Patients: Availability of Data in the Electronic Health Record and Association With Clinic Attendance.Translational vision science & technology · 2023Article
- Surgical Task-Sharing in the Western Canadian Arctic: A Networked Model Between Family Physicians with Enhanced Surgical Skills and Specialist Surgeons.World journal of surgery · 2022Article
- Centralized or decentralized perinatal surgical care for rural women: a realist review of the evidence on safety.BMC health services research · 2016Review
- GPs with enhanced surgical skills: a questionable solution for remote surgical services.Canadian journal of surgery. Journal canadien de chirurgie · 2016Article
- The location of surgical care for rural patients with rectal cancer: patterns of treatment and patient perspectives.Canadian journal of surgery. Journal canadien de chirurgie · 2014Article
- Does geography influence the treatment and outcomes of colorectal cancer? A population-based analysis.World journal of surgical oncology · 2013Article
- Individualised medicine from the perspectives of patients using complementary therapies: a meta-ethnography approach.BMC complementary and alternative medicine · 2013Article
- Evaluating the scope of rural general surgery in British Columbia.Canadian journal of surgery. Journal canadien de chirurgieArticle
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMore than 33% of Canadians live in rural areas. The vulnerability of rural surgical patients makes them particularly sensitive to barriers to accessing health care. This study aims to describe rural patients' experiences accessing local nonspecialist, family physician-surgeon care and regional specialist surgical care when no local surgical care was available.
methodsWe conducted a qualitative pilot study of self-selected patients. Interviews were analyzed using a modified Delphi technique and NVivo qualitative software.
resultsThe needs of rural surgical patients were reflective of Maslow's hierarchy of needs: physiologic, safety and security, community belonging and self-esteem/self-actualization. Rural patients expressed a strong desire for individualized care in a familiar environment. When such care was not available, patients found it difficult to meet even basic physiologic needs. Maternity patients and marginalized populations were particularly vulnerable.
conclusionRural patients seem to prefer individualized care in a familiar environment to address more of their qualitative emotional, psychological and cultural needs rather than only the physiologic needs of surgery. Larger studies are needed to delineate more clearly the qualitative aspects of surgical care.
Indexed as
Identifiers
21092429PMC2993030What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.