ArticleInternational journal of circumpolar health2019
Non-clinical determinants of Medevacs in Nunavut: perspectives from northern health service providers and decision-makers.
Article in International journal of circumpolar health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A review of health and wellness studies involving Inuit of Manitoba and Nunavut.International journal of circumpolar health · 2020Pooled it
- Aeromedical evacuations in the Canadian North: does the presence of a physician alter rates?International journal of circumpolar health · 2025Article
- A Scoping Review of the Current Knowledge of the Social Determinants of Health and Infectious Diseases (Specifically COVID-19, Tuberculosis, and H1N1 Influenza) in Canadian Arctic Indigenous Communities.International journal of environmental research and public health · 2024Article
- Inuit mental health service utilisation in Manitoba: results from the qanuinngitsiarutiksait study.International journal of circumpolar health · 2024Article
- Review
- Mitigating the impact of the COVID-19 pandemic on Inuit living in Manitoba: community responses.International journal of circumpolar health · 2023Article
- Cross-jurisdictional pandemic management: providers speaking on the experience of Nunavut Inuit accessing services in Manitoba during the COVID-19 pandemic.International journal of circumpolar health · 2023Article
- The effect of eConsult on the provision of orthopaedic services in Nunavut.International journal of circumpolar health · 2022Article
- Medical evacuations in Greenland in 2018: a descriptive study.International journal of circumpolar health · 2022Observational
- Returning childbirth to inuit communities in the Canadian Arctic.International journal of circumpolar health · 2022Review
- Trends in Inuit health services utilisation in Manitoba: findings from theInternational journal of circumpolar health · 2022Article
- Kivalliq Inuit women travelling to Manitoba for birthing: findings from the Qanuinngitsiarutiksait study.BMC pregnancy and childbirth · 2022Article
- Urgent air transfers for acute respiratory infections among children from Northern Canada, 2005-2014.PloS one · 2022Article
- Experiences of Inuit in Canada who travel from remote settings for cancer care and impacts on decision making.BMC health services research · 2021Article
- Perspectives of Nunavut patients and families on their cancer and end of life care experiences.International journal of circumpolar health · 2020Article
- Barriers and Mitigating Strategies to Healthcare Access in Indigenous Communities of Canada: A Narrative Review.Healthcare (Basel, Switzerland) · 2020Review
- The hidden epidemiology of trauma in Nunavik: a call for a dedicated trauma registry.Canadian journal of surgery. Journal canadien de chirurgieArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
Abstract
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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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.