Evidence map›Paper›PMID 34537027›Full record

ArticleBMC health services research2021

Rural citizen-patient priorities for healthcare in British Columbia, Canada: findings from a mixed methods study.

Jude Kornelsen, Christine Carthew, Kayla Míguez, Matilda Taylor, Catherine Bodroghy, Kathryn Petrunia, Delia Roberts

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.5field-weighted citation impact, top 7% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 17 citations in OpenAlex.

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  8. Rural Prenatal Care by Nurse Practitioners: A Narrative Review.Women's health reports (New Rochelle, N.Y.) · 2023
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Jude KornelsenCentre for Rural Health Research, Department of Family Practice, University of British, 3rd Floor David Strangway Building, University of British Columbia, 5950 University Boulevard, British Columbia, V6T 1Z3, Vancouver, Canada. jude.kornelsen@familymed.ubc.ca.
Christine CarthewCentre for Rural Health Research, Department of Family Practice, University of British, 3rd Floor David Strangway Building, University of British Columbia, 5950 University Boulevard, British Columbia, V6T 1Z3, Vancouver, Canada.
Kayla MíguezCentre for Rural Health Research, Department of Family Practice, University of British, 3rd Floor David Strangway Building, University of British Columbia, 5950 University Boulevard, British Columbia, V6T 1Z3, Vancouver, Canada.
Matilda TaylorRural Patient Partner, British Columbia, Canada.
Catherine BodroghyRural Patient Partner, British Columbia, Canada.
Kathryn PetruniaRural Patient Partner, British Columbia, Canada.
Delia RobertsRural Patient Partner, British Columbia, Canada.
University of British Columbia · CA

Funding

BC SUPPORT Unit N/ARural Coordination Centre of BC N/A
6 · The paper itself

Abstract

backgroundThe challenge of including citizen-patient voices in healthcare planning is exacerbated in rural communities by regional variation in priorities and a historical lack of attention to rural healthcare needs. This paper aims to address this deficit by presenting findings from a mixed methods study to understand rural patient and community priorities for healthcare.

methodsWe conducted a provincial survey of rural citizens-patients across British Columbia, Canada to understand their most pressing healthcare needs, supplemented by semi-structured interviews. Survey and interview participants were asked to articulate, in their own words, their communities' most pressing healthcare needs, to explain the importance of these priorities to their communities, and to offer possible solutions to address these challenges. Open-text survey responses and interview data were analyzed thematically to elicit priorities of the data and their significance to answer the research questions.

resultsWe received 1,287 survey responses from rural citizens-patients across BC, 1,158 of which were considered complete. We conducted nine telephone interviews with rural citizens-patients. Participants stressed the importance of local access to care, including emergency services, maternity care, seniors care, specialist services and mental health and substance use care. A lack of access to primary care services was the most pronounced gap. Inadequate local health services presented geographic, financial and social barriers to accessing care, led to feelings of vulnerability among rural patients, resulted in treatment avoidance, and deterred community growth.

conclusionsTwo essential prongs of an integration framework for the inclusion of citizen-patient voices in healthcare planning include merging patient priorities with population needs and system-embedded accountability for the inclusion of patient and community priorities.

Indexed as

Maternal Health ServicesRural Health ServicesBritish ColumbiaDelivery of Health CareFemaleHealth Services AccessibilityHumansPregnancyRural PopulationSurveys and QuestionnairesBritish ColumbiaCommunity ParticipationPatient-Oriented ResearchRural Health

Identifiers

PMID34537027
PMCPMC8449919
OpenAlexW3201524943

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.