Evidence map›Paper›PMID 35418389›Full record

ArticleCanadian family physician Medecin de famille canadien2022

Consensus statement on networks for high-quality rural anesthesia, surgery, and obstetric care in Canada.

Stuart Iglesias, George Carson, C Ruth Wilson, Beverley A Orser, David R Urbach, Ryan Falk, Douglas Hedden, Victor Ng, Roy Wyman, Mark Walsh and 3 more

Abstract readConsensus Statement
PubMed Full text at PMC Publisher
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. No community left behind: advancing rural anesthesia, surgery, and obstetric care in Canada.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2022
    Article
  2. Stronger and more beautiful.Canadian family physician Medecin de famille canadien · 2022
    Article
  3. Defining the Canadian rural general surgeon.Canadian journal of surgery. Journal canadien de chirurgie
    Review
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

13 authors.

Stuart IglesiasRetired rural family physician with anesthesia and surgical skills in Bella Bella, BC. siglesias64@gmail.com.
George CarsonClinical Professor of Obstetrics and Gynecology at the University of Saskatchewan in Saskatoon.
C Ruth WilsonProfessor Emerita in the Department of Family Medicine at Queen's University in Kingston, Ont, and a family physician practising in Yellowknife, NWT.
Beverley A OrserChair and Professor in the Department of Anesthesiology and Pain Medicine in the Temerty Faculty of Medicine at the University of Toronto in Ontario and the Department of Anesthesia at Sunnybrook Health Sciences Centre in Toronto.
David R UrbachProfessor of Surgery and Health Policy, Management and Evaluation at the University of Toronto, and Head of the Department of Surgery at Women's College Hospital in Toronto.
Ryan FalkClinical Instructor in Rural Family Medicine and Adjunct Professor in the Branch for Global Surgical Care at the University of British Columbia in Chilliwack.
Douglas HeddenProfessor Emeritus at the University of Alberta in Edmonton.
Victor NgAssistant Professor in the Division of Emergency Medicine of the Schulich School of Medicine and Dentistry at Western University in London, Ont, and Associate Director of Programs and Practice Support for the College of Family Physicians of Canada.
Roy WymanAssistant Professor at the University of Toronto and Director of Certificates of Added Competence at the College of Family Physicians of Canada.
Mark WalshAssistant Professor of Surgery at Dalhousie University in Halifax, NS, and President of the Canadian Association of General Surgeons.
Nancy HumberRural family physician in Lillooet, BC, and Clinical Assistant Professor at the University of British Columbia.
Peter MilesAssistant Clinical Professor at the University of Alberta in Grande Prairie and Chair of the Canadian Association of General Surgeons Rural Surgery Committee.
Jennifer BlakePast Chief Executive Officer of the Society of Obstetricians and Gynaecologists of Canada; and Adjunct Professor of Obstetrics and Gynecology at the University of Ottawa in Ontario, at the University of Toronto, and at McMaster University in Hamilton, Ont.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe the essential components of well-resourced and high-functioning multidisciplinary networks that support high-quality anesthesia, surgery, and maternity care for rural Canadians, delivered as close to home as possible. COMPOSITION OF THE COMMITTEE: A volunteer Writers' Group was drawn from the Society of Obstetricians and Gynaecologists of Canada, the Society of Rural Physicians of Canada, the Royal College of Physicians and Surgeons of Canada, the Canadian Association of General Surgeons, the College of Family Physicians of Canada, and the Association of Canadian University Departments of Anesthesia.

methodsA collaborative effort over the past several years among the professional stakeholders has culminated in this consensus statement on networked care designed to integrate and support a specialist and non-specialist, urban and rural, anesthesia, surgery, and maternity work force into high-functioning networks based on the best available evidence. REPORT: Surgical and maternity triage needs to be embedded within networks to address the tensions between sustainable regional programs and local access to care. Safety and quality must be demonstrated to be equivalent across similar patients and procedures, regardless of network site. Triage of patients across multiple sites is a quality outcome metric requiring continuous iterative scrutiny. Clinical coaching between rural and regional centres can be helpful in building and sustaining high-functioning networks. Maintenance of quality and the provision of continuing professional development in low-volume settings represent a mutual value proposition.

conclusionThe trusting relationships that are foundational to successful networks are built through clinical coaching, continuing professional development, and quality improvement. Currently, a collaborative effort in British Columbia is delivering a provincial program-Rural Surgical Obstetrical Networks-built on the principles and supporting evidence described in this consensus statement.

Indexed as

AnesthesiaMaternal Health ServicesRural Health ServicesBritish ColumbiaCanadaFemaleHumansPhysicians, FamilyPregnancyRural Population

Identifiers

PMID35418389
PMCPMC9007136

What OpenQuestion holds

Textmetadata
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.