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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ftdoajarticles:oai:doaj.org/article:b95492d979ff44ee9d1ab4a1f55fa5a7 2023-05-15T14:58:37+02:00 Non-clinical determinants of Medevacs in Nunavut: perspectives from northern health service providers and decision-makers Leah McDonnell Josée G. Lavoie Gwen Healey Sabrina Wong Sara Goulet Wayne Clark 2019-01-01T00:00:00Z https://doi.org/10.1080/22423982.2019.1571384 https://doaj.org/article/b95492d979ff44ee9d1ab4a1f55fa5a7 EN eng Taylor & Francis Group http://dx.doi.org/10.1080/22423982.2019.1571384 https://doaj.org/toc/2242-3982 2242-3982 doi:10.1080/22423982.2019.1571384 https://doaj.org/article/b95492d979ff44ee9d1ab4a1f55fa5a7 International Journal of Circumpolar Health, Vol 78, Iss 1 (2019) medical evacuation arctic inuit circumpolar northern-based healthcare canada tertiary care indigenous Arctic medicine. Tropical medicine RC955-962 article 2019 ftdoajarticles https://doi.org/10.1080/22423982.2019.1571384 2022-12-31T05:06:03Z 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. Article in Journal/Newspaper Arctic Circumpolar Health International Journal of Circumpolar Health inuit Nunavut Directory of Open Access Journals: DOAJ Articles Arctic Canada Nunavut International Journal of Circumpolar Health 78 1 1571384 |
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Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
medical evacuation arctic inuit circumpolar northern-based healthcare canada tertiary care indigenous Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
medical evacuation arctic inuit circumpolar northern-based healthcare canada tertiary care indigenous Arctic medicine. Tropical medicine RC955-962 Leah McDonnell Josée G. Lavoie Gwen Healey Sabrina Wong Sara Goulet Wayne Clark Non-clinical determinants of Medevacs in Nunavut: perspectives from northern health service providers and decision-makers |
topic_facet |
medical evacuation arctic inuit circumpolar northern-based healthcare canada tertiary care indigenous Arctic medicine. Tropical medicine RC955-962 |
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. |
format |
Article in Journal/Newspaper |
author |
Leah McDonnell Josée G. Lavoie Gwen Healey Sabrina Wong Sara Goulet Wayne Clark |
author_facet |
Leah McDonnell Josée G. Lavoie Gwen Healey Sabrina Wong Sara Goulet Wayne Clark |
author_sort |
Leah McDonnell |
title |
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_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_sort |
non-clinical determinants of medevacs in nunavut: perspectives from northern health service providers and decision-makers |
publisher |
Taylor & Francis Group |
publishDate |
2019 |
url |
https://doi.org/10.1080/22423982.2019.1571384 https://doaj.org/article/b95492d979ff44ee9d1ab4a1f55fa5a7 |
geographic |
Arctic Canada Nunavut |
geographic_facet |
Arctic Canada Nunavut |
genre |
Arctic Circumpolar Health International Journal of Circumpolar Health inuit Nunavut |
genre_facet |
Arctic Circumpolar Health International Journal of Circumpolar Health inuit Nunavut |
op_source |
International Journal of Circumpolar Health, Vol 78, Iss 1 (2019) |
op_relation |
http://dx.doi.org/10.1080/22423982.2019.1571384 https://doaj.org/toc/2242-3982 2242-3982 doi:10.1080/22423982.2019.1571384 https://doaj.org/article/b95492d979ff44ee9d1ab4a1f55fa5a7 |
op_doi |
https://doi.org/10.1080/22423982.2019.1571384 |
container_title |
International Journal of Circumpolar Health |
container_volume |
78 |
container_issue |
1 |
container_start_page |
1571384 |
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1766330746946977792 |