Cross-jurisdictional pandemic management: providers speaking on the experience of Nunavut Inuit accessing services in Manitoba during the COVID-19 pandemic
ABSTRACTAcross Canada, the COVID-19 pandemic placed considerable stress on territorial and provincial healthcare systems. For Nunavut, the need to continue to provide access to critical care to its citizens meant that medical travel to provincial points of care (Edmonton, Winnipeg and Ottawa) had to...
Published in: | International Journal of Circumpolar Health |
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2023
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Online Access: | https://doi.org/10.1080/22423982.2023.2259122 https://doaj.org/article/be2b13c02bd2485dba5d2ea52d0e2f02 |
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ftdoajarticles:oai:doaj.org/article:be2b13c02bd2485dba5d2ea52d0e2f02 2024-01-21T10:03:35+01:00 Cross-jurisdictional pandemic management: providers speaking on the experience of Nunavut Inuit accessing services in Manitoba during the COVID-19 pandemic Josée G. Lavoie Wayne Clark Leah McDonnell Nathan Nickel Rachel Dutton Janet Kanayok Melinda Fowler-Woods Jack Anawak Nuqaalaq Brown Grace Voisey Clark Tagaak Evaluardjuk-Palmer Sabrina T. Wong Julianne Sanguins Adriana Mudryj Nastania Mullin Marti Ford Judy Clark 2023-12-01T00:00:00Z https://doi.org/10.1080/22423982.2023.2259122 https://doaj.org/article/be2b13c02bd2485dba5d2ea52d0e2f02 EN eng Taylor & Francis Group https://www.tandfonline.com/doi/10.1080/22423982.2023.2259122 https://doaj.org/toc/2242-3982 doi:10.1080/22423982.2023.2259122 2242-3982 https://doaj.org/article/be2b13c02bd2485dba5d2ea52d0e2f02 International Journal of Circumpolar Health, Vol 82, Iss 1 (2023) Epidemic Arctic primary healthcare healthcare system coordination Arctic medicine. Tropical medicine RC955-962 article 2023 ftdoajarticles https://doi.org/10.1080/22423982.2023.2259122 2023-12-24T01:42:47Z ABSTRACTAcross Canada, the COVID-19 pandemic placed considerable stress on territorial and provincial healthcare systems. For Nunavut, the need to continue to provide access to critical care to its citizens meant that medical travel to provincial points of care (Edmonton, Winnipeg and Ottawa) had to continue through the pandemic. This complexity created challenges related to the need to keep Nunavut residents safe while accessing care, and to manage the risk of outbreaks in Nunavut resultant from patients returning home. A number of strategies were adopted to mitigate risk, including the expansion of virtual care, self-isolation requirements before returning from Winnipeg, and a level of cross-jurisdictional coordination previously unprecedented. Structural limitations in Nunavut however limited opportunities to expand virtual care, and to allow providers from Manitoba to access the Nunavut’s electronic medical records of patients requiring follow up. Thus, known and long-standing issues exacerbated vulnerabilities within the Nunavut healthcare system. We conclude that addressing cross-jurisdictional issues would be well served by the development of a more formal Nunavut-Manitoba agreement (with similar agreements with Ontario and Alberta), outlining mutual obligations and accountabilities. 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 82 1 |
institution |
Open Polar |
collection |
Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Epidemic Arctic primary healthcare healthcare system coordination Arctic medicine. Tropical medicine RC955-962 |
spellingShingle |
Epidemic Arctic primary healthcare healthcare system coordination Arctic medicine. Tropical medicine RC955-962 Josée G. Lavoie Wayne Clark Leah McDonnell Nathan Nickel Rachel Dutton Janet Kanayok Melinda Fowler-Woods Jack Anawak Nuqaalaq Brown Grace Voisey Clark Tagaak Evaluardjuk-Palmer Sabrina T. Wong Julianne Sanguins Adriana Mudryj Nastania Mullin Marti Ford Judy Clark Cross-jurisdictional pandemic management: providers speaking on the experience of Nunavut Inuit accessing services in Manitoba during the COVID-19 pandemic |
topic_facet |
Epidemic Arctic primary healthcare healthcare system coordination Arctic medicine. Tropical medicine RC955-962 |
description |
ABSTRACTAcross Canada, the COVID-19 pandemic placed considerable stress on territorial and provincial healthcare systems. For Nunavut, the need to continue to provide access to critical care to its citizens meant that medical travel to provincial points of care (Edmonton, Winnipeg and Ottawa) had to continue through the pandemic. This complexity created challenges related to the need to keep Nunavut residents safe while accessing care, and to manage the risk of outbreaks in Nunavut resultant from patients returning home. A number of strategies were adopted to mitigate risk, including the expansion of virtual care, self-isolation requirements before returning from Winnipeg, and a level of cross-jurisdictional coordination previously unprecedented. Structural limitations in Nunavut however limited opportunities to expand virtual care, and to allow providers from Manitoba to access the Nunavut’s electronic medical records of patients requiring follow up. Thus, known and long-standing issues exacerbated vulnerabilities within the Nunavut healthcare system. We conclude that addressing cross-jurisdictional issues would be well served by the development of a more formal Nunavut-Manitoba agreement (with similar agreements with Ontario and Alberta), outlining mutual obligations and accountabilities. |
format |
Article in Journal/Newspaper |
author |
Josée G. Lavoie Wayne Clark Leah McDonnell Nathan Nickel Rachel Dutton Janet Kanayok Melinda Fowler-Woods Jack Anawak Nuqaalaq Brown Grace Voisey Clark Tagaak Evaluardjuk-Palmer Sabrina T. Wong Julianne Sanguins Adriana Mudryj Nastania Mullin Marti Ford Judy Clark |
author_facet |
Josée G. Lavoie Wayne Clark Leah McDonnell Nathan Nickel Rachel Dutton Janet Kanayok Melinda Fowler-Woods Jack Anawak Nuqaalaq Brown Grace Voisey Clark Tagaak Evaluardjuk-Palmer Sabrina T. Wong Julianne Sanguins Adriana Mudryj Nastania Mullin Marti Ford Judy Clark |
author_sort |
Josée G. Lavoie |
title |
Cross-jurisdictional pandemic management: providers speaking on the experience of Nunavut Inuit accessing services in Manitoba during the COVID-19 pandemic |
title_short |
Cross-jurisdictional pandemic management: providers speaking on the experience of Nunavut Inuit accessing services in Manitoba during the COVID-19 pandemic |
title_full |
Cross-jurisdictional pandemic management: providers speaking on the experience of Nunavut Inuit accessing services in Manitoba during the COVID-19 pandemic |
title_fullStr |
Cross-jurisdictional pandemic management: providers speaking on the experience of Nunavut Inuit accessing services in Manitoba during the COVID-19 pandemic |
title_full_unstemmed |
Cross-jurisdictional pandemic management: providers speaking on the experience of Nunavut Inuit accessing services in Manitoba during the COVID-19 pandemic |
title_sort |
cross-jurisdictional pandemic management: providers speaking on the experience of nunavut inuit accessing services in manitoba during the covid-19 pandemic |
publisher |
Taylor & Francis Group |
publishDate |
2023 |
url |
https://doi.org/10.1080/22423982.2023.2259122 https://doaj.org/article/be2b13c02bd2485dba5d2ea52d0e2f02 |
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 82, Iss 1 (2023) |
op_relation |
https://www.tandfonline.com/doi/10.1080/22423982.2023.2259122 https://doaj.org/toc/2242-3982 doi:10.1080/22423982.2023.2259122 2242-3982 https://doaj.org/article/be2b13c02bd2485dba5d2ea52d0e2f02 |
op_doi |
https://doi.org/10.1080/22423982.2023.2259122 |
container_title |
International Journal of Circumpolar Health |
container_volume |
82 |
container_issue |
1 |
_version_ |
1788693866958815232 |