The State of Rural Peter Hutten-Czapski President S R P C.

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Transcription de la présentation:

The State of Rural Peter Hutten-Czapski President S R P C

“L’amélioration de la santé du monde est un de ces défis qui se pose partout : dans tous les pays, toutes les villes, les campagnes et les villages de la planète. Prévenir, guérir, soigner ! La santé pour tous ! Sans discrimination ! Une utopie autant qu’un objectif essentiel, fondement de la solidarité humaine.”. - Commission Claire

Government SRPC is acknowledged as the voice of rural medicine members have been seconded to government for PCR and ER consultations Input to Claire, Fyke, Kirby, Romanow etc has been given

Site Web SMRC

Undergraduate Rural Admissions Rural Medical school Rural Origin questionnaire in Ontario in place for medical school applicants Quebec medical schools will have rural demographic targets UBC has an aboriginal demographic target

Programme d'études Rural Toutes les écoles ont maintenant les stages ruraux disponibles (au moins comme electives) une proposition de programme d'études rurale pour McGill un programme d'études rural a Western

Rural Post Graduate Curriculum All post graduate family practice programs have an obligatory 8 weeks rural rotation SRPC Caesarian and Anaesthesia training papers have been developed with specialty societies and CFPC Discussions of Rural Surgery and outcomes of 5000 rural appendectomies presented to CAGS

Rémunération Dépense per capita sur santé rural approache niveau urbain paiement pour MD ruraux 130% urbain Reform de soins de primaire ligne vont aidez revenu au-dessus $

SRPC Membership SRPC incorporated in 1992 Increasing at 200 members per year since 1997

Succès Australien 1996 stratégie nationale de santé rurale Réforme de programme d'études 25% origine rurale Bourses John Flynn

% Change in Rural GP Numbers Stats Canada Rural Definition Source: L Buske

Sondage Janus 1997

Broad Based Rural Practice Janus Data 1997 to 2001 shows that comprehensive care is increasing in Rural Canada Rural doctors are getting more broad in their practice patterns despite overall trends for narrowing practice patterns in family practice More rural more comprehensive

Modèle De Pratique - Obstétrique À mesure que la distance d'un hôpital de ville augmente le pourcentage des médecins fournir le soin d'intrapartum augmente effet maximal de 37% à > 87Km

Broadening Practice Patterns

Qui fait quoi Au Manitoba les citoyens de la ville fréquentent des spécialistes davantage consultation au ville sont seulement 30% davantage mais les visites suivant se produisent plus de deux fois aussi fréquemment Black C, Roos N, Fransoo R, Martens P. Comparative Indicators of Population Health and Health Care Use for Manitoba's Regional Health Authorities: A POPULIS Project, MCHPE 1999

National Rural Health Strategy

Merci...