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An Assessment of the Potential for Repatriating Care From Urban to Rural Manitoba

Bibliographic Data

ID9099326
AuthorsCharlyn Black (0000-0002-2764-3247, Manitoba Health, corresponding author), Charles Burchill (Manitoba Health)
Year1999
Volume37
IssueSUPPLEMENT
PagesJS167-JS186
Publication date1999-06-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-199906001-00015
PMID10409008
OpenAlexW2325090205
LanguageEN
Citations received3
References cited9

OBJECTIVES: Following the closure of Manitoba hospital beds, the Manitoba government adopted a strategy of shifting hospital care from more expensive urban hospitals to less expensive rural facilities. With this project, Manitoba Centre for Health Policy and Evaluation (MCHPE) studied the implications of the stated policy of "repatriation." RESEARCH DESIGN: The project first involved examining population-based patterns of hospital utilization to define hospital service areas for 10 large rural hospitals. Three different hospital service area definitions were developed for use in sensitivity testing. Rates of overall use of hospital services, indicators of need for health care, and patterns of use of urban facilities are compared for these hospital service areas. Using a large rural hospital as a benchmark, patterns of adult surgical, adult medical, pediatric, and obstetric care were examined for the hospital service areas. Number and percent of cases provided by the index hospital and by urban hospitals were compared, to assess the feasibility and the potential impact of redirection of care to the benchmark level. CONCLUSIONS: Although in theory a significant percentage of care delivered to rural residents by Winnipeg hospitals might be redirected to rural institutions, the project raised issues of feasibility. Moreover, it identified that most of the redirected cases could be accommodated within existing capacity

Business · Economic growth · Environmental health · Geography · Government (linguistics) · Health care · Hospital care · Medical emergency · Population · Repatriation · Rural area · Service (business) · Global Health Workforce Issues · Global Healthcare and Medical Tourism · Medicine · Primary Care and Health Outcomes

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Unique citing works3
Citations per year0,11
Citation span1999 - 2004 (6)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 3

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