The DOI matches its Crossref record; 6 of the 6 references it cites were found in a registry or an index.
Consensus statement on networks for high-quality rural anesthesia, surgery, and obstetric care in Canada
Open accessAbstract
OBJECTIVE: To 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. METHODS: A 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. CONCLUSION: The 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.
Overview
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
The most important feature of successful generalist-specialist networks is trusting relationships among stakeholders in rural and urban centres.
“The most important characteristic is trusting relationships among the various stakeholders working in rural and urban centres.”
From No community left behind: advancing rural anesthesia, surgery, and obstetric care in Canada. (2022) · cites this paper as [7]
The Report lists trusting relationships between rural and urban stakeholders as a component of successful networks, and the Conclusion calls those relationships foundational. Neither passage ranks them as the most important characteristic; the Report identifies several other important components. (LLM, conf=0.85)
Experimental — accuracy not yet measuredSuccessful generalist-specialist networks require formal organizational structures for leadership, administrative support, and patient triage algorithms.
“Successful generalist–specialist networks also require formal organizational structures to provide leadership, administrative support, and algorithms for patient triage.”
From No community left behind: advancing rural anesthesia, surgery, and obstetric care in Canada. (2022) · cites this paper as [7]
Explicit agreements between rural providers and urban specialists are helpful because they define the clinical activities of rural providers, including scope of practice, patient selection, triage criteria, escalation strategies, and transportation plans for transfer to regional hospitals.
“Explicit agreements between rural providers and urban specialists are helpful as they set out the nature of the clinical activities performed by the rural providers, specifically defining scope of practice, patient selection criteria, triage criteria, strategies to escalate care, and transportation plans for patients who require transfer from rural to regional hospitals.”
From No community left behind: advancing rural anesthesia, surgery, and obstetric care in Canada. (2022) · cites this paper as [7]
A recent article in Canadian Family Physician presented a joint consensus statement on rural anesthesia, surgery, and obstetric care networks.
“To address the attrition of medical services in rural Canada, a joint consensus statement on networks for high-quality rural anesthesia, surgery, and obstetric care in Canada was recently published in Canadian Family Physician.7”
From No community left behind: advancing rural anesthesia, surgery, and obstetric care in Canada. (2022) · cites this paper as [7]
The consensus report identifies several essential features of successful generalist-specialist networks.
“The consensus report identifies several essential characteristics of successful generalist–specialist networks.”
From No community left behind: advancing rural anesthesia, surgery, and obstetric care in Canada. (2022) · cites this paper as [7]
The consensus statement outlines a partnership model linking family physician generalists with anesthesia, surgical, and obstetrical specialists.
“This consensus statement presents a model for partnerships between family physician generalists and anesthesia, surgical and obstetrical specialists.”
From No community left behind: advancing rural anesthesia, surgery, and obstetric care in Canada. (2022) · cites this paper as [7]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Citations
Cites
Miller, K. J., Couchie, C., Ehman, W., Graves, L., Grzybowski, S., Medves, J., Dupuis, K., Dunikowski, L., Marturano, P., Senikas, V., et al. (2012) · Journal of Obstetrics and Gynaecology Canada · doi:10.1016/s1701-2163(16)35414-7 · Cited by 38
Joint Position Paper on Rural Surgery and Operative Delivery
Blake, J. M. (2016) · Journal of Obstetrics and Gynaecology Canada · doi:10.1016/j.jogc.2015.10.003 · Cited by 30
Self-citationJoint position paper on rural surgery and operative delivery.
(2015) · Cited by 27
An evidence-based program for rural surgical and obstetrical networks
Iglesias, S., & Kornelsen, J. (2018) · Rural and Remote Health · doi:10.22605/rrh4921 · Cited by 14
Self-citationBuilding Rural Surgical Networks: An Evidence-Based Approach to Service Delivery and Evaluation
Kornelsen, J., & Friesen, R. (2016) · Healthcare policy · doi:10.12927/hcpol.2016.24779 · Cited by 13
Flagged first, then by citations
Cited by
Sorted by citations
No community left behind: advancing rural anesthesia, surgery, and obstetric care in Canada.
McVicar, J. A., Orser, B. A., & Wilson, C. R. (2022) · Canadian Journal of Anesthesia/Journal canadien d'anesthésie · doi:10.1007/s12630-022-02340-y · Cited by 8
“To address the attrition of medical services in rural Canada, a joint consensus statement on networks for highquality rural anesthesia, surgery, and obstetric care in Canada was recently published in Canadian Family Physician.(7) This consensus statement presents a model for partnerships between family physician gener…”
BackgroundInfluentialSelf-citation
Metadata
- Authors
- Iglesias, S., Carson, G., Ruth Wilson, C., Orser, B. A., Urbach, D. R., Falk, R., Hedden, D., Ng, V., Wyman, R., Walsh, M., Humber, N., Miles, P., & Blake, J.
- Affiliations
- University of Saskatchewan (CA)
- Sunnybrook Health Science Centre (CA)
- University of Toronto (CA)
- University of British Columbia (CA)
- University of Alberta (CA)
- Western University (CA)
- Dalhousie University (CA)
- University of Ottawa (CA)
- Venue
- Canadian Family Physician
- Published
- 2022-04
- Volume
- 68
- Issue
- 4
- Pages
- 258-262
- ISSN
- 0008-350X (ISSN-L)
- 1715-5258
- PMC
- PMC9007136
- OpenAlex
- W4224095503
- Cited by
- 11
- References
- 6
- Citations by year
- 2026: 1 · 2024: 2 · 2023: 3 · 2022: 5
- FWCI
- 2.21
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- Canadian Family Physician (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of British Columbia
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Health and Surgery
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Health Workforce Issues
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Healthcare Systems and Technology
- Keywords
- rural health networks, rural surgery, rural maternity care, triage, clinical coaching, continuing professional development, quality improvement, access to specialist care, British Columbia
- MeSH terms
- Anesthesia, British Columbia, Canada, Female, Humans, Maternal Health Services, Physicians, Family, Pregnancy, Rural Population, Rural Health Services
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
