The information in this report is intended to describe the scope of the current issues and demonstrate the need to support and invest in rural healthcare. [...] The Canadian Union of Public Employees (CUPE) Local 5430, which represents an array of healthcare workers, expressed an interest in understanding how recent changes in the delivery of healthcare in rural parts of the province have impacted their members and what these changes might mean for the overall direction of rural health service delivery in the province. [...] While attention was given to CUPE Local 5430 regions and members, SPHERU also expanded the focus of aspects of this research project to all rural areas of Saskatchewan in order to gain a more complete understanding of the state of rural healthcare in the province. [...] While the locations of the facilities listed below demonstrate that service disruptions are occurring in several areas of the province, there is indication of greater issues in the former Sunrise health region, which five of the 10 facilities are located in. [...] The information varies in the level of detail and the Ministry of Health does not consistently receive cause of disruption, such as staffing shortages, unless it is specifically noted in the comment section of the report.
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Table of Contents
- TABLE OF CONTENTS 3
- EXECUTIVE SUMMARY 4
- INTRODUCTION 5
- PROJECT BACKGROUND 5
- PURPOSE AND GOAL OF PROJECT 7
- RESEARCH METHODS 8
- Literature Review 8
- Service Disruptions Data 8
- Interviews with Key Informants 8
- World Café 8
- Health Authority Amalgamation 9
- Saskatchewan Transportation Company 9
- COVID-19 9
- FINDINGS FROM LITERATURE REVIEW 9
- Virtual Care 10
- Major Challenges Impacting Rural Healthcare Delivery in Saskatchewan 11
- FINDINGS FROM SERVICE DISRUPTIONS DATA 17
- SERVICE DISRUPTIONS IN CUPE LOCAL 5430 REGIONS 17
- WHERE ARE SERVICE DISRUPTIONS OCCURRING 18
- WHAT TYPES OF SERVICES ARE BEING DISRUPTED 20
- THEMES 25
- STAFFING CRISIS 26
- HEALTH AUTHORITY AMALGAMATION 27
- COVID-19 IMPACTS 28
- IMPACTS OF INCREASING PRESSURES AND DEMANDS 29
- LOSS 30
- RIPPLE EFFECTS THROUGH PERSONAL PATIENT AND COMMUNITY EXPERIENCES 31
- SUGGESTIONS FOR CHANGE 32
- PROTECTIVE FACTORS 33
- SUMMARY OF WORLD CAFÉ EVENT 34
- Preparation 34
- Participants 34
- Process 34
- Summary of Discussions 35
- KEY THEMES 37
- Key Theme 1 Quality of rural healthcare at stake 37
- Key Theme 2 One size does not fit all 37
- Key Theme 3 Overwhelming sense of loss 37
- Key Theme 4 Healthcare changes lead to community changes 37
- CONCLUSION 38
- Strengths and Limitations 38
- Final Thoughts 38
- REFERENCES 39
- APPENDIX A 46
- ABOUT SPHERU 48