The Applied Policy Research Unit is pleased to announce the release of their fourth realist review, “Rural Patient Transport and Transfer: Findings from A Realist Review”. The report, commissioned by the Rural and Remote Division of Family Practice, addresses the question: “What are the best practice models for transferring medically complex rural patients to secondary/tertiary care?” by summarizing evidence from a comprehensive review of academic and grey literature on emergency transport systems across Canada and comparable international jurisdictions.
Findings are presented by key themes including evidence regarding:
- Timing to secondary referral or tertiary care;
- Equipment and technology;
- Health Human Resources
- Dispatch and Communication
Recommendations align with a number of provincial priorities including the need for:
- patient- and community-centred approaches to rural transport and transfer
- improved communication at all system levels
- interprofessional teamwork
- (rural) generalism to support and sustain crucial services in smaller communities
- virtual care to link smaller sites with regional referral and tertiary centres for consultations
- an integrated and iterative approach to quality improvement.