Page 10 - Course Outline

Version September 7, 2020

Week 5: Policy, governance, resource allocation, & self-determination
October 5-11, 2020

*Abstract (200 words max) for commentary essay due

Class Objectives:
1. To understand how challenges in rural and remote communities are addressed (or can be
addressed) through policies and programs.
2. To think critically about how governance and resources allocation decision-making plays a
role in rural and remote community self-determination.
3. To consider the role of local/municipal policy interventions in shaping rural community
health;
4. To examine the relationship between local and provincial recruitment and retention
initiatives and access to rural primary care.

Required Readings:
1. Rechel, B., Dzakula, A., Duran, A., Fattore, G., Edwards, N., Grignon, M., . . . Anderson
Smith, T. (2016). Hospitals in rural or remote areas: an exploratory review policies in 8 high-
income countries. Health Policy, 120, 758-769.
2. Davison, CM, Ford, CS, Peters, PA and Hawe, P. (2011). Community-driven alcohol policy
in Canada's northern territories 1970-2008. Health Policy, 1(102): 34-40.
3. Chandler, M.J., & Dunlop, W.L. (2015). Cultural wounds demand cultural medicines. In M.
Greenwood, S. deLeeuw, N.M. Lindsay, & C. Reading (Eds.), Determinants of Indigenous Peoples’
Health in Canada: Beyond the Social (p. 78-89). Toronto: Canadian Scholars’ Press.
4. Asghari, S., Aubrey-Bassler, K., Godwin, M., Rourke, J., Mathews, M., Barnes, P., . . .
Walezak, A. (2017). Factors influencing choice to practice in rural and remote communities
throughout a physicians career cycle. Canadian Journal of Rural Medicine, 22(3), 92-99.

Week 6: Health services
October 12-18, 2020

Fall break October 12-13, 2020

Class Objectives:
1. To identify challenges in delivering health services to rural and northern populations;
2. To examine innovations in rural health service delivery.

Required Readings:
1. White, D. (2013). Development of a rural health framework: implications for program
service planning and delivery. Healthcare Policy, 3(8): 27-41.
2. Mendez, I, Jong, M, Keays-White, D and Turner, G. (2013). The use of remote presence for
health care delivery in a northern Inuit community: a feasibility study. International Journal of
Circumpolar Health, 72.
3. Martin, D., Bekiaris, B., & Hansen, G. (2017). Mobile emergency simulation training for rural
health providers. Rural and Remote Health, 17:4057.

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