Relational Work Is the Work: Virtual Healthcare Transformation for Rural, Remote and First Nations Communities in British Columbia.


Journal

HealthcarePapers
ISSN: 1929-6339
Titre abrégé: Healthc Pap
Pays: Canada
ID NLM: 100961305

Informations de publication

Date de publication:
Jan 2024
Historique:
medline: 14 3 2024
pubmed: 14 3 2024
entrez: 14 3 2024
Statut: ppublish

Résumé

The healthcare crisis across unceded First Nations' territories in rural, remote and Indigenous communities in British Columbia (BC) is marked by persistent barriers to accessing care and support close to home. This commentary describes an exceptional story of how technology, trusted partnerships and relationships came together to create an innovative suite of virtual care programs called "Real-Time Virtual Support" (RTVS). We describe key approaches, learnings and future considerations to improve the equity of healthcare delivery for rural, remote and First Nations communities. The key lessons include the following: (1) moving beyond a biomedical model - the collaboration framework for health service design incorporated First Nations' perspective on health and wellness; (2) relational work is the work - the RTVS collaboration was grounded in building connections and relationships to prioritize cultivating trust in the partnership over specific outputs; and (3) aligning to the core values of co-creation - working from a commitment to do things differently and applying an inclusive approach of engagement to integrate perspectives across different sectors and interest groups.

Identifiants

pubmed: 38482655
pii: hcpap.2024.27274
doi: 10.12927/hcpap.2024.27274
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

28-37

Informations de copyright

Copyright © 2024 Longwoods Publishing.

Auteurs

John Mah (J)

Vice-President, First Nations Health Authority, Vancouver, BC.

John Pawlovich (J)

UBC Chair in Rural Health, University of British Columbia, Vancouver, BC.

Terri Aldred (T)

Executive Medical Director, First Nations Health Authority, Family Physician, Carrier Sekani Family Services, Vancouver, BC.

Scott Graham (S)

Director of Operations and Planning, First Nations Health Authority, Vancouver, BC.

Ray Markham (R)

Executive Director, Rural Coordination Centre of BC, Vancouver, BC.

Kim Williams (K)

Networks Director, Rural Coordination Centre of BC, Vancouver, BC.

Bob Woollard (B)

Professor, University of British Columbia, Associate Director, Rural Coordination Centre of BC, Vancouver, BC.

John Grogan (J)

Patient Partner, Valemount, BC.

Dee Taylor (D)

Corporate Director, Research, Interior Health, Eagle Bay, BC, Scientific Director, Rural Coordination Centre of BC, Vancouver, BC.

Nelly D Oelke (ND)

Associate Professor, School of Nursing, UBC Okanagan, Kelowna, BC, Scientific Director, Rural Coordination Centre of BC, Vancouver, BC.

Alison James (A)

Project Coordinator, Rural Coordination Centre of BC, Vancouver, BC.

Melissa Stewart (M)

Senior Planning Lead, First Nations Health Authority, Vancouver, BC.

Sonya Cressman (S)

Evaluation Lead, Department of Emergency Medicine, University of British Columbia, Vancouver, BC.

Arianna Hogan (A)

Executive Assistant, Rural Coordination Centre of BC, Vancouver, BC.

Daniel Harper (D)

Strategic Initiatives Lead, Rural Coordination Centre of BC, Vancouver, BC.

Classifications MeSH