Video links grow as rural health care shrinks

Small communities have more than 400 doctor vacancies, with 'telehealth' and visiting specialists filling gaps

Doug Kelly

With patients in urban areas having difficulty finding a family doctor, the situation in rural B.C. is going from bad to worse, MLAs on the province’s health committee were told Monday.

Ed Staples, a member of the B.C. Health Coalition, described his efforts to improve the situation in Princeton, a community of about 5,000 people that four years ago was down to one doctor providing on-call service.

Princeton now has four full-time doctors and two nurse practitioners, but there are still people who can’t find a doctor in the region, including Penticton an hour and a half away. A recent search of the College of Physicians and Surgeons website turned up the nearest doctor accepting patients in Courtney on Vancouver Island, Staples said.

Health Match BC, the province’s web portal for recruiting doctors, nurses and other health professionals, currently has more than 400 general practitioner vacancies, with 37 communities seeking 85 doctors. The result is “bidding wars” between communities to offer incentives to relocating doctors, and foreign doctors using a rural community as an entry point before relocating to the Lower Mainland, he said.

The B.C. government has announced its latest videoconferencing service for health care, linking psychiatrists with young people in Cranbrook. The service is available twice a month at the local Children and Family Development office, supplementing visits by specialists in communities such as Cranbrook and Princeton. Health Minister Terry Lake says video conferencing and electronic health records are a key part of the solution for reaching patients across B.C.

Doug Kelly, chair of the B.C. First Nations Health Council, told the committee of an Abbotsford doctor who travels to Carrier Sekani territory around Prince George for part of his practice, in a pilot project with Northern Health.

Kelly said video links and nurse practitioners are part of the solution to delivering rural and remote care, but the main obstacle is the business model for doctors that has them cycling through as many as 20 patients an hour to bill enough to cover their office overhead.

Committee members were also reminded that graduating doctors are increasingly reluctant to take on the demands of family practice, especially in smaller communities where they may find themselves on call around the clock.

 

Just Posted

Province investigating eviction at Salmon Arm assisted living facility

Residential Tenancy Branch confirms it is looking into situation at McGuire Lake Congregate Living

Man cycles across B.C. Interior for sobriety

Vancouver Island Resident Matt Fee is approaching the final phase of his cross-Canada bike journey to raise awareness about addiction recovery.

Psychiatric assessment ordered for man accused in Salmon Arm church shooting

Lawyer tells court accused was diagnosed with psychosis hours after his arrest

Salmon Arm dancers learning their moves for hospice fundraiser

Tickets for this year’s Dancing with the Shuswap Stars expected to sell out quickly

Salmon Arm Dungeons and Dragons Club on a role

Unanticipated public interest prompts second game day at library

VIDEO: Liberals make child care pledge, Greens unveil platform on Day 6 of campaign

Green party leader Elizabeth May unveils her party’s platform in Toronto

B.C. forest industry looks to a high-technology future

Restructuring similar to Europe 15 years ago, executive says

RCMP conclude investigation into 2017 Elephant Hill wildfire

Files have been turned over to BC Prosecution Service

B.C. wants to be part of global resolution in opioid company bankruptcy claim

Government says settlement must include Canadian claims for devastation created by overdose crisis

B.C. ends ‘birth alerts’ in child welfare cases

‘Social service workers will no longer share information about expectant parents without consent’

Sicamous Eagles top Princeton Posse in season opener

Thrilling breakaway goal in overtime wraps up home-ice win

U.S. student, killed in Bamfield bus crash, remembered as ‘kind, intelligent, talented’

John Geerdes, 18, was one of two UVic students killed in the crash on Friday night

Facebook group forms committee against Thompson Nicola R.V. crackdown

Group discusses issues with regional R.V. bylaw at recent meeting

Free Tesla 3 offered with purchase of Surrey townhome

Century Group’s offer for Viridian development runs through Oct. 31

Most Read