An Opinion 11,000KM in the Making
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Abstract
How is medicine practiced on the other side of the world? As medical students in Canada, we learn much about pathophysiology and the North American healthcare system. Yet important observations can be made about how other cultures deliver care that can be used to help us address shortcomings of our own. In this opinion piece, I use my experience studying cardiac surgery in Shanghai, China to explore how each country confronts a similar problem: access to care in rural medicine. Despite their differences, both China and Canada come to creative solutions, reflecting the incredible diversity of their patients.
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References
References
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1. TRADING ECONOMICS. China – Rural population [Internet]. 2019 [cited August 13, 2019]. Available from: https://tradingeconomics.com/china/rural-population-percent-of-total-population-wb-data.html.
2. Ge, W., Chen, R., Song, W., & Kan, H. Daily Visibility and Hospital Admission in Shanghai, China. Biomedical and Environmental Sciences. 2019 Apr; 24(2), 117–121. DOI: https://doi.org/10.3967/0895-3988.2011.02.005
3. Goffin, P. Northern Ontarians suffer from poor health and access to care: report [Internet]. The Star. 2017 Apr 18. Available online at: https://www.thestar.com/news/canada/2017/04/18/northern-ontarians-suffer-from-poor-health-and-access-to-care-report.html
4. Oudshoorn, K. Nunavut TB rates remain high despite community testing [Internet]. CBC. 2019 Jun 11. Available online at: https://www.cbc.ca/news/canada/north/nunavut-tb-rates-remain-high-1.5169300
5. Wang L, Suo S, Li J, et al. An investigation Into Traditional Chinese Medicine Hospitals in China: Development Trend and Medical Service Innovation. Int J Health Policy Manag. 2016 Jun 7;6(1):19-25. doi: 10.15171/ijhpm.2016.72. PubMed PMID: 28005539; PubMed Central PMCID: PMC5193503.
6. Vogel, L. Task force launching to examine national licensure for virtual care [Internet]. CMAJ. 2019 Apr 15; 191(15) E429. DOI: https://doi.org/10.1503/cmaj.1095738
7. Owens, B. Telemedicine on the rise but lagging in Canada [Internet]. CMAJ. 2018 Sep 24; 190(38) E1149-1150. DOI: https://doi.org/10.1503/cmaj.109-5634
8. Vickers, A. J., Vertosick, E. A., Lewith, et al. Acupuncture for Chronic Pain: Update of an Individual Patient Data Meta-Analysis. The Journal of Pain. 2018 Dec 2; 19(5), 455–474. https://doi.org/https://doi.org/10.1016/j.jpain.2017.11.005