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

Rough seas delay Prince Rupert/Haida Gwaii ferry

Northern Expedition is expected to leave Prince Rupert for Haida Gwaii at noon on Tuesday, Nov. 13

In Pictures: Remembrance Day in Queen Charlotte

Drums, bells and bagpipes sounded across Haida Gwaii this Remembrance Day, which… Continue reading

B.C. Legions in need of young members to continue aiding veterans into the future

Lest we forget what thousands of men and women did to fight for Canada’s freedoms – but without new membership, many Legion chapters face dwindling numbers

North Coast figure skater to star in Dancing On Ice

Carlotta Edwards learned to skate in Prince Rupert, before becoming a star with millions of viewers

On the Wing: Living in chartless nothing

By Margo Hearne Juncos are back at the feeder, teal are in… Continue reading

VIDEO: Marvel Comics’ Stan Lee dies

Marvel co-creator was well-known for making cameo appearances in superhero movies

Feds dropped ball with WWI anniversary tributes: historians

Wrote one historian: ‘Other than the Vimy Ridge celebration … I think they have done a very bad job’

Sides ‘far apart’ in Canada Post talks despite mediation, says union

The lack of a breakthrough means rotating strikes will resume Tuesday

Feds’ appeal of solitary confinement decision in B.C. to be heard

Judge ruled in January that indefinite such confinement is unconstitutional, causes permanent harm

B.C. health care payroll tax approved, takes effect Jan. 1

Employers calculating cost, including property taxes increases

Nunavut urges new plan to deal with too many polar bears

Territory recommends a proposal that contradicts much of conventional scientific thinking

Shelter struggles: Landlord takes over rental unit whenever visiting B.C. town

Renter’s story highlights how hard it is to find accommodation in Revelstoke

Lack of public response threatens B.C. referendum credibility

Of the few who have voted, poll finds most rejected proportional representation

Tentative deal reached in NHL concussion lawsuit

More than 100 former players accused the league of failing to better prevent head trauma

Most Read