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Continuing care in rural Alberta: A scoping review

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Across Canada the demand for continuing care services is increasing. However, little is known about the implications this has for rural communities. This scoping review identifies several key themes in the literature related to continuing care in Alberta. These include contextual factors, quality assurance and improvement, and workforce issues. We identify the ways in which rural dynamics are included in, or omitted from, this literature and recommend areas for future research on rural continuing care provision. Further research on residential care services in rural communities should work towards bridging the rural health, academic, and organizational literature on continuing care. This synthesis will help to position rurality as a determinant of health and to situate continuing care services in specific rural settings. The literature on continuing care in Alberta primarily focuses on quality assurance and improvement and the changing structure of the continuing care workforce. Little is known about the continuing care needs of rural Albertans. Future research ought to explore rural assets and challenges related to continuing care provision.

French
La demande de soins de santé continus est en hausse partout au Canada. Toutefois, les incidences de cette situation auprès des communautés rurales sont très peu documentées. Le présent examen des connaissances recense plusieurs thèmes clés dans la documentation reliée aux soins continus en Alberta. Ceux‐ci comprennent les facteurs contextuels, l'assurance et l'amélioration de la qualité et les problèmes de main‐d’œuvre. Nous avons trouvé les façons dont les dynamiques rurales sont incluses dans cette documentation ou absentes de celle‐ci et nous recommandons des thèmes pour des recherches futures sur la prestation de soins continus dans les régions rurales. D'autres recherches sur les soins de santé en établissement dans les communautés rurales devraient s'efforcer de combler le fossé entre la documentation sur la santé rurale, la documentation universitaire et la documentation organisationnelle sur les soins continus. Cette synthèse permettra de positionner la ruralité comme un déterminant de la santé et de situer les services de soins continus dans des paramètres ruraux particuliers.
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Keywords: Alberta; continuing care; long‐term care; rural; soins continus; soins de longue durée

Document Type: Research Article

Publication date: March 1, 2019

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