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A community-based task shifting program in 25 remote indigenous communities in Nunavut, Canada.

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Title: A community-based task shifting program in 25 remote indigenous communities in Nunavut, Canada.
Authors: Toffner G; Department of Global Health, McMaster University, Hamilton, Ontario, Canada., Koff DA; Department of Radiology, McMaster University, Hamilton, Ontario, Canada., Drossos A; Psychiatry & Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada., Tsegmed U; Department of Radiation Oncology, National Cancer Center of Mongolia, Mongolia, Canada., Baumann MA; Department of Global Health, McMaster University, Hamilton, Ontario, Canada.
Source: International journal of circumpolar health [Int J Circumpolar Health] 2025 Dec; Vol. 84 (1), pp. 2439119. Date of Electronic Publication: 2024 Dec 12.
Publication Type: Journal Article; Review
Language: English
Journal Info: Publisher: Taylor & Francis Country of Publication: United States NLM ID: 9713056 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2242-3982 (Electronic) Linking ISSN: 12399736 NLM ISO Abbreviation: Int J Circumpolar Health Subsets: MEDLINE
Imprint Name(s): Publication: 2016- : Philadelphia, PA : Taylor & Francis
Original Publication: Oulu, Finland : International Union for Circumpolar Health and the Nordic Society of Arctic Medicine, [1997-
MeSH Terms: Health Services Accessibility*/organization & administration , Health Services, Indigenous*/organization & administration , Task Shifting*, Rural Health Services/organization & administration ; Humans ; Arctic Regions ; Nunavut ; Rural Population ; Indigenous Canadians
Abstract: Task shifting can improve access, availability, efficiency, and quality of health services in under resourced settings. Task shifting can occur formally or informally within health professions, between health professions, between support staff and health professions, or between lay community members and health professionals. There are currently thousands of Indigenous peoples in Canada's high Arctic, living in remote communities, north of the 60th parallel with limited access to basic medical services. In Nunavut, 25 remote fly-in communities exist in some of the most sparsely populated and harshest conditions on earth. Diminished access to or absence of basic health services such as diagnostic imaging and staff resources in remote communities can have a detrimental effect on patient care, and health outcomes. The existence of a community based diagnostic x-ray training program using a task shifting model addresses a gap in quality and access to services and subsequent treatment for community residents in this region.
References: Int J Environ Res Public Health. 2007 Jun;4(2):93-100. (PMID: 17617671)
ANS Adv Nurs Sci. 2014 Jul-Sep;37(3):E1-E16. (PMID: 25102218)
Int J Circumpolar Health. 2011;70(5):460-72. (PMID: 22030009)
BMC Health Serv Res. 2014 Apr 23;14:184. (PMID: 24754917)
Int J Circumpolar Health. 2019 Dec;78(1):1571385. (PMID: 30696379)
Br J Obstet Gynaecol. 1996 Jun;103(6):508-12. (PMID: 8645640)
Bull World Health Organ. 2002;80(7):575-80. (PMID: 12163922)
Glob Public Health. 2011;6(2):125-38. (PMID: 19916089)
AIDS. 2010 Jan;24 Suppl 1:S45-57. (PMID: 20023439)
Int J Circumpolar Health. 2013 Aug 05;72:. (PMID: 23984305)
Hum Resour Health. 2011 Jan 11;9:1. (PMID: 21223546)
Hum Resour Health. 2004 Jun 18;2(1):7. (PMID: 15207010)
Hum Resour Health. 2009 Jun 21;7:49. (PMID: 19545398)
Hum Resour Health. 2018 May 2;16(1):20. (PMID: 29716613)
Med J Aust. 2006 Jul 3;185(1):4-7. (PMID: 16813537)
Contributed Indexing: Keywords: Health services task shifting; arctic healthcare; healthcare access; indigenous healthcare; task shifting; underserviced healthcare delivery
Entry Date(s): Date Created: 20241212 Date Completed: 20241212 Latest Revision: 20250514
Update Code: 20260130
PubMed Central ID: PMC11639059
DOI: 10.1080/22423982.2024.2439119
PMID: 39667394
Database: MEDLINE
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  Data: A community-based task shifting program in 25 remote indigenous communities in Nunavut, Canada.
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  Data: <searchLink fieldCode="AU" term="%22Toffner+G%22">Toffner G</searchLink>; Department of Global Health, McMaster University, Hamilton, Ontario, Canada.<br /><searchLink fieldCode="AU" term="%22Koff+DA%22">Koff DA</searchLink>; Department of Radiology, McMaster University, Hamilton, Ontario, Canada.<br /><searchLink fieldCode="AU" term="%22Drossos+A%22">Drossos A</searchLink>; Psychiatry & Behavioural Neurosciences, McMaster University, Hamilton, Ontario, Canada.<br /><searchLink fieldCode="AU" term="%22Tsegmed+U%22">Tsegmed U</searchLink>; Department of Radiation Oncology, National Cancer Center of Mongolia, Mongolia, Canada.<br /><searchLink fieldCode="AU" term="%22Baumann+MA%22">Baumann MA</searchLink>; Department of Global Health, McMaster University, Hamilton, Ontario, Canada.
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  Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22Taylor+%26+Francis%22">Taylor & Francis </searchLink><i>Country of Publication: </i>United States <i>NLM ID: </i>9713056 <i>Publication Model: </i>Print-Electronic <i>Cited Medium: </i>Internet <i>ISSN: </i>2242-3982 (Electronic) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2212399736%22">12399736 </searchLink><i>NLM ISO Abbreviation: </i>Int J Circumpolar Health <i>Subsets: </i>MEDLINE
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  Data: <searchLink fieldCode="MM" term="%22Health+Services+Accessibility%22">Health Services Accessibility*</searchLink>/<searchLink fieldCode="MM" term="%22Health+Services+Accessibility+organization+%26+administration%22">organization & administration</searchLink> <br /><searchLink fieldCode="MM" term="%22Health+Services%2C+Indigenous%22">Health Services, Indigenous*</searchLink>/<searchLink fieldCode="MM" term="%22Health+Services%2C+Indigenous+organization+%26+administration%22">organization & administration</searchLink> <br /><searchLink fieldCode="MM" term="%22Task+Shifting%22">Task Shifting*</searchLink><br /><searchLink fieldCode="MH" term="%22Rural+Health+Services%22">Rural Health Services</searchLink>/<searchLink fieldCode="MH" term="%22Rural+Health+Services+organization+%26+administration%22">organization & administration</searchLink> ; <searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink> ; <searchLink fieldCode="MH" term="%22Arctic+Regions%22">Arctic Regions</searchLink> ; <searchLink fieldCode="MH" term="%22Nunavut%22">Nunavut</searchLink> ; <searchLink fieldCode="MH" term="%22Rural+Population%22">Rural Population</searchLink> ; <searchLink fieldCode="MH" term="%22Indigenous+Canadians%22">Indigenous Canadians</searchLink>
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  Data: Task shifting can improve access, availability, efficiency, and quality of health services in under resourced settings. Task shifting can occur formally or informally within health professions, between health professions, between support staff and health professions, or between lay community members and health professionals. There are currently thousands of Indigenous peoples in Canada's high Arctic, living in remote communities, north of the 60<superscript>th</superscript> parallel with limited access to basic medical services. In Nunavut, 25 remote fly-in communities exist in some of the most sparsely populated and harshest conditions on earth. Diminished access to or absence of basic health services such as diagnostic imaging and staff resources in remote communities can have a detrimental effect on patient care, and health outcomes. The existence of a community based diagnostic x-ray training program using a task shifting model addresses a gap in quality and access to services and subsequent treatment for community residents in this region.
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  Data: Int J Environ Res Public Health. 2007 Jun;4(2):93-100. (PMID: <searchLink fieldCode="PM" term="%2217617671%22">17617671)</searchLink><br />ANS Adv Nurs Sci. 2014 Jul-Sep;37(3):E1-E16. (PMID: <searchLink fieldCode="PM" term="%2225102218%22">25102218)</searchLink><br />Int J Circumpolar Health. 2011;70(5):460-72. (PMID: <searchLink fieldCode="PM" term="%2222030009%22">22030009)</searchLink><br />BMC Health Serv Res. 2014 Apr 23;14:184. (PMID: <searchLink fieldCode="PM" term="%2224754917%22">24754917)</searchLink><br />Int J Circumpolar Health. 2019 Dec;78(1):1571385. (PMID: <searchLink fieldCode="PM" term="%2230696379%22">30696379)</searchLink><br />Br J Obstet Gynaecol. 1996 Jun;103(6):508-12. (PMID: <searchLink fieldCode="PM" term="%228645640%22">8645640)</searchLink><br />Bull World Health Organ. 2002;80(7):575-80. (PMID: <searchLink fieldCode="PM" term="%2212163922%22">12163922)</searchLink><br />Glob Public Health. 2011;6(2):125-38. (PMID: <searchLink fieldCode="PM" term="%2219916089%22">19916089)</searchLink><br />AIDS. 2010 Jan;24 Suppl 1:S45-57. (PMID: <searchLink fieldCode="PM" term="%2220023439%22">20023439)</searchLink><br />Int J Circumpolar Health. 2013 Aug 05;72:. (PMID: <searchLink fieldCode="PM" term="%2223984305%22">23984305)</searchLink><br />Hum Resour Health. 2011 Jan 11;9:1. (PMID: <searchLink fieldCode="PM" term="%2221223546%22">21223546)</searchLink><br />Hum Resour Health. 2004 Jun 18;2(1):7. (PMID: <searchLink fieldCode="PM" term="%2215207010%22">15207010)</searchLink><br />Hum Resour Health. 2009 Jun 21;7:49. (PMID: <searchLink fieldCode="PM" term="%2219545398%22">19545398)</searchLink><br />Hum Resour Health. 2018 May 2;16(1):20. (PMID: <searchLink fieldCode="PM" term="%2229716613%22">29716613)</searchLink><br />Med J Aust. 2006 Jul 3;185(1):4-7. (PMID: <searchLink fieldCode="PM" term="%2216813537%22">16813537)</searchLink>
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