19 Story Idea? Email Paul.Nolan@Farms.com Better Farming | October 2024 status quo.” The CIHI points out that rural hospitals are more likely to face closures or service reductions compared to urban hospitals. This can lead to delays in emergency care and increased risk for patients in critical situations. Mental health services in rural areas are often limited due to a shortage of professionals and the stigma associated with mental health issues. According to the Canadian Mental Health Association, rural communities face challenges such as fewer psychiatrists, psychologists, and counsellors, resulting in longer wait times and reduced access to care. The lack of local resources can contribute to increased rates of untreated conditions. So are there any solutions? Telehealth – the use of digital information and communication technologies to access healthcare services – has emerged as a potential solution to some rural healthcare challenges in recent years. It allows patients to consult with healthcare providers remotely, reducing the need for lengthy travel. During the COVID-19 pandemic, the use of telehealth in Canada expanded rapidly. According to the Canadian Medical Association, telehealth consultations increased significantly during the pandemic and helped reach underserved populations. They point out that continued investment in digital infrastructure and internet connectivity is necessary to maximize the benefits of telehealth. But Ram warns of limitations. “Virtual and telehealth cannot replace the physical exam. If we wanted to expand the number of tests – labs, investigations, et cetera – then virtual and telehealth would do just that, which of course increases use of the ERs and healthcare spending. “Virtual and telehealth are important patient safety tools for very remote areas, but there should be near zero use in cities and towns that should have a sustainable patient medical home.” According to the CIHI, to attract and retain healthcare professionals in rural areas, financial incentives and support are crucial. Programs such as the Rural, Remote, and Northern Recruitment and Retention Strategy offer financial support to healthcare providers who work in underserved regions. Additionally, increasing funding for rural health programs and providing financial support to rural hospitals can help sustain essential services and improve care availability. Ram also explains the importance of “adequately funding equipment and healthcare personnel for the work that they have been doing so that we can retain our healthcare workforce.” He says “there need to be rural modifiers as a start for everything provided. When a physician is looking for a job, the financial incentives and overall salary of rural positions must be high enough so that there is a draw of workers from urban to rural.” Improving rural health requires addressing broader social determinants such as education, transportation, and housing. Investments in community development, transportation infrastructure, and educational opportunities can contribute to better health outcomes. Collaborative efforts between healthcare providers, community organizations, and policymakers are vital in creating a holistic approach to rural health, the CIHI says. Many steps still need to be taken. Enhancing public health education and outreach can empower rural residents to manage their health proactively. Tailored health education programs, preventive screenings, and community health initiatives can improve health literacy and encourage early intervention. Programs such as the Canadian Public Health Agency's Rural Health Strategy aim to increase awareness and understanding of health issues in rural communities. Ram advises rural Canadians to speak up about healthcare issues. “Be loud and repetitive. Force involvement by your municipal governments and provincial politicians. If they do not hear the message repeatedly, nothing will happen.” BF MARY LOGGAN Mary was raised on a dairy farm and currently operates an equestrian facility. Rural Healthcare Rural medicine presents different challenges, says Dr. Rithesh Ram. Rithesh Ram photo
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