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. 2016 May 6;6(5):e010153.
doi: 10.1136/bmjopen-2015-010153.

City mouse, country mouse: a mixed-methods evaluation of perceived communication barriers between rural family physicians and urban consultants in Newfoundland and Labrador, Canada

Tia Renouf  1 , Sabrina Alani  2 , Desmond Whalen  2 , Chris Harty  2 , Megan Pollard  1 , Megan Morrison  1 , Heidi Coombs-Thorne  3 , Adam Dubrowski  1
Affiliations

City mouse, country mouse: a mixed-methods evaluation of perceived communication barriers between rural family physicians and urban consultants in Newfoundland and Labrador, Canada

Tia Renouf et al. BMJ Open. .

Abstract

Objectives: To examine perceived communication barriers between urban consultants and rural family physicians practising routine and emergency care in remote subarctic Newfoundland and Labrador (NL).

Design: This study used a mixed-methods design. Quantitative and qualitative data were collected through exploratory surveys, comprised of closed and open-ended questions. The quantitative data was analysed using comparative statistical analyses, and a thematic analysis was applied to the qualitative data.

Participants: 52 self-identified rural family physicians and 23 urban consultants were recruited via email. Rural participants were also recruited at the Family Medicine Rural Preceptor meetings in St John's, NL.

Setting: Rural family physicians and urban consultants in NL completed a survey assessing perceived barriers to effective communication.

Results: Data confirmed that both groups perceived communication difficulties with one another; with 23.1% rural and 27.8% urban, rating the difficulties as frequent (p=0.935); 71.2% rural and 72.2% urban as sometimes (p=0.825); 5.8% rural and 0% urban acknowledged never perceiving difficulties (p=0.714). Overall, 87.1% of participants indicated that perceived communication difficulties impacted patient care. Primary trends that emerged as perceived barriers for rural physicians were time constraints and misunderstanding of site limitations. Urban consultants' perceived barriers were inadequate patient information and lack of native language skills.

Conclusions: Barriers to effective communication are perceived between rural family physicians and urban consultants in NL.

Keywords: EMERGENCY MEDICINE; barriers; communication; rural; urban.

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Figures

Figure 1
Figure 1
Percentage of rural family physicians and urban specialists indicating communication difficulties, communication barriers impacting patient care, and good communication experiences.
Figure 2
Figure 2
Selected quotes from rural and urban physicians used in thematic analysis of communication barriers.
See this image and copyright information in PMC

References

    1. Royal College of Physicals and Surgeons. CanMEDS 2005 Framework. http://www.royalcollege.ca/portal/page/portal/rc/common/documents/canmed... (accessed May 2015).
    1. Canada-Newfoundland and Labrador Offshore Petroleum Board. Offshore Helicopter Safety Inquiry 2010. http://www.cnlopb.ca/pdfs/ohsi/ohsir_vol3.pdf (accessed Dec 2015).
    1. Walsh C, Siegler E, Cheston E et al. , The Informatics Intervention Research Collaboration (I2RC). Provider-to-provider electronic communication in the era of meaningful use: a review of the evidence. 2013;8:589–97. 10.1002/jhm.2082 - DOI - PMC - PubMed
    1. Mair F, Fraser S, Ferguson J et al. . Telemedicine via satellite to support offshore oil platforms. J Telemed Telecare 2008;14:129–31. 10.1258/jtt.2008.003008 - DOI - PubMed
    1. Lugg DJ. Telemedicine: have technological advances improved health care to remote Antarctic populations? Int J Circumpolar Health 1998;57(Suppl 1):682–5. - PubMed

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