Factors influencing access to health care services in Labrador: a case study of two distinct regions

Montevecchi, Gioia Lorraine (2012) Factors influencing access to health care services in Labrador: a case study of two distinct regions. Masters thesis, Memorial University of Newfoundland.

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Abstract

This research explores the factors that influence access to health care services and addresses strategies for improvement in two distinct regions of Labrador. This qualitative project employed an interpretive epistemology and case study methodology. The environmental scan and interview analysis outlined the major challenges accessing health care and strategies to overcome them from the perspective of local healthcare administrators, providers, and community members. The findings identified thirteen factors that create challenges accessing health care associated with the physical environment, socio-cultural and political environment, gender, and continuity and comprehensiveness of care. These factors were considered in light of factors that influence access to health care in other rural regions of Canada. Despite the complexities encompassed within these factors, participants identified seven strategies to overcome the challenges accessing health care services, notably: Tele-health, bringing services to communities, recruitment and retention strategies, the Medical Transportation Assistance Program, navigation tools, the scheduled evacuation system, and the medical evacuation system.

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