Surgical Experiences of Patients From the Circumpolar North: A Scoping Review
Notice bibliographique
Résumé
BACKGROUND: The Circumpolar North is an expansive region that includes the northernmost parts of the Earth, extending across the Arctic and Subarctic zones. This area, characterized by its geographical remoteness, harsh climate, limited healthcare infrastructure, and diverse patient population, creates unique challenges for the provision and delivery of surgical care. Despite existing research in this field, there is a lack of comprehensive reviews summarizing patients' distinct experiences when accessing surgical care. This scoping review, therefore, aimed to fill this gap by mapping the current literature on the surgical experiences of patients from the Circumpolar North. METHODS: A scoping review methodology was employed to identify relevant, original, peer-reviewed articles across seven databases, with no limits on publication dates. Article screening and data extraction were undertaken independently by two reviewers. An iterative data analysis process was employed to categorize findings from the included studies and identify common patterns, key insights, and knowledge gaps. RESULTS: A total of 17 studies were included in this review. Key factors influencing the surgical care experiences of patients from the Circumpolar North were identified across four domains: (1) logistical factors, including proximity to care centers, temporary accommodations, and financial costs; (2) psychosocial factors, such as experience of medical evacuations, separation from family, and reintegration into home communities; (3) cultural factors, encompassing navigating healthcare environments, language differences, and nonverbal communication; and (4) medical factors, including patient involvement, healthcare provider interactions, and continuity of care. Several studies also highlighted patients' experiences regarding innovative models aimed at improving locally based surgical care, such as telehealth and community-based strategies. CONCLUSION: This review summarized the literature on the surgical care experiences of patients from the Circumpolar North. It offers insights into improving healthcare interactions and systems to better serve this population. It also highlights significant research gaps, particularly regarding Indigenous patient experiences and the impact of medical evacuations across diverse surgical specialties. Addressing these gaps through future research is crucial for deepening our understanding of surgical experiences of patients from the Circumpolar North and developing more effective, culturally competent strategies to improve patient care.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,003 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,004 | 0,001 |
| Bibliométrie | 0,000 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».