{"id":"https://openalex.org/W1994881547","doi":"https://doi.org/10.5130/ijcre.v7i1.3390","title":"Access to health services in Western Newfoundland, Canada: Issues, barriers and recommendations emerging from a community-engaged research project","display_name":"Access to health services in Western Newfoundland, Canada: Issues, barriers and recommendations emerging from a community-engaged research project","publication_year":2014,"publication_date":"2014-06-19","ids":{"openalex":"https://openalex.org/W1994881547","doi":"https://doi.org/10.5130/ijcre.v7i1.3390","mag":"1994881547"},"language":"en","primary_location":{"id":"doi:10.5130/ijcre.v7i1.3390","doi":"https://doi.org/10.5130/ijcre.v7i1.3390","is_oa":true,"landing_page_url":"https://doi.org/10.5130/ijcre.v7i1.3390","pdf_url":"https://epress.lib.uts.edu.au/journals/index.php/ijcre/article/download/3390/4033","source":{"id":"https://openalex.org/S2764720961","display_name":"Gateways International Journal of Community Research and Engagement","issn_l":"1836-3393","issn":["1836-3393"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310317938","host_organization_name":"UTS ePRESS","host_organization_lineage":["https://openalex.org/P4310317938"],"host_organization_lineage_names":["UTS ePRESS"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Gateways: International Journal of Community Research and Engagement","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://epress.lib.uts.edu.au/journals/index.php/ijcre/article/download/3390/4033","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5080473120","display_name":"Janelle Hippe","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I130438778","display_name":"Memorial University of Newfoundland","ror":"https://ror.org/04haebc03","country_code":"CA","type":"education","lineage":["https://openalex.org/I130438778"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Janelle Hippe","raw_affiliation_strings":["Memorial University of Newfoundland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Memorial University of Newfoundland","institution_ids":["https://openalex.org/I130438778"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5000710593","display_name":"Victor Maddalena","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I130438778","display_name":"Memorial University of Newfoundland","ror":"https://ror.org/04haebc03","country_code":"CA","type":"education","lineage":["https://openalex.org/I130438778"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Victor Maddalena","raw_affiliation_strings":["Memorial University of Newfoundland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Memorial University of Newfoundland","institution_ids":["https://openalex.org/I130438778"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5036122092","display_name":"Sara Heath","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I130438778","display_name":"Memorial University of Newfoundland","ror":"https://ror.org/04haebc03","country_code":"CA","type":"education","lineage":["https://openalex.org/I130438778"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Sara Heath","raw_affiliation_strings":["Memorial University of Newfoundland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Memorial University of Newfoundland","institution_ids":["https://openalex.org/I130438778"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5062303318","display_name":"Beulah Jesso","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I130438778","display_name":"Memorial University of Newfoundland","ror":"https://ror.org/04haebc03","country_code":"CA","type":"education","lineage":["https://openalex.org/I130438778"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Beulah Jesso","raw_affiliation_strings":["Memorial University of Newfoundland"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Memorial University of Newfoundland","institution_ids":["https://openalex.org/I130438778"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5045842146","display_name":"Marion McCahon","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802685132","display_name":"Government of Newfoundland and Labrador","ror":"https://ror.org/01jet5b79","country_code":"CA","type":"government","lineage":["https://openalex.org/I2802685132"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Marion McCahon","raw_affiliation_strings":["Government of Newfoundland and Labrador","Government of Newfoundland & Labrador"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Government of Newfoundland and Labrador","institution_ids":["https://openalex.org/I2802685132"]},{"raw_affiliation_string":"Government of Newfoundland & Labrador","institution_ids":["https://openalex.org/I2802685132"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5016272305","display_name":"Kim Olson","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802685132","display_name":"Government of Newfoundland and Labrador","ror":"https://ror.org/01jet5b79","country_code":"CA","type":"government","lineage":["https://openalex.org/I2802685132"]}],"countries":["CA"],"is_corresponding":false,"raw_author_name":"Kim Olson","raw_affiliation_strings":["Government of Newfoundland and Labrador","Government of Newfoundland & Labrador"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Government of Newfoundland and Labrador","institution_ids":["https://openalex.org/I2802685132"]},{"raw_affiliation_string":"Government of Newfoundland & Labrador","institution_ids":["https://openalex.org/I2802685132"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":1.293,"has_fulltext":true,"cited_by_count":13,"citation_normalized_percentile":{"value":0.81494129,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":96},"biblio":{"volume":"7","issue":"1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11990","display_name":"Global Health Workforce Issues","score":0.8389000296592712,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11990","display_name":"Global Health Workforce Issues","score":0.8389000296592712,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13633","display_name":"Public Health and Social Inequalities","score":0.07900000363588333,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T14358","display_name":"Healthcare Quality and Satisfaction","score":0.027699999511241913,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/health-care-access","display_name":"health care access","score":0.9580000042915344},{"id":"https://openalex.org/keywords/rural-health","display_name":"rural health","score":0.8949999809265137},{"id":"https://openalex.org/keywords/remote-health","display_name":"remote health","score":0.8410000205039978},{"id":"https://openalex.org/keywords/barriers-to-care","display_name":"barriers to care","score":0.9179999828338623},{"id":"https://openalex.org/keywords/transportation-barriers","display_name":"transportation barriers","score":0.8740000128746033},{"id":"https://openalex.org/keywords/health-insurance-coverage","display_name":"health insurance coverage","score":0.6209999918937683},{"id":"https://openalex.org/keywords/maternal-and-child-health-services","display_name":"maternal and child health services","score":0.7680000066757202},{"id":"https://openalex.org/keywords/rural-physician-recruitment","display_name":"rural physician recruitment","score":0.7720000147819519},{"id":"https://openalex.org/keywords/nurse-practitioners","display_name":"nurse practitioners","score":0.984000027179718},{"id":"https://openalex.org/keywords/telemedicine","display_name":"telemedicine","score":0.8169999718666077},{"id":"https://openalex.org/keywords/social-determinants-of-health","display_name":"social determinants of health","score":0.902999997138977},{"id":"https://openalex.org/keywords/health-policy-recommendations","display_name":"health policy recommendations","score":0.6930000185966492},{"id":"https://openalex.org/keywords/western-newfoundland","display_name":"western Newfoundland","score":0.7940000295639038}],"concepts":[{"id":"https://openalex.org/C2781400479","wikidata":"https://www.wikidata.org/wiki/Q11640","display_name":"Outreach","level":2,"score":0.6711835265159607},{"id":"https://openalex.org/C2781050511","wikidata":"https://www.wikidata.org/wiki/Q46994","display_name":"Telehealth","level":4,"score":0.5649446249008179},{"id":"https://openalex.org/C71750763","wikidata":"https://www.wikidata.org/wiki/Q646164","display_name":"General partnership","level":2,"score":0.5520475506782532},{"id":"https://openalex.org/C2778137410","wikidata":"https://www.wikidata.org/wiki/Q2732820","display_name":"Government (linguistics)","level":2,"score":0.48184192180633545},{"id":"https://openalex.org/C129047720","wikidata":"https://www.wikidata.org/wiki/Q175185","display_name":"Rural area","level":2,"score":0.4711655080318451},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.46923595666885376},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.44651874899864197},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4107491374015808},{"id":"https://openalex.org/C39549134","wikidata":"https://www.wikidata.org/wiki/Q133080","display_name":"Public relations","level":1,"score":0.38372722268104553},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.3690934181213379},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.2845900058746338},{"id":"https://openalex.org/C2779891985","wikidata":"https://www.wikidata.org/wiki/Q46994","display_name":"Telemedicine","level":3,"score":0.2661482095718384},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.0},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C41895202","wikidata":"https://www.wikidata.org/wiki/Q8162","display_name":"Linguistics","level":1,"score":0.0},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.0}],"mesh":[],"locations_count":4,"locations":[{"id":"doi:10.5130/ijcre.v7i1.3390","doi":"https://doi.org/10.5130/ijcre.v7i1.3390","is_oa":true,"landing_page_url":"https://doi.org/10.5130/ijcre.v7i1.3390","pdf_url":"https://epress.lib.uts.edu.au/journals/index.php/ijcre/article/download/3390/4033","source":{"id":"https://openalex.org/S2764720961","display_name":"Gateways International Journal of Community Research and Engagement","issn_l":"1836-3393","issn":["1836-3393"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310317938","host_organization_name":"UTS ePRESS","host_organization_lineage":["https://openalex.org/P4310317938"],"host_organization_lineage_names":["UTS ePRESS"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Gateways: International Journal of Community Research and Engagement","raw_type":"journal-article"},{"id":"pmh:oai:epress.lib.uts.edu.au:article/3390","doi":null,"is_oa":true,"landing_page_url":"https://epress.lib.uts.edu.au/journals/index.php/ijcre/article/view/3390","pdf_url":null,"source":{"id":"https://openalex.org/S4306400467","display_name":"Cosmopolitan Civil Societies: An Interdisciplinary Journal (University of Technology Sydney)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I114017466","host_organization_name":"University of Technology Sydney","host_organization_lineage":["https://openalex.org/I114017466"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Gateways: International Journal of Community Research and Engagement; Vol 7 No 1 (2014); 67\u201384","raw_type":"info:eu-repo/semantics/article"},{"id":"pmh:oai:ojs.epress.lib.uts.edu.au:article/3390","doi":null,"is_oa":true,"landing_page_url":"http://epress.lib.uts.edu.au/journals/index.php/ijcre/article/view/3390","pdf_url":null,"source":null,"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Gateways: International Journal of Community Research and Engagement; Vol 7, No 1 (2014); 67\u00e2\u0080\u009384","raw_type":"info:eu-repo/semantics/article"},{"id":"pmh:oai:doaj.org/article:1bef32b8bb3242a191c6e34875e7057c","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/1bef32b8bb3242a191c6e34875e7057c","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Gateways, Vol 7, Iss 1 (2014)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.5130/ijcre.v7i1.3390","doi":"https://doi.org/10.5130/ijcre.v7i1.3390","is_oa":true,"landing_page_url":"https://doi.org/10.5130/ijcre.v7i1.3390","pdf_url":"https://epress.lib.uts.edu.au/journals/index.php/ijcre/article/download/3390/4033","source":{"id":"https://openalex.org/S2764720961","display_name":"Gateways International Journal of Community Research and Engagement","issn_l":"1836-3393","issn":["1836-3393"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310317938","host_organization_name":"UTS ePRESS","host_organization_lineage":["https://openalex.org/P4310317938"],"host_organization_lineage_names":["UTS ePRESS"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Gateways: International Journal of Community Research and Engagement","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9391000270843506,"display_name":"Good health and well-being"},{"id":"https://metadata.un.org/sdg/10","score":0.8974000215530396,"display_name":"Reduced inequalities"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W1994881547.pdf","grobid_xml":"https://content.openalex.org/works/W1994881547.grobid-xml"},"referenced_works_count":14,"referenced_works":["https://openalex.org/W300791146","https://openalex.org/W1579125105","https://openalex.org/W1997757340","https://openalex.org/W2010499778","https://openalex.org/W2041145755","https://openalex.org/W2045507107","https://openalex.org/W2051029113","https://openalex.org/W2100945030","https://openalex.org/W2113585916","https://openalex.org/W2132166513","https://openalex.org/W2159172402","https://openalex.org/W2183749870","https://openalex.org/W2604509244","https://openalex.org/W4299125684"],"related_works":["https://openalex.org/W128080959","https://openalex.org/W2051029113","https://openalex.org/W2219800878","https://openalex.org/W4379660324","https://openalex.org/W2411678289","https://openalex.org/W4384696901","https://openalex.org/W2467003287","https://openalex.org/W7139474208","https://openalex.org/W2080287534","https://openalex.org/W7162668317"],"abstract_inverted_index":{"Research":[0],"indicates":[1],"that":[2,216],"people":[3],"living":[4],"in":[5,34,146,156],"rural":[6,226,251],"and":[7,42,51,60,85,113,132,159,184,195,197,201,212,248,252],"remote":[8,253],"areas":[9],"of":[10,32,58,64,105,127,204,225,231,245,263],"Canada":[11],"face":[12],"challenges":[13],"to":[14,68,73,77,80,86,90,95,108,119,143,182,192,206],"accessing":[15,74],"health":[16,75,81,96,121,194,254,259,264],"services.":[17,97],"This":[18],"article":[19],"reports":[20],"on":[21,71,92],"a":[22,106,202],"community-engaged":[23],"research":[24,66,220],"project":[25],"conducted":[26],"by":[27,169],"investigators":[28],"at":[29,163],"Memorial":[30],"University":[31],"Newfoundland":[33,59],"collaboration":[35],"with":[36,236],"the":[37,47,111,140,147,157,223,229],"Rural":[38,55],"Secretariat":[39,56],"Regional":[40,43],"Councils":[41],"Partnership":[44],"Planners":[45],"for":[46],"Corner":[48],"Brook\u2013Rocky":[49],"Harbour":[50],"Stephenville\u2013Port":[52],"aux":[53],"Basques":[54],"Regions":[57],"Labrador.":[61],"The":[62],"aim":[63],"this":[65,219],"was":[67,99],"gather":[69],"information":[70],"barriers":[72,142,167],"services,":[76,210,242,260],"identify":[78],"solutions":[79],"services\u2019":[82,122],"access":[83,94,123,191,205],"issues":[84],"inform":[87],"policy":[88],"advice":[89],"government":[91],"enhancing":[93],"Data":[98],"collected":[100,131],"through:":[101],"(1)":[102],"targeted":[103],"distribution":[104],"survey":[107,148,170],"communities":[109],"throughout":[110],"region,":[112],"(2)":[114],"informal":[115],"\u2018kitchen":[116],"table\u2019":[117],"discussions":[118,136],"discuss":[120],"issues.":[124],"A":[125],"total":[126],"1049":[128],"surveys":[129],"were":[130,137],"10":[133],"kitchen":[134],"table":[135],"held.":[138],"Overall,":[139],"main":[141],"care":[144],"listed":[145],"included":[149,172,221],"long":[150],"wait":[151],"times,":[152],"services":[153,160,200,247],"not":[154,161],"available":[155,162],"area":[158],"time":[164],"required.":[165],"Other":[166],"noted":[168],"respondents":[171,188],"transportation":[173],"problems,":[174],"financial":[175],"concerns,":[176],"no":[177],"medical":[178],"insurance":[179],"coverage,":[180],"distance":[181],"travel":[183,237],"weather":[185],"conditions.":[186],"Some":[187],"reported":[189],"poorer":[190],"maternal/child":[193],"breast":[196],"cervical":[198],"screening":[199],"lack":[203],"general":[207],"practitioners,":[208,233],"pharmacy":[209],"dentists":[211],"nurse":[213,232],"practitioners.":[214],"Recommendations":[215],"emerged":[217],"from":[218],"improving":[222],"recruitment":[224],"physicians,":[227],"exploring":[228],"use":[230,244],"assisting":[234],"individuals":[235],"costs,":[238],"developing":[239],"specialist":[240],"outreach":[241],"increasing":[243],"telehealth":[246],"initiating":[249],"additional":[250],"research.Keywords:":[255],"rural,":[256],"remote,":[257],"healthcare,":[258],"social":[261],"determinants":[262]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":3},{"year":2023,"cited_by_count":1},{"year":2018,"cited_by_count":2},{"year":2017,"cited_by_count":2},{"year":2016,"cited_by_count":2}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2016-06-24T00:00:00"}