Aeromedical evacuations in the Canadian North: does the presence of a physician alter rates?

Patients in Nunavut rely exclusively on airplane to access medical care beyond the nursing stations in communities. This can take the form of scheduled flights for chronic and non-urgent issues or dedicated medevacs for emergencies. Each community is routinely visited by family physicians (FP) who p...

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Main Authors: Brendan Peddle, Philippe François Simon, Sean Waites, Cheri Bethune
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:International Journal of Circumpolar Health
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/22423982.2025.2549172
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author Brendan Peddle
Philippe François Simon
Sean Waites
Cheri Bethune
author_facet Brendan Peddle
Philippe François Simon
Sean Waites
Cheri Bethune
author_sort Brendan Peddle
collection DOAJ
description Patients in Nunavut rely exclusively on airplane to access medical care beyond the nursing stations in communities. This can take the form of scheduled flights for chronic and non-urgent issues or dedicated medevacs for emergencies. Each community is routinely visited by family physicians (FP) who provide in-person primary care. The frequency and duration of FP visits depends on the community size, with larger communities having longer and more frequent visits. During their visits, FPs can be called upon to assist in emergencies. This study provides a detailed portrait of the territory’s medical travels between 2012 and 2018. Contrary to our initial hypothesis, we show that the presence or absence of an FP in the community did not have a significant impact on the rates of medevacs. However, we found that the rates of non-urgent scheduled flights increased. Our findings provide in-depth information on the rates of medevacs and non-urgent travel in Nunavut. They also raise important questions for primary care in remote areas by demonstrating an increase in routine travel requirements when physicians are present in those communities. As health outcomes were not assessed, further studies are required before recommendations can be made to change the rate of FP visits.
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spelling doaj-art-dd91239254c44c688da2aba2b4e0ffab2025-08-21T08:11:19ZengTaylor & Francis GroupInternational Journal of Circumpolar Health2242-39822025-12-0184110.1080/22423982.2025.2549172Aeromedical evacuations in the Canadian North: does the presence of a physician alter rates?Brendan Peddle0Philippe François Simon1Sean Waites2Cheri Bethune3Department of Family Medicine, Memorial University, St-John’s, NL, CanadaQikiqtani General Hospital, Iqaluit, NU, CanadaDepartment of Health, Government of Nunavut, Iqaluit, NU, CanadaDepartment of Family Medicine, Memorial University, St-John’s, NL, CanadaPatients in Nunavut rely exclusively on airplane to access medical care beyond the nursing stations in communities. This can take the form of scheduled flights for chronic and non-urgent issues or dedicated medevacs for emergencies. Each community is routinely visited by family physicians (FP) who provide in-person primary care. The frequency and duration of FP visits depends on the community size, with larger communities having longer and more frequent visits. During their visits, FPs can be called upon to assist in emergencies. This study provides a detailed portrait of the territory’s medical travels between 2012 and 2018. Contrary to our initial hypothesis, we show that the presence or absence of an FP in the community did not have a significant impact on the rates of medevacs. However, we found that the rates of non-urgent scheduled flights increased. Our findings provide in-depth information on the rates of medevacs and non-urgent travel in Nunavut. They also raise important questions for primary care in remote areas by demonstrating an increase in routine travel requirements when physicians are present in those communities. As health outcomes were not assessed, further studies are required before recommendations can be made to change the rate of FP visits.https://www.tandfonline.com/doi/10.1080/22423982.2025.2549172Medevacaeromedical evacuationarcticNunavutfamily practicefly in fly out
spellingShingle Brendan Peddle
Philippe François Simon
Sean Waites
Cheri Bethune
Aeromedical evacuations in the Canadian North: does the presence of a physician alter rates?
International Journal of Circumpolar Health
Medevac
aeromedical evacuation
arctic
Nunavut
family practice
fly in fly out
title Aeromedical evacuations in the Canadian North: does the presence of a physician alter rates?
title_full Aeromedical evacuations in the Canadian North: does the presence of a physician alter rates?
title_fullStr Aeromedical evacuations in the Canadian North: does the presence of a physician alter rates?
title_full_unstemmed Aeromedical evacuations in the Canadian North: does the presence of a physician alter rates?
title_short Aeromedical evacuations in the Canadian North: does the presence of a physician alter rates?
title_sort aeromedical evacuations in the canadian north does the presence of a physician alter rates
topic Medevac
aeromedical evacuation
arctic
Nunavut
family practice
fly in fly out
url https://www.tandfonline.com/doi/10.1080/22423982.2025.2549172
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AT seanwaites aeromedicalevacuationsinthecanadiannorthdoesthepresenceofaphysicianalterrates
AT cheribethune aeromedicalevacuationsinthecanadiannorthdoesthepresenceofaphysicianalterrates