Health Service Disruptions

Introductions

This short survey is intended for physicians and medical learners in Manitoba.

Question Title

* 1. Which RHA do you primarily practice in?

Interlake-Eastern

Northern

Prairie Mountain

Southern

Winnipeg/Churchill

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* 2. What is the name of the health facility you are reporting service disruptions for? You can return and complete a second survey if you have other facilities to report on.

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* 3. What services are being disrupted? Check all that apply, to the best of your knowledge.

Surgery

Diagnostic Imaging

Other Diagnostics (e.g. lab, other tests)

Outpatient clinics

ER/urgent care

Inpatient care

Other (please specify)

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* 4. What are the causes of these disruptions in patient care?

Staff being reassigned to other areas

Nursing shortages

Physician shortages

Allied health shortages

Support staff shortages

Lack of medical equipment

Lack of medical supplies

Lack of space (e.g. beds, OR, etc.)

Other (please specify)

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* 5. If needed, please provide further details below about the patient care disruptions, including when they started and if there is an end date.

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* 6. OPTIONAL: Please provide your name and email below, in the event we require further information. This is optional, and if you provide this information, Doctors Manitoba will keep it confidential and not share it with any external groups (e.g. media, Shared Health/hospital administration, etc.)

Name

Email Address