Canada shares with Australia several characteristics, including population size, wealth and the healthcare challenges posed by geographical vastness. Northern Health, one of six regional health authorities in British Columbia, covers an area nearly the size of France with a population of only about 350,000 people. The challenge it faced was to simplify the steps in the breast cancer field to eradicate unnecessary delays. With limited resources, it is using an innovative mix of stakeholder engagement, technology and multidisciplinary care.
Within the region covered by Northern Health, the biggest urban centre is Prince George with 76,000 residents, but it is at least an eight-hour drive from any major city. In such a rural environment, says LaDonna Fehr, regional oncology leader for Northern Health, “you have to be able to offer a certain level of service yourself”.