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Health Service Disruptions
Introductions
This short survey is intended for physicians and medical learners in Manitoba.
1.
Which RHA do you primarily practice in?
Interlake-Eastern
Northern
Prairie Mountain
Southern
Winnipeg/Churchill
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.
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)
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)
5.
If needed, please provide further details below about the patient care disruptions, including when they started and if there is an end date.
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
