The Rural Health Service Decision Guide, developed by the Canadian Institute for Health Information (CIHI), introduces a structured 5-step process to support evidence-based decisions on sustainably delivering health services to rural populations. Although designed within the Canadian healthcare context, the guide offers a relevant framework for rural healthcare decision-making within wider contexts.
The process for assessing service needs and identifying delivery options aligns with Scotland’s goals of improving rural health equity and sustainability. The emphasis on balancing quality, patient and provider experience, and cost-effectiveness offers a robust decision-making model. Strategies for addressing travel burden, resource constraints, and stakeholder engagement can inspire locally tailored approaches. Overall, the core framework and methodology provide a valuable foundation for addressing rural health challenges.
