Canada

Opinion: Why we need more investment in primary health care

Anyone who watches the news has noticed an increasing number of stories about the shortage of family physicians who provide comprehensive care.

Few documents document new families who choose long-term involvement in patient ‘panels’ and act as locums. We do not provide comprehensive primary care because we provide additional training at

Over the past decade, Canada has seen a gradual decline in the number of medical graduates opting for family medicine. Many healthcare workers have recently retired or are reducing their workload as retirement approaches. The prevailing model of primary care is inefficient and does not leverage the quality and capabilities provided by strong healthcare teams in medical facilities.

The complexity of patient care has increased dramatically over the past 30 years as the population ages. Many GPs feel ill-equipped to handle the variety and intensity of the “cognitive load” of today’s family/primary care. I will bear all. After deducting our best estimates of overhead in various specialties in Alberta, we find that the average family doctor is responsible for her third expense.Lowest take home income compared to all other types of doctors.

Despite perceptions, there is a problem with “income equity” among medical specialties. As this issue has been debated by the Alberta Medical Association (AMA) and government for 30 years, the healthcare gap between the top-paying medical specialties and families is only widening. Alberta’s primary care “system” makes less than 10% of his total health care budget despite employing about half of the province’s doctors.

A health system with a robust primary care system provides better population care at lower cost, Improving primary care pays off over time, with a 3:1 to 8:1 return on downstream savings. Unfortunately, these “savings” are rarely seen in a four-year election cycle.

Introduced in 2005, the Primary Care Network (PCN) provided a small subsidy to allow family physicians to hire “collaborative teams” to strengthen and expand their services. Since its inception, he has had only one cost of living refinancing in 2012.

Physician pay-as-you-go models are not optimal systems. “Capitation” offers better results at a lower cost than pay-per-service or salary models. In the capitation model, the primary care physician is paid an annual fee for each duly enrolled patient, and all primary her care must be provided at that fee.

Since the option was first offered in Alberta in 2016, Blended Capitation has been adopted by only a handful of Alberta’s hundreds of family medicine clinics. Capitation doesn’t let you hire the right collaborative team.

Should I pay more for my family doctor? Although not necessarily, upstream investments in the primary care system can reduce the downstream demand for emergency departments (the healthcare system’s overflow his valves) and acute care.

One option for funding is to redistribute the Physician Services Budget (PSB) to primary care through the AMA’s Income Equity Initiative. The intention is to increase the primary care infrastructure (collaborative teams) supporting primary care physicians, thereby increasing capacity and efficiency.

Our PCN offers a proven model of “checks and balances” with accountable funding or primary care systems. PCN is the bridge between the government and your family doctor.

Opinion: Why we need more investment in primary health care

Source link Opinion: Why we need more investment in primary health care

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