This is the second post in a four-part series on my blog, about current trends in Primary Care in Canada. These trends are not all encompassing, but I think they serve as a great starting point for discussion around what is needed to properly transform health care delivery in the community, making Family Medicine a…
In recent years, primary care in Canada has undergone significant transformations, largely driven by changing patient expectations and the evolving healthcare landscape. Covid-19 certainly shifted our focus, both looking very sharply at needs at sub local levels, but also at broader system change that is required to keep our population healthy. From the patient perspective,…
This article was originally posted on OntarioMD.blog With fairly radical transformation happening in health care in Ontario as we speak, a question looms large: how do we measure success? How do we know that the change we get is what we need? Which lens do we look through as success will appear differently for patients,…
Change is happening now in Ontario healthcare. It has been needed for some time, but a new provincial government with a demand to deliver high value for public dollars is making the change imminent. So what, exactly, is “value”? Value is best defined as quality (in all of its domains) divided by cost. It can be measured from…
Recently, Primary Care has been moving toward conversations about how we should approach the health of our patients in a more global way. Talk of population health is front and centre. We hear that 5% of the people we look after consume 64% of Ontario’s healthcare budget, and that if doctors and nurses would only…
It’s amazing to watch a conversation evolve. Over the past month I have had some great feedback from physicians, nurses and patients about medical professionalism and the concept of physician accountability. In my last blog post I explored the idea that accountability is not based on finger pointing or blame and need not be feared.…
Recently there has been more and more talk at the health system level about the concept of physician accountability. In Ontario this discussion is part of Patients First LHIN-based initiatives that will have primary care accountable at a local level, possibly with dedicated accountability agreements built into our clinical structures. The issue became even more prominent at…
