TORONTO, May 27, 2014 /CNW/ - Despite having more family physicians per
capita than many other jurisdictions, Quebec lags Ontario and Western
Europe when it comes to access to primary care, according to a report
from the C.D. Howe Institute. In "The Case of the Vanishing Quebec
Physicians: How to Improve Access to Care," author Claude E. Forget,
former Quebec Minister of Health and Social Services, calls for primary
care reforms that focus on providing more care in communities and
clinics, rather than in hospitals.
"Quebec, over the past decade has failed to improve patient access to
primary-care services," notes Forget. "Quebec has an adequate supply of
family physicians but needs to shift the location of primary care away
from institutions toward care in neighbourhoods."
According to Forget, the problems include Quebec physicians having the
shortest work week at about 35 hours, compared to 43 in Ontario.
Additionally, Quebec has fewer enrolled patients per physician; 1,081
on average, compared to 1,539 in Ontario and 4,279 in the UK. Quebec's
numbers are even lower for younger doctors and female doctors.
Previous attempts at reform have seen limited success. Most notably,
efforts to create family health teams known as Groupe de Médicine Familiale, meant to offer a broad range of primary-care services to registered
patients, have been fraught with delays, and existing groups are
enrolling a much lower number of patients than desired.
Forget outlines three criteria that are necessary in order to improve
access to primary care in Quebec:
A better balance between primary care and the rest of the
Compensation in primary care through fee-for-service must give way to
more per-patient payments.
Physician and associated personnel must be trained to work as a team,
within well-defined protocols.
The author concludes that a renewed, determined effort at primary-care
reform, with stronger financial incentives, as well as a commitment
from both governments and providers is required. "Such a model could be
extended in the future to allow primary-care givers greater budgetary
control to purchase some basic services on behalf of their patients.
Physician buy-in and a willingness to provide more primary care in the
community as opposed to hospitals are key ingredients of a successful
The C. D. Howe Institute is an independent not-for-profit research
institute whose mission is to raise living standards by fostering
economically sound public policies. It is Canada's trusted source of
essential policy intelligence, distinguished by research that is
nonpartisan, evidence-based and subject to definitive expert review. It
is considered by many to be Canada's most influential think tank.
Claude E. Forget has had, over several decades, multiple involvements in
health services policy development and analysis. This includes a period
in government as deputy minister, as well as Minister of Health and
Social Services in Quebec.
For the report go to: http://www.cdhowe.org/the-case-of-the-vanishing-quebec-physicians-how-to-improve-access-to-care/26169
SOURCE: C.D. Howe Institute
For further information:
Claude E. Forget, former Quebec Minister of Health and Social Services; or Colin Busby, Senior Policy Analyst, C.D. Howe Institute 416-865-1904; E-Mail: email@example.com.