Canada has more family doctors than ever. Why is it so hard to see them?

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Primary care is getting less accessible and involves longer waiting times, a Globe analysis has found. For health officials hoping to change that, a big obstacle is the lack of data about where physicians are working and where the shortages are

Family doctors are the cornerstone of a high-functioning health care system. They not only help patients navigate the system, referring them to specialists for early screening and treatment of medical conditions. They also get to know the people they serve over time, allowing them to deliver higher-quality care than a walk-in clinic or emergency department.

family doctors, causing them to reduce their hours or close their practices altogether. At the same time, many doctors are nearingInterest in family medicine peaked nationally in 2015, when 38 per cent of Canadian medical graduates named it as their first choice of residency placement, according to CaRMS. This year, only 30.7 per cent picked family medicine first. Declining interest in the discipline is evident across the country, but is most pronounced in the Western provinces, where 28.

Under fee-for-service, Dr. Lush would have billed the province’s Medical Services Plan $82 for the 30-minute appointment with the couple but nothing for the 35 minutes she spent following up with their case manager at the local health authority and a family member about getting more help for the couple.

As part of the tentative agreement, the province plans to create a central registry of where family doctors work, says Mr. Dix, who Jared Butler, a family doctor in central Newfoundland, also embodies that trend. He sees patients at his clinic in Grand Falls-Windsor, a town of about 14,000, from 7:30 a.m. to 1 p.m. Monday through Friday. On three of those days, he works as a sports medicine doctor.

Doctor shortages that have long plagued smaller communities are spreading to larger cities that used to have little trouble attracting and keeping primary care practitioners, medical experts said. According to Statistics Canada surveys, Quebec has historically had the highest percentage of people without a regular physician, even though the CIHI figures show that the province is well appointed with family doctors. However, many general practitioners aren’t practising family medicine full time because of a distinct feature of the province’s health system.

The most recent Statscan survey says 4.7 million Canadians 12 years and over did not have a family doctor in 2021 – 14.5 per cent of the population and slightly lower than 15.3 per cent 10 years earlier – but it is widely believed to underestimate the true number. Canada is near the bottom of thefor all physicians per capita. Canada has 2.8 physicians for every 1,000 residents, placing it 27th out of the 32 member countries that make up the Organization for Economic Co-operation and Development.

Source: Healthcare Press (healthcarepress.net)

 

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It is the overall failure of the public system.

DrRitaMc 🩺GPs are GPs in various medical roles until they actually are 'practicing Family Doctors'. Right? I keep hearing that we have lots of family doctors. If they are not practicing in the field of Family Practice, are they really family doctors or are they GPs?

Because they are on salary vs fee for service. A busy GP used to see 50-60 patients a day before McGuinty brought in the current system. Now docs don’t even work 40 hours a week. Some spend time on non OHIP services like Botox injections. Change is needed

The article makes no mention of the BC Govt's announcement (Nov 27 at 1:45...surely enough time to have amended this G&M article) to create pathways for internationally trained doctors to practice in British Columbia

They're lazy and don't want to work very often

A shortage of doctors and health care facilities? Maybe 500,000 immigrants a year, added to the 350,000 new births a year, is putting a strain on the system. Why do these 'experts' not see this?

You stand a better chance of getting milk out of a cow that’s been dead for a year than getting good health outcomes from the Canadian system.

Relative to population, we have one of the lowest number of doctors, ever. Another misleading article from The Mop and Pail.

Not really, I suggest that the Globe and Mail re-examine their assertion.

The majority of doctors graduatig from medical schools are females It has been shown, that a female physician, in all discipline, work 35-40% of whatt a male counter-part does.

They are vacationing on big pharma payouts?

Trying to shine the government image and we both know your statements aren’t facts nor they are checked.. go ask for more money 💰 from government maybe you’ll come up with more believable story

Corruption

Canada is not ready for the immigration boom

Balance lifestyle.

In Quebec no family Doctor for thee years . Some taxi drivers, other Trades are for formed foreign Doctors . Why ?

Because it’s “free”

Because the general population growth outpaced capacity regardless, surely 500k immigrants next year will help solve this problem… 🥴

With Trudeau bringing in 500,000 New Canadian per year and an aging population, someone needs to address this. Even if it involves making wholesale structural changes. IE wages for nurse practitioners in a hospital are on the hospital’s budget vs doctors who bill govt directly.

Occupational licensing bottleneck?

Per capita?

Some people over use the system they run to the doctor 24/7. Then people like me who go once every decade can’t get in.

True...but our population has never been higher..nor our health issues...so stop squing the facts...best newspaper to be used in a puppy kennel right here

Who’s ever?

Maybe, just maybe the fact that we are bringing in half a million people a year combined with an aging boomer population might be putting pressure on the system? We're adding 5% to the pop each year yet are we growing the healthcare that quickly? Nope.

I worry about the culture within our provincial health services. Even with the data analysis, not all physicians are accessible (the available ones in my area are generally unempathetic)

The Government and Media scared them shitless 🤷🏼‍♂️

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