An experiment in Ontario to improve access to family doctors
Nov 22, 2024
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Kelly Grant, the national health reporter for The Globe and Mail, takes us to Kingston, Ontario, where a groundbreaking experiment is tackling the family doctor shortage. She discusses a new model that links patients to clinics based on postal codes. This innovative approach, known as health homes, aims to restructure access to primary care. Grant sheds light on the challenges of doctor shortages, the financial implications, and what this could mean for healthcare across Canada, sparking hope for better patient experiences.
The health home model in Kingston aims to improve access to primary care by assigning patients to clinics based on their postal codes.
Despite its potential benefits, the health home initiative faces significant financial challenges and staffing shortages that could hinder its expansion.
Deep dives
The Doctor Shortage Crisis
In Ontario, a significant doctor shortage has left approximately 2.5 million residents without a family doctor, which is exacerbated by the reliance on walk-in clinics and emergency departments for primary care. This situation places patients' health at risk, often leading to late diagnoses and higher healthcare costs. Multiple chronic health conditions, like those faced by patients such as Dorothy Ann Brown, illustrate the challenges of navigating a fragmented healthcare system without a consistent primary care provider. The stress and uncertainty in securing physician care reflect a broader national issue, with 17% of Canadians not having a regular family doctor.
Innovative Models of Primary Care
A new model of primary care is being trialed in Kingston, Ontario, focused on geographic attachment, similar to how students are assigned schools based on their postal codes. The Midtown Kingston Health Home exemplifies this approach, combining interdisciplinary care and salaried positions for healthcare providers to alleviate the burdens of traditional family practice models. This initiative aims to better connect patients to their healthcare providers while recruiting a diverse team, including doctors and nurse practitioners, to handle complex health needs collaboratively. By offering a structured care environment, the model seeks to improve both patient outcomes and provider job satisfaction.
Long-term Implications and Challenges
While the health home model shows promise, it faces financial challenges and the struggle to maintain sufficient staffing levels to meet community demands. The initial cost of implementing this model is estimated at $1 to $2 billion annually, but proponents argue that this investment could ultimately save money by reducing hospital admissions and improving health outcomes. Dr. Jane Philpott's leadership as a primary care action committee head plays a crucial role in promoting this system's sustainability and expansion throughout Ontario. Despite its potential benefits, the model's initial rollout has led some residents to feel excluded, showcasing the ongoing difficulty of equitably distributing healthcare resources amidst high demand.
There’s an experiment underway in Kingston, Ont. The regional health care team is starting to assign people without a doctor to nearby clinics based on their postal code. And one of those clinics has adopted a different way to serve patients and doctors. It’s called a health home.
But is this a feasible solution for an overstressed health care system? Kelly Grant, national health reporter for The Globe and Mail, reports on this new model, how it’s working in Kingston and what it could mean for the rest of Canada.