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The Decibel

An experiment in Ontario to improve access to family doctors

Nov 22, 2024
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.
24:46

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Quick takeaways

  • 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.

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