What the new family doctor payment system in B.C. will mean for patients — and doctors


The provincial authorities is making massive modifications to how basic practitioners are being paid, with the hopes of recruiting and retaining physicians as B.C. struggles with an ongoing doctor scarcity.

On Monday, the province introduced a new payment model that it says will permit for extra time with patients and compensate doctors for the work they do outdoors the examination room.

How will this variation assist the estimated a million British Columbians who do not have a family doctor? 

‘Roster’ system will pair patients with doctors

Health Minister Adrian Dix mentioned the new system — described as a “roster system” — will make it simpler for folks to discover a family doctor, although he would not make any guarantees on how quickly that would occur. Rather, he mentioned, the system will be carried out by July 1, 2023.

“We do not need to over-promise you, however this is a vital elementary change that will make issues higher for folks, particularly for patients,” he informed CBC’s Stephen Quinn, host of The Early Edition.

B.C. Family Doctors Executive Director Dr. Renee Fernandez mentioned implementing the system will be a two-phased method: first, the province will must establish who in B.C. doesn’t have a family doctor.

From there, they will have to take a look at how they will match folks up with a doctor that is acceptable for their wants — whether or not that is one close by, or one who speaks a selected language.

According to the province, the new model will additionally take note of a number of components in pairing patients and doctors, together with: the period of time a doctor spends with a affected person, the variety of patients they see in a day, the complete variety of patients seen by their workplace, the complexity of a affected person’s challenge, and administrative prices.

Dix says this will scale back the administrative burden and duties related to working a enterprise and permit doctors to concentrate on offering care for patients.

WATCH | Adrian Dix asks for extra federal health-care funding: 

B.C. Health Minister’s message to feds: ‘Get with it, come to the table, and work on a real answer’

Adrian Dix mentioned it’s time for Prime Minister Justin Trudeau to have a ‘serious conversation’ with premiers on well being transfers. The provincial well being ministers will be assembly with their federal counterpart to debate funding subsequent week.

Doctors to be paid extra in new payment model

Currently, family doctors are paid per affected person go to in the fee-for-service model.

This would not account for work achieved after hours, together with paperwork, researching patients’ situations, or another administration.

The payment model has been closely criticized by practising physicians and medical college students, who say they’re compelled to tackle extra work than they will deal with to have the ability to afford to run a follow, resulting in burnout.

Doctors usually spend hours filling out paperwork, doing analysis and coping with different administrative work — all issues that below the new compensation model will be taken into consideration. (TippaPatt/Shutterstock)

The new model will account for after-hours work, and compensates doctors who do have the capability to see additional patients.

Ideally, this implies doctors will be capable of spend extra time with patients, significantly these with advanced wants. 

“It permits family doctors to be compensated for all the time they spend working, not simply that that is in entrance of a affected person,” Victoria-based family doctor, Dr. Jennifer Lush, mentioned on CBC’s All Points West

“We can delve into these points and spend time with [patients] with out having to fret about whether or not or not we’ll be capable of pay the payments.”

‘This payment model would have stored me in the recreation’

Fernandez mentioned that of the 6,800 family doctors in B.C., lower than half are practising conventional family medication, additionally known as longitudinal care by medical professionals.

She mentioned she hopes this new plan will mean those that are working in different areas of family medication will return to longitudinal care.

Fernandez mentioned she herself left for ladies’s well being and maternity care about 10 years in the past as a result of she did not have this sort of help to permit her to proceed that kind of labor.

“This payment model would have stored me in the recreation.”

Additionally, she mentioned, it will make the occupation extra enticing for medical college students. 

“It truly pays higher to do each different kind of family medication in the province. If you are a younger graduate leaving medical college with debt of $200,000, you would be foolish to go do in family medication.

“But now, as a result of there are strong helps in place to cowl the prices of working that clinic, doctors can truly concentrate on what they’re extremely skilled to do.”

Lush mentioned the plan may additionally assist with recruiting doctors from out of province.

She recommended family doctors have left B.C. for different provinces, however hopes the new model will encourage them to return to B.C. 


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