Regina:
August 18, 2014
Scope of Healthcare
participation
·
The
delivery of healthcare has elicited different responses from communities
·
Subsidies
of varying degrees
·
Provision
of clinic buildings
·
Construction
of a new facility
·
Provision
of housing and vehicles
·
Own
and operate clinic
·
Provision
of incentives
Issues
·
Recruitment
·
Uneven
playing field for recruitment (wealthy vs less wealthy; urban vs rural;
hospital vs clinic (scope of practice offerings))
·
Communities
are competing on the provincial and national scale rather than collaborating
·
The
current model, no recruitment and retention guidelines, does not ensure
sustainability but encourages competition amongst municipalities
·
Physicians
shop around for greater pay (their market is provincial, national, and
international)
·
Make
communities compete against one another (divide and conquer)
·
Irregular
level of service provided
·
Across
the province and within regions
·
Fragile,
dependent upon physicians’ ‘happiness’
·
Communication
·
Lack
of transparency and openness
·
Broken
agreements
·
accountability
·
Human
Resources
·
Shortage
of EMTs
·
Volunteer
fatigue
·
Shortage
of physicians (docs may shop around)
·
Scope
of practice in an area has been compromised
·
50%
of physicians leave within 5 years
·
Health
is to be non-profit (Health Authorities/Ministry) yet has a profit driven
centre (Physician Centres)
·
Municipal
funding of healthcare is not sustainable
Policy
Challenges
·
Level
of service:
·
Physician
staffing
·
EMT
staffing
·
Geographic
question
·
Communication
·
Accountability
·
Broken
agreements
·
Open/Transparent
·
Funding
·
A
question of population based delivery across large distances
·
Recruitment
& Retention
·
Intense
competition between communities
·
50%
of physicians leave within 5 years
·
Subsidies
·
No
accountability
·
No
transparency
·
No
legislative protection or jurisdiction
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