HealthcarePapers 3(4) February 2003 : 73-78.doi:10.12927/hcpap..17123

Romanow, Kirby and Reform of Primary Medical Care

David Kelly


Both the Romanow and Kirby reports urge provinces to reform the delivery of primary medical care. Romanow recommends billions of new federal dollars to continue and extend recent initiatives. Kirby proposes very little new funding but recommends that regional health authorities assume much of the responsibility for paying physicians. Only the Kirby approach will lead to comprehensive primary care reform, and only if meaningful accountability is introduced into the business relationship between payers and physicians.



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