HealthcarePapers 1(1) December 1999 : 61-71.doi:10.12927/hcpap..17449
In "Organizing Primary Care for an Integrated System" Rosser and Kasperski propose changing the way family physicians practice to address deficiencies in the current primary-care delivery system in Canada. These deficiencies include
- a growing shortage of physicians, particularly in rural areas of Canada;
- the growing dependence of Canadians on acute hospital emergency units or "walk-in clinics" for primary care;
- fragmentation and unnecessary duplication in the delivery of primary-care services;
- lack of understanding on the part of the community and hospital sectors of the role of the family-practice physician;
- a fee-for-service funding model that does not reward prevention and health-promotion initiatives by physicians and makes high-volume, minorproblem visits the most lucrative; and
- lack of clarity with regard to what the public should expect from their physicians.
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