Health Sciences 2200A/B Lecture Notes - Lecture 7: Smoking Cessation, First Act, Nurse Practitioner
2 Feb 2017
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Primary care: first point of access to the health care system your entry point . Why reforms: rising costs from fee for service! Rewards for high volume not patient-centred care lack incentive to deal with complex care patients. Political issue: mcguinty govt (2004) campaigned in on promise of every ontarian would have a family doctor (high profile issue, less incentive to go into family practice. Tvo"s the agenda: fixing ontario"s primary care : you http://tvo. org/video/programs/the-agenda-with-steve-paikin/fixing-ontarios-primary- care. 5 different family practice models: comprehensive care model traditional way of paying doctors is fee for service. Docs can take advantage of cancer screenings, chronic disease management, can take advantage without having to be in a group. Fhg family health group, largely by fee-for-service, sign up patients, per person, fhg is a group that"s 3 physicians or more, additional bonuses for preventative healthcare, smoking cessation, chronic disease management, after hours care.
