🧵 1/5
Will "time modifiers"
added to family doctors fees
help more people in BC
access primary care?
🩺❤️🩹Probably not
2006-14, BC spent a BILLION $$ (!!)
with incentive fees family doctors for work that typically takes more time (e.g. mental health)
#bcpoli #primarycare
Will "time modifiers"
added to family doctors fees
help more people in BC
access primary care?
🩺❤️🩹Probably not
2006-14, BC spent a BILLION $$ (!!)
with incentive fees family doctors for work that typically takes more time (e.g. mental health)
#bcpoli #primarycare
2/5
The new fees were "on top" of the usual "fee-for-service"
The stated aim:
💥to encourage family doctors to return to a traditional model of "full-service family practice"💥
And acknowledged that some work was taking doctors MORE TIME⌚️
@globeandmail
theglobeandmail.com/opinion/was-bc…
The new fees were "on top" of the usual "fee-for-service"
The stated aim:
💥to encourage family doctors to return to a traditional model of "full-service family practice"💥
And acknowledged that some work was taking doctors MORE TIME⌚️
@globeandmail
theglobeandmail.com/opinion/was-bc…
3/5
The result?😢
-family doctors got paid more
-family doctors saw fewer patients
⁉️But maybe patient outcomes like hospitalizations improved, she types hopefully (see next tweet...)
ref: longwoods.com/content/23782/…
The result?😢
-family doctors got paid more
-family doctors saw fewer patients
⁉️But maybe patient outcomes like hospitalizations improved, she types hopefully (see next tweet...)
ref: longwoods.com/content/23782/…
4/5
Alas,
this @CMAJ paper by @RuthLavergne
found that when you look at the subset of people who had more time-intensive conditions that qualified for the incentive fees...
❤️🩹there was no change to continuity of care
❤️🩹an increase in hospital visits
cmaj.ca/content/188/15…
Alas,
this @CMAJ paper by @RuthLavergne
found that when you look at the subset of people who had more time-intensive conditions that qualified for the incentive fees...
❤️🩹there was no change to continuity of care
❤️🩹an increase in hospital visits
cmaj.ca/content/188/15…
5/5
Do family docs deserve to be paid well, ABSOLUTELY.
Do we have any evidence that "time modifiers"
🩺will pay doctors more, YES
🩺improve patient access and outcomes, NO
So... let's make sure that BC's #primarycare solutions measure the outcomes that matter.
#bcpoli
Do family docs deserve to be paid well, ABSOLUTELY.
Do we have any evidence that "time modifiers"
🩺will pay doctors more, YES
🩺improve patient access and outcomes, NO
So... let's make sure that BC's #primarycare solutions measure the outcomes that matter.
#bcpoli
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