The University of British Columbia, Vancouver, British Columbia, Canada.
Simon Fraser University, Burnaby, British Columbia, Canada.
Healthc Manage Forum. 2023 Sep;36(5):322-326. doi: 10.1177/08404704231183175. Epub 2023 Jun 19.
Recent estimates suggest that up to 22% of Canadians over 18 do not have regular access to a family doctor or nurse practitioner. This lack of access is often characterized as a "family doctor shortage" and has been making headlines for decades. However, we have more family doctors than ever before, and in fact, the lack of primary care access is less about a shortage of physicians and more a need to develop a modern infrastructure and new way of funding and organizing care. Real change will require a paradigm shift from doctor- to clinic-organized care. The example of how schools are organized for public education may hold answers about how to make that paradigm shift and with investment in infrastructure see improvements in access to care across the country.
最近的估计表明，多达 22%的 18 岁以上的加拿大人无法定期获得家庭医生或执业护士的服务。这种无法获得服务的情况通常被描述为“家庭医生短缺”，并且几十年来一直是头条新闻。然而，我们现在拥有的家庭医生比以往任何时候都多，事实上，初级保健服务的缺乏与其说是医生短缺，不如说是需要建立一个现代化的基础设施和新的资金和组织医疗服务的方式。真正的变革需要从医生主导的医疗服务向诊所组织的医疗服务模式转变。学校组织公共教育的例子可能为我们提供了一些关于如何实现这种模式转变的答案，以及通过投资基础设施，如何在全国范围内改善医疗服务的可及性。
