A Chilliwack family doctor says the mismanagement of healthcare dollars at the new Chilliwack and Fraser Heath Rural Primary Care Centre (PCC) B次元官网网址渋s completely staggering.B次元官网网址�
The doctor, who agreed to speak on the condition of anonymity, says the B.C. Ministry of Health has been unable to recruit any physicians to work at the clinic, which opened May 17, 2022, at 7955 Evans Road. WhatB次元官网网址檚 more, he says there are four nurse practitioner spots that remain vacant.
The doctor said there were four physicians and B次元官网网址渁 handfulB次元官网网址� of nurse practitioners working at the old PCC at Chilliwack General Hospital (CGH), and all four have decided to leave within the next few months or so. One physician had reportedly been hired for the new PCC, but the doctor believes that person has since backed out.
B次元官网网址淭his has largely been due to the poor experience of the negotiations process and significant loss of autonomy that comes with working under the (Fraser) health authority,B次元官网网址� the doctor said. B次元官网网址淎 few of the physicians were considering going elsewhere already but this has solidified the decision for them.
B次元官网网址淪o we have a shiny, brand new clinic in Chilliwack that cost millions to build, and we actually have a net loss of physicians to work there.B次元官网网址�
The doctor believes B.C.B次元官网网址檚 Ministry of Health prefers to rely more on nurse practitioners, and said Chilliwack has some wonderful people in that role. But they are part of the solution, not the entire solution.
B次元官网网址淲hen they work in teams with physicians, truly excellent care can be delivered,B次元官网网址� the doctor said. B次元官网网址淗owever, they are more expensive per patient, and will not solve our current crisis. We need to incentivize community-based family medicine, to attract new graduates and convince family doctors in semi-specialized niche practice that full scope community practice is just as well compensated and valuable.B次元官网网址�
The big problem, the doctor noted, lies in how the province has chosen to set up the clinic.
ChilliwackB次元官网网址檚 primary care clinic had been based at Chilliwack General Hospital (CGH) for over a decade before the new building opened.
The doctor said that on the surface it was wonderful news.
It was a collaborative effort between Fraser Health, the Ministry of Health, the Chilliwack Division of Family Practice and other community partners.
It was named Mom铆yelhtelaxwt, which means B次元官网网址榟elping one another.B次元官网网址�
B次元官网网址淭eams of medical providers working together to care for patients is the future of medicine,B次元官网网址� the doctor said. B次元官网网址淭his clinic is unique in its efforts to integrate traditional First Nations healers and culturally sensitive care as well. The research around team-based care is robust in that it serves patients better and actually saves the medical system money by preventing hospitalizations and ER visits.B次元官网网址�
But there is a contrast between how B.C. and Alberta do things, and the doctor believes Alberta has the better model.
B次元官网网址淎lberta provides funding directly to physician clinics based on the number and complexity of patients they cared for, and the clinics are free to use this funding to hire whoever they feel will best serve their patients,B次元官网网址� the doctor said. B次元官网网址淭he funding was not allowed to be used for anything other than supporting team-based care.
B次元官网网址淏.C., on the other hand, has relied on the various health authorities to implement and administer the funds for these teams. This has resulted in significantly more bureaucratic processes and expenses in order to accomplish the same things.B次元官网网址�
For the Chilliwack clinic, Fraser Health has taken on oversight from the Chilliwack Division of Family Practice. The health authority is in charge of negotiating to bring physicians on board and the doctor said it hasnB次元官网网址檛 gone well.
B次元官网网址淪mall groups of local physicians wanting to provide care and attachment for local patients have been pitted against well-oiled health authority negotiating machines,B次元官网网址� the doctor said. B次元官网网址淭his has resulted in many cases of prolonged negotiation processes costing thousands in redundant meetings alone.B次元官网网址�
The doctor also said the doctors have lost autonomy working for the health authority.
B次元官网网址淧hysicians are generally passionate about quality improvement and tweaking their practices to ensure they deliver the best care to their patients,B次元官网网址� the doctor explained. B次元官网网址淭his becomes significantly more challenging under a health authority as the layers of bureaucracy add both cost and time to any meaningful changes.B次元官网网址�
Fraser Health was asked for comment, but did not replied before going to press.
eric.welsh@hopestandard.com
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