Today's Family Medicine News Highlights
March 24, 2017
See the mention of Canadian Family Physician in Global News and News-Medical
Canadian study finds physicians’ outdated BP measuring methods lead to misdiagnoses
New research results suggest birth control pill offers preventive effect for certain cancers
Globe and Mail
Inactive teens at risk for permanent bone health problems
Study suggests most cancers are unavoidable due to random mistakes in DNA replication
Limit use of new drugs for hard-to-treat TB, to prevent loss of effectiveness
WHO to vaccinate over 100 million African children in bid to wipe out polio
Social emergencies in First Nations community, including youth suicides and drug addictions, need the same approach as natural disasters
The Chronicle Herald
Opinion: Politicians can’t solve physician shortage in Nova Scotia
Researchers find that many physicians still use outdated manual devices for measuring BP
The Medical Post
Greater flexibility needed as Nova Scotia moves to collaborative care
WRITTEN BY DONALEE MOULTON ON MARCH 23, 2017 FOR THE MEDICAL POST
HALIFAX – Doctors Nova Scotia is calling on the province’s health authority to be more flexible as it moves to a collaborative care model.
Restricting where family doctors can practise is not realistic at this point in time, said Kevin Chapman, director of strategy and partnerships with Doctors Nova Scotia. “We’ve been quite vocal about supporting collaborative care, (but) our view is that is a bit of an aspirational goal. You’re not going to have Nova Scotians served by collaborative care teams tomorrow.”
There are now 42 such teams in various stages of development across the province, but it is estimated that 78 such teams will ultimately be required. Meeting that goal is anticipated to take a decade, or longer. In the meantime, many Nova Scotians are without a doctor and many family physicians—more than 380 according to recent physician resource numbers—are looking to retire. The Physician Resource Plan prepared by the Department of Health and Wellness (DHW) indicates that more than 1,000 physicians, both family doctors and specialists, will have to be recruited over the next 10 years.
“The reality is we need family physicians and we need to be creative and flexible and really sensible in how we manage that,” said Chapman.
Controlling where family doctors can practice, as the Nova Scotia Health Authority (NSHA) is currently doing, does not make sense, he noted. “If you have a physician who wants to practice in an over-doctored area, why not give it a whirl. Let that doctor into the system.”
Chapman points out that patients do not follow geographical boundaries, and under a fee-for-service system, if there are not enough patients to support a medical practice, the physician will have to go elsewhere.
In an open letter to all Nova Scotians, Doctors Nova Scotia President Dr. Michelle Dow stressed that time is of the essence. “Physicians are supportive of a move to collaborative care or team-based care, some physicians have been practising that way for years. But to fully make the shift, it’s going to take time and our patients need good access to care in the meantime.”
“I encourage the NSHA and DHW to be flexible and concentrate first on recruiting doctors, family doctors in particular,” she said. “Once we have them working in our province, we can help them transition into the new model of care.”
The plea is likely to fall on deaf ears. Requests for an interview with the health authority were not answered, but NSHA President and CEO Janet Knox published an opinion piece in the ChronicleHerald that reaffirmed the health authority’s intent to put collaborative care at the forefront of its agenda. “We know a key element of success for recruitment and retention is the practice model,” she said. “Graduating doctors want collaborative practices, mentorship and team environments. The days of the large solo practices are behind us.”
Investissements en vue d’une fusion future des portefeuilles de la petite enfance et de l’éducation
Le Journal de Montréal
Le CMQ entend sévir pour éviter la corruption dans le monde médical
La sédentarité chez les jeunes menace la santé de leurs os plus tard
Alberta : Proposition lancée d’allouer les profits du cannabis récréatif à la santé mentale
Un test sanguin prometteur pour le dépistage du cancer
L’épuisement parental à surveiller pour la santé psychologique