The best defence is a good offence: Ensuring equitable access to primary care in Canada

Author:

Hedden Lindsay1ORCID,McGrail Kimberlyn2

Affiliation:

1. Simon Fraser University, Burnaby, British Columbia, Canada.

2. The University of British Columbia, Vancouver, British Columbia, Canada.

Abstract

Ensuring access to primary care is a persistent challenge in Canada, and the COVID-19 pandemic exacerbated existing gaps. Public policy reform that only partially addresses these access issues, technological opportunities, workforce desires, or patient preferences creates an opportunity for private, investor-owned corporations to take ownership of primary care delivery systems. This article summarizes the history of the “public-private” conversation as it pertains to primary care, with a particular focus on investor-owned corporations. We outline how profit-driven, corporate healthcare impacts equitable access to care, increases spending on low-value services, and undermines the underlying values of Canadian healthcare systems. All of healthcare delivery requires rapid regulation and oversight by policy-makers, which would increase transparency of corporate care. There also must be parallel efforts placed on addressing the long-standing issues in publicly funded delivery of primary care that created the space for corporate care to grow.

Publisher

SAGE Publications

Subject

Health Policy

Reference67 articles.

1. British Columbia Ministry of Health. New payment model for physicians means better care for patients | BC Gov News. https://news.gov.bc.ca/releases/2023HLTH0011-000127. Published February 1, 2023. Accessed April 26, 2023.

2. Government of Ontario M of H and LTC. Primary care payment models in Ontario - health care professionals. https://www.health.gov.on.ca/en/pro/programs/pcpm/. Published March 26, 2020. Accessed May 26, 2023.

3. Health Canada. Working together to improve health care for Canadians. https://www.canada.ca/en/health-canada/news/2023/02/working-together-to-improve-health-care-for-canadians.html. Published February 7, 2023. Accessed April 25, 2023.

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