Dr. Oona Hayes

Read this thread to understand why we need to measure more than attachment to primary care, but actual access. Measuring is the first step to fixing the problem. Without it, the problem doesn't exist (to the system). As for doctors spending more time doing lucrative and low-hassle cosmetic treatments rather than providing the essential public health services we need… The answer is to make it more attractive (lucrative and low-hassle) to deliver those services we need. Because right now, it's an incredible struggle to provide high quality longitudinal family practice within our current framework. The administrative burden is too high, and the payment models aren't sufficient to operate a clinic unless you really churn patients through, which is stressful for doctors and does a disservice to patients. When family doctors opt out of doing full-service longitudinal family practice, they're responding rationally to the incentives (financial and others) in our system. Change the incentives, you change the behaviour.