B.C. rolled out the Longitudinal Family Physician payment model and gained 700 new family doctors
When I started medical school, I planned to be an obstetrician. But as I completed my training, I realized that what I really enjoyed was family medicine—the opportunity to build a long-term relationship with a patient over 20, 30, maybe even 40 years. I was inspired by colleagues who had attended a birth early in their career and then were later present at the birth of that person’s child.
The province struggled to attract and retain family doctors because the financial incentives to take on this complex and demanding work were scarce. Under the most common family medicine payment model in Canada— the fee-for-service payment model—family doctors only get paid for each patient they see, which is around $30 per visit in B.C. But caring for a patient is not confined to a 10- to 15-minute appointment.
agreed that investing more money into primary care reduces costs down the line by delivering care to patients at the right time, which is at the start, when they’re still at home, and not when they’re in the hospital. In February of 2023, the province introduced the LFP payment model.
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