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Can the Practice of Primary Care Medicine ever be Practical Again?

A Country Doctor Writes

I wrote this when I was working for a fairly traditional primary care office, a Federally Qualified Health Center, which did have a somewhat preferential pay rate from Medicare and Medicaid, in part because we offered sliding feee to uninsured patients, in part because we offered a few “enabling services” as the bureaucrats call it.

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Primary care reform in Alberta: Costs for family physicians and expanded roles of independent nurse practitioners

Canadian Family Physician

Objective To analyze the economic effects of policies created by the Alberta government to address the shortage of family physician (FP) services following the COVID-19 pandemic. Conclusion The time to address the current doctor shortage is substantial and needs to be factored into government primary care policies.

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Increasing primary care capacity by adding team members [Health care services, delivery, and financing]

Annals of Family Medicine

million adults in Canada do not have a family doctor or nurse practitioner. Interprofessional team-based care can expand access to primary care, however, the relationship between interprofessional teams and their impact on primary care capacity is not well-understood. Context Over 6.5

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Primary care workforce planning within integrated care models: Application of a workforce planning toolkit [Health care services, delivery, and financing]

Annals of Family Medicine

Context: There is a crisis in the primary care workforce in Canada. While approaches have been developed to support primary care health human resource (HHR) planning, most planning is conducted within sector silos and there are few examples that consider a regional approach within an integrated care system.

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Understanding the care for older people in rural China: The role of primary care providers as "the third sphere" [Global health]

Annals of Family Medicine

China’s NEPHS program offers a vantage point from which to appreciate how state-society interplay shapes care practices, as well as to address the implications of socio-political factors on care. Study Design and Analysis: A three-month ethnographic study collected qualitative data through observation and informal interviews.

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Staff perspectives of a novel integrated community care hub in an urban underserved population (UK) [Child and adolescent health]

Annals of Family Medicine

o Context or Objective: The UK is witnessing an increase in emergency department use and hospital admissions for children and young people from underserved populations, exacerbated in the UK by continued issues around access to primary care.

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Enhancing primary healthcare capacity : A qualitative study from the perspective of managers of PHC institutions in China [Health care services, delivery, and financing]

Annals of Family Medicine

Study Design: A qualitative study Setting: Primary care setting in Shanghai, China Population Studied, 15 directors of the high-quality development pilot community health service centers in Shanghai were selected as interviewees.