Does increasing family doctors’ pay increase access? Evidence from B.C. says ‘no’

Simply increasing physician pay, absent structural changes to primary care organization, isn’t delivering results, and it comes at a hefty cost.
The B.C. model combines payment for time and volume of services performed, but doctors typically maintain or increase their income while working less, writes Andrew Longhurst.

Growing evidence from British Columbia and elsewhere in Canada shows that the dominant small business model of primary care is no longer delivering the access that Canadians need, and a structural overhaul is required.

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