Modes de rémunération alternatifs

Mitra, Goldis; Grudniewicz, Agnes; Lavergne, M. Ruth; Fernandez, Renee; Scott, Ian

doi:10.46747/cfp.6711812

Cited by 2 publications

(2 citation statements)

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“…Notre discipline devrait adopter des modes de rémunération des médecins de famille qui font disparaître progressivement la rémunération à l'acte pour la remplacer par des mécanismes appropriés à la prestation en équipe des soins primaires en réponse aux besoins de la communauté 6 . Certains modèles de financement font obstacle au changement 7,8 , et si nous ne reconnaissons pas que le modèle actuel de rémunération à l'acte ne se prête pas à la prestation de soins populationnels de grande qualité, nous risquons de demeurer enlisés dans un système de soins primaires dysfonctionnel, sans coordination et largement hétérogène. Pour créer un modèle robuste de soins en équipe centré sur la communauté, le changement nécessaire n'est pas évolutionnaire, mais bien révolutionnaire.…”

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L’avenir de la médecine familiale au Canada

Katz,

Singer

2024

Can Fam Physician

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Section: éLiminer La Rémunération à L'acteunclassified

L’avenir de la médecine familiale au Canada

Katz,

Singer

2024

Can Fam Physician

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“…Yet, many factors outside of education can affect on one's attachment to a particular place. Social identities, partner preferences, family plans, and economic pressures have all been described to impact eventual practice locations 17,25–30 . Thus, we must be mindful to not assume the widespread effectiveness of education policies on practice choices.…”

Section: Introductionmentioning

confidence: 99%

Understanding the influence of medical education on physician geographic disposition: A qualitative study of family physician perspectives in Canada

Grierson,

Elma,

Aggarwal

et al. 2023

Evaluation Clinical Practice

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RationalePrimary care access challenges are experienced by many communities. In several jurisdictions, including Canada, family physicians (FP) have the professional autonomy to organize their practice in alignment with professional and personal interests. Although system‐level interventions are tremendously important, investment in upstream interventions associated with the medical education of graduating FPs is a promising strategy for ameliorating primary healthcare access challenges.Aims and ObjectivesThis study investigates the medical education experiences that influence FP's decisions about practice locations in Canada.MethodsWe conducted semistructured interviews with FPs who completed undergraduate and postgraduate medical training in Canada and now have a practice in Ontario, Canada. Interview data were coded and analysed using an unconstrained descriptive approach.ResultsFPs preferred practice locations are intimately tied to their desired practice scope. Practice preferences were shaped through training experiences with patient populations, heightened clinical responsibilities, practice models and locations, professional mentorships and networks. Proximity to family, partner and lifestyle preferences, cultural connections and the available practice opportunities also shaped practice location decisions.ConclusionMedical education influences the identification and refinement of professional family practice preferences. Health workforce policies and interventions should leverage medical education to promote more equitable primary healthcare access.

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Modes de rémunération alternatifs

Abstract: Cet article a fait l'objet d'une révision par des pairs.

Cited by 2 publications

References 13 publications

L’avenir de la médecine familiale au Canada

L’avenir de la médecine familiale au Canada

Understanding the influence of medical education on physician geographic disposition: A qualitative study of family physician perspectives in Canada

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