We recently published two papers related to primary care in BC. One is an evaluation of a continuing education learning module for end-of-life care for primary care physicians, and is available on the BMC – Medical Education journal website here. The second is a paper on an evaluation of the cost-effectiveness of BC’s incentive payment system for primary care physicians, and is available from The Permanente Journal here.
A recently published book, entitled “Aging in Canada”, describes the history of continuing care, models of integrated care delivery for the elderly, the cost-effectiveness of home care and issues related to caregiving. The authors, Neena Chappell and Marcus Hollander, argue that there is no “gray tsumani” coming but rather that an integrated system of continuing care can lead to cost avoidance and sustainability of the Canadian healthcare system. (To read the press release for the book, click here. For a summary of the key arguments, please click here.)
BC has developed a rather unique approach to the provision of primary care services which focuses on the addition of incentive payments into the fee-for-service payment structure. A recently published paper by MacCarthy and Hollander that covers the origins, rationale, and development of the BC approach can be viewed here.