Comparing Three Methods of Physician Payment in Ontario

Introduction It is widely believed that payment methods to doctors may affect occupational attitudes and behaviors. As a result, health policy makers operate payment systems to achieve optimal health care for their citizens, such as increased accessibility, quality of care, patient satisfaction, and cost control. In Ontario there are various mechanisms that can be used to pay the physician for federal and state government financed services.

1 This section is the result of the Ontario Education Future Doctor (EFPO) program supported by Joint Medical Services Group, Ontario Medical College, Ontario Health of Ministry, and the Canadian Medical Education Expert Guide (CanMEDs 2000). University project

Report of duty: In Ontario, it is mandatory to report female genitectomy according to the policy of Ontario Medical University Surgeon (CPSO). According to the CPSO policy, unless there is a medical instruction, female circumcision, resection, vaginal examination, and / or retraining by a doctor approved in Ontario state are considered occupational misconduct. According to Ontario's child and family service law, 42 people are obliged to report information on children who need protection. Despite other bills, this obligation still exists. If there is a reasonable basis to suspect that a child needs protection, he / she is obliged to report the suspicion to the appropriate authorities.

First mistake: NP is supervised by a doctor. No, it is not. They consult a doctor at an appropriate time and they prompt a very restrictive practice of NP from the outset, mainly due to the demands of a crazy system where the Ontario government imposes restrictions on the practice of NP, mainly at the request of physician's lobbyists Did. For example, in NP, osteoporosis can not be examined by bone density test. This is a test that uses very little radiation so that technicians can stay in the room when the test is completed! How can NP prohibit ordering this service from patient service? You can order X-rays from the knee, but you can not order the buttocks. You can order ultrasound with your abdomen, but you can not order shoulder. Until recently we were able to order blood tests from an approved list so that we can order serum amylase (pancreatic enzyme) instead of serum lipase (pancreatic enzyme).