Where some health systems outside of Canada have what might be called command-and-control relationships with their family physicians, the MoH and AHS along with their counterparts in the other provinces work with independent contractors, not salaried employees
Time has also, in combination with the committees and co-planning obligations of the newly created governance structures, made space for intellectual and cultural contact between the worlds of clinical, administrative, and policy people. For their part, the PCNs have benefited from the time required to move from feeling their way in a new space with few doctors signed up as members, to being confident, escort services in Roseville seasoned teams able to function not just in the Frontier Era of few rules and little oversight, but in an era of Accountability where they act as hosts for difficult cross-cultural conversations amongst the MoH, AHS, and the vast majority of the province’s family physicians who have signed up. Continue reading “In this way time and space have been central to overcoming mistrust and beginning the transformation towards PHC”