Research has proven that a continuous relationship with a family
physician (FP) can improve patient health outcomes and ease the burden
on hospitals by reducing repeat hospitalizations and emergency room
important aspect of such continuous care is the coordination of patient
transitions between hospital and community doctor offices. Yet in recent
years, British Columbia has experienced a gradual loss of
community-based family physicians providing care to patients in
To address this issue, the GPSC
has approved a set of incentives aimed at better supporting doctors who provide this important aspect of care. This funding
will support family physicians who:
Provide care to their own patients when they are in hospitals
Provide care for patients admitted to
hospital without an FP, whose FP does not have hospital privileges, or
who are from out-of-town; and
Provide hospital or terminal facility care to patients, through increased incentives.
The Kootenay Boundary Division of Family Practice also works closely with
Interior Health to address non-compensation-related in-patient care
issues (aka “hassle factors”). These hassle factors include
infrastructure and tools (e.g., charts, computers, parking),
communication and information flow, respectful workplace and
relationships, resources and capacity (e.g., allied health services,
access to lab services), and support/education.
Click here to see the objectives for the In-patient Care Project >
In-Patient Care – Latest News
Overcoming in-patient hassle factors
Division engaged members in a number of events to discuss
non-compensation in-patient "hassle factors. These events resulted in a
number of immediate changes to support GPs in this area. At KBRH in Trail:
- Efforts have been made to ensure blood test results are ready by 9 a.m. when GPs do rounds.
- Medical meetings have been moved earlier (845am) and meetings are better communicated as 'open' for GP support.
- Working on resolving residential care bed availability, ensuring home
care is ordered in good time, and improving continuity between community
Roll-out of GPSC Incentives in April 2013
the summer and fall of 2012, Division engaged members in a number of
events to provide local input to the Ministry of Health on challenges
associated with providing in-hospital care, including both compensation
and non-compensation issues.
This local feedback helped guide
provincial work in developing the overall in-patient care provisions
announced together with A GP for Me by the Health Minister Margaret
MacDiarmid on February 24, 2013. Compensation models were established
and the Division supported GPs in Nelson, Grand Forks, and Trail to
register for the assigned and unassigned in-patient care networks.