‘In Dialogue’ Episode 17: Primary Care Crisis: How Did We Get Here?
In episode 17 of “In Dialogue,” family physician and CPSO Medical Advisor Dr. Keith Hay speaks to Drs. Tara Kiran and Kamila Premji, family physicians and researchers, about the primary care crisis in Ontario, causes of the physician shortage, financial and administrative burdens, and why fewer residents are choosing family medicine.
This is part one of our two-part conversation with Drs. Kiran and Premji as CPSO continues its in-depth analysis of a health system in distress. This episode explores the challenges currently facing family physicians, while part two will look at opportunities for a more efficient and effective system.
Dr. Kiran is a family physician at the St. Michael’s Hospital Academic Family Health Team and a scientist at the MAP Centre for Urban Health Solutions. She’s the Fidani Chair in Improvement and Innovation at the University of Toronto, and Vice-Chair of Quality and Innovation at the Department of Family and Community Medicine. Much of Dr. Kiran’s research has focused on evaluating the impact of Ontario’s primary care reforms on quality of care, as well as how changes in the healthcare system impact the most vulnerable in society.
Dr. Premji is a family physician, providing community-based, comprehensive primary care to patients in a diverse, densely populated urban region of Ottawa. She is an assistant professor at the University of Ottawa, where she was recently awarded the Junior Clinical Research Chair in Family Medicine. She is also a clinical researcher at the Institut du Savoir Montfort. Dr. Premji’s research focuses on examining primary care access, continuity in care, health system integration and health care policy.
Both Drs. Kiran and Premji have co-authored reports about the state of primary care and conducted extensive research on health equity.
Related eDialogue Articles
- Family Medicine in Crisis
- Primary Care: A Bold Revisioning
- “I Feel Like I am Failing”
- Changing the Culture of Emergency Departments
- New Language for Clinician Distress
- Administrative burden
- Family physician practice patterns during COVID-19 and future intentions
- Family Physicians Stopping Practice During the COVID-19 Pandemic in Ontario, Canada
- INSPIRE-PHC Research Findings for Ontario
- Keeping the front door open: ensuring access to primary care for all in Canada
- More Than 2.2 Million Ontarians Left Without a Family Doctor
- Physician wellness: New 2021 National Physician Health Survey findings — burnout, short-staffing and an overburdened system take their toll
- Trends in Attachment to a Primary Care Provider in Ontario 2008-2018: An Interrupted Time-Series Analysis
- Trends in patient attachment to an aging primary care workforce: a population-based serial cross-sectional study in Ontario, Canada