‘In Dialogue’ Episode 18: Primary Care Crisis: What Do We Do Now?
In episode 18 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 solutions to Ontario’s primary care crisis, the benefits of team-based care, the impact of different payment models and reasons to be hopeful for the future.
This is part two 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 opportunities for a more efficient, effective and equitable healthcare system, while part one looks at the challenges facing family physicians.
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
- ‘In Dialogue’ Episode 17: Primary Care Crisis: How Did We Get Here?
- 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
CPSO Resources
Additional Resources
- A Prescription for Primary Care (CFCP)
- A Roadmap for Reform: A Consensus View of the Viable Options Ahead for Canada’s Healthcare “System” (CD Howe Institute)
- Costs of Health Care Across Primary Care Models in Ontario
- Geographic Variation in Primary Care Need, Service Use and Providers in Ontario
- Impact of Team-Based Care on Emergency Department Use
- Keeping the front door open: ensuring access to primary care for all in Canada (CMAJ)
- Longitudinal Evaluation of Physician Payment Reform and Team-Based Care for Chronic Disease Management and Prevention (CMAJ)
- Ontario Science Table’s Briefs on Primary Care
- OurCare
- Solutions for Today: Ensuring Every Ontarian Has Access to a Family Physician (OCFP)
- Transforming the Foundation of Canada’s Health Care System: Solutions to Bolster Primary Care (CFCP)
- Trends in Attachment to a Primary Care Provider in Ontario 2008-2018: An Interrupted Time-Series Analysis