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More than 5 million Canadians lack a primary care provider: report

Canadian Institute for Health Information measuring baseline of health priorities
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An exam room is seen at a health clinic in Calgary, July 14, 2023. A new report by the Canadian Institute for Health Information says 83 per cent of adults in this country have a regular primary-care provider but that still leaves 5.4 million adults without one. THE CANADIAN PRESS/Jeff McIntosh

Eight-three per cent of adults in this country have a regular primary-care provider, but that still leaves 5.4 million adults without one, a new report by the Canadian Institute for Health Information says.

Seniors 65 years and older are more likely to have access to a family doctor or nurse practitioner than younger adults between 18 and 34, and access to primary care is highest in Ontario and lowest in Nunavut, the CIHI report released Thursday says.

The report measures the baseline of health priorities agreed upon by the federal government and the provinces and territories, including improving access to primary care, reducing wait times for mental-health and substance-use counselling, recruiting more health-care workers, decreasing surgical wait times and increasing the use of electronic health information.

Data from Quebec was not available for this report but will be available in future, according to CIHI.

The institute will also collect data to measure progress on two more health priorities in the near future, including ensuring seniors can age with dignity and improving cultural safety for Indigenous patients in the health-care system.

There will be a report every year to measure progress in these health-care priorities across the country, federal health minister Mark Holland said in an interview on Wednesday.

Thursday香蕉视频直播檚 report says the surgical backlogs that happened during the COVID-19 pandemic have decreased and the number of surgeries performed has mostly returned to pre-pandemic levels across Canada.

Holland said each of the health-care funding agreements signed with the provinces and territories includes targets for the number of doctors and nurses that need to be added to the workforce.

Many rural and Indigenous communities are particularly hard-hit by the primary care shortage, the minister said.

In addition to recruiting doctors, nurse practitioners and nurses from other jurisdictions, the solution requires a 香蕉视频直播渟ustained effort香蕉视频直播 to encourage more First Nations, M茅tis and Inuit people 香蕉视频直播 as well as others living in small towns and rural areas 香蕉视频直播 香蕉视频直播渢o be choosing health careers and really seeing far more people serving their own communities,香蕉视频直播 Holland said.

The CIHI report noted that even if they have a primary-care provider, a recent survey showed Canadians still 香蕉视频直播渇ace greater difficulty getting same-day, next-day, evening or weekend appointments香蕉视频直播 compared with people in nine other high-income countries including the U.S. and the U.K.

Jenna Kedy, a 20-year-old patient advocate who worked with CIHI on the report, said she香蕉视频直播檚 grateful to have a family doctor after being without one for almost two years, but getting immediate appointments is a challenge.

Kedy, who lives in Halifax, requires specialist care for several chronic conditions, including juvenile arthritis, fibromyalgia, anxiety and depression.

Having a family doctor is vital to 香蕉视频直播渃onnect the dots for you香蕉视频直播 and keep track of her multiple health issues and medications, she said, but her doctor is too overworked to be available as much as she needs, she said in an interview with The Canadian Press.

香蕉视频直播淚f I ever had a big thing come up, it香蕉视频直播檚 not like I could call my family doctor and go see him that week,香蕉视频直播 Kedy said.

香蕉视频直播淎s someone with such unpredictable illnesses, it still does cause unnecessary trips into the ER,香蕉视频直播 she said.

香蕉视频直播淭he doctors are overwhelmed and they can香蕉视频直播檛 provide the same level of care they could have if they had less on their plate.香蕉视频直播

According to the CIHI report, there were 48,199 family physicians in Canada in 2022. In P.E.I, New Brunswick, Ontario, Saskatchewan, Alberta, B.C. and Yukon, more family doctors were entering the workforce than leaving it.

In Newfoundland and Labrador, Nova Scotia, and Manitoba, more were leaving the workforce than entering it. Data was not available for Quebec, N.W.T. or Nunavut.

But almost all provinces and territories saw more nurse practitioners entering the workforce in 2022 than leaving it.

The exceptions were Yukon, where more nurse practitioners were leaving than entering the workforce. Quebec data was not available.

Cheryl Chui, director of health system analytics at CIHI, said one of the other health-care priorities 香蕉视频直播 using connected electronic health information systems 香蕉视频直播 is an important part of solving the primary care shortage.

That香蕉视频直播檚 because it will 香蕉视频直播渆nable better sharing of information and to reduce some of the administrative burden that health-care professionals face,香蕉视频直播 she said.

This report by The Canadian Press was first published Oct. 24, 2024.

Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content.

Nicole Ireland, The Canadian Press





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