the last outlaw Posted July 24, 2015 Share Posted July 24, 2015 What a joke. How can they do this because their DENYING patients who don't have a family doctor healthcare. Time to get a lawyer. Our Health Care in Canada is pathetic and disgraceful. http://www.vancouversun.com/health/Patients+turned+away+from+Metro+Vancouver+walk+clinics/11235228/story.html New standards imposed on walk-in clinics by the College of Physicians and Surgeons of BC have been met with concerns and confusion from both patients and doctors. The new rules are meant to connect more patients to primary care doctors since an estimated 200,000 B.C. residents are actively looking for a family doctor. Theyre also meant to ensure walk-in clinics provide the same high standards of care as traditional medical practices where patients make appointments to see a doctor. Since the tougher rules came into effect three weeks ago, some walk-in clinics have turned patients away because of onerous rules ordering them to offer ongoing care to patients after their first drop-in visit. Doctors of BC, which represents more than 12,000 physicians, says it has also heard concerns about the revised guidelines and is seeking a meeting with College representatives. Doctors of BC believes in the importance of longitudinal care; patients have the best health outcomes when they have a long-term relationship with their family doctor. Doctors of BC was not consulted during the development of the revised guidelines, however we are hearing from doctors that they have a number of concerns, said Dr. Charles Webb in an emailed statement. Susan Prins, spokeswoman for the College, which licenses and regulates doctors, concedes it has received at least a dozen calls in the past few weeks and, as a result, the College has posted an addendum on its website to help clarify the new standards. The most controversial rule pertains to patients who visit a walk-in clinic the first time; the College says if they need and want the clinic to be their medical home of record, the clinic must take them in. Formerly, there was an expectation that clinics would be considered a patients primary care clinic of record after three visits. One walk-in clinic in Surrey, Hilltop Medical, has posted signs after a story about the changes appeared in The Vancouver Sun two weeks ago. One of them states: Due to new regulations with the College of Physicians and Surgeons we will no longer be able to see patients who are not registered with one of our family physicians. Our walk-in clinic will only see our own patients. No doctor working at the clinic would speak about the matter Wednesday. When Prins was asked whether the College rules may be having an unintended, opposite effect if clinics are turning patients away, she said compliance with new rules is mostly about creating and keeping better patient charts and there should be no need to turn patients away. But the College also states in one of its clarifications that if walk-in clinics are short-staffed, they should alert new patients that they dont have the capacity to absorb additional patients. Clinics must do exactly what Hillside did, in other words: ensure clear communications with patients by posting signs or sending letters. At the same time, patients must not fall through the cracks, so if possible, do your best to provide alternate ideas for how they can access care, the College advises doctors online. The new rules are meant to connect more patients to doctors, since an estimated 200,000 B.C. residents are actively looking for a family doctor. In response to questions from patients about whether they can insist that a certain doctor at a walk-in clinic become their dedicated primary care physician, Prins says: No, the obligation to provide comprehensive primary care is shared by all of the physicians who work in the clinic. Patients must receive appropriate care from any of the physicians they see ... they may not see the same physician each time they attend the clinic but they can be assured of longitudinal care through a single medical record, which all of the physicians working in the clinic will access. While doctors who work in traditional practices have long complained that walk-in clinics view patients as one-offs, the College has now dropped the gauntlet. Prins said clinics with the capacity to see patients also have the capacity to provide reasonable and appropriate care. Prins said the College has been reassuring doctors that its walk-in clinics that have to accommodate returning patients, not individual doctors. In other words, no individual physician working in the clinic is obliged to take a patient. The obligation is to insist that the clinic will take the patient on. That patient may not always see the same physician but he or she can be reassured of longitudinal care through one consistent medical record. As to complaints from part-time, older doctors working part-time in walk-in clinics that they dont want to re-accumulate a new batch of regular patients and medical records, Prins said: The standard requires the clinic to maintain the records, not the physician. All physicians, regardless of age or stage of career, are expected to refrain from agreeing to work in any setting that does not meet College standards. For example, they must not see patients if there is no medical director, if no one fields calls after hours, or if infection control standards are not met. Similarly, the clinic must provide longitudinal care to patients who want and medically require it. She concedes some patients visit different walk-in clinics to obtain multiple prescriptions but with electronic health records, doctors should have no trouble detecting multi-doctoring. The standard mandates office access to PharmaNet and currently all physicians should be using online access to laboratory and imaging reports. Physicians should very quickly become aware of patients accessing care from other providers. This wouldnt necessarily warrant immediate dismissal of the patient, but it should prompt a frank discussion. Link to comment Share on other sites More sharing options...
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