New payment model for physicians means better care for patients

A new family physician payment model has come into effect to help more family physicians start or continue their practice and ensure people throughout the province have access to primary care.

Patients will benefit from family physicians having greater flexibility in their practices, both in-person and virtually, compared to the previous payment model. Patients will also have the option of discussing multiple issues with their physicians, who will now have more time for patient care as administrative pressures are relieved by the new model.

Referred to as the longitudinal family physician (LFP) payment model, this new approach came into effect on Wednesday, Feb. 1, 2023, through close collaboration between the Ministry of Health, Doctors of BC and BC Family Doctors. The payment model incorporates feedback from family physicians, supports the Province’s primary care strategy, meets the needs of physicians and ensures patients have access to the care they need.

The new payment model includes three elements: the number of patients a physician sees in a day; the size and complexity of the physician’s patient panel; and the time a physician spends providing direct clinical care, indirect clinical care (such as reviewing lab results or co-ordinating specialist referrals); and on clinical administrative tasks (such as maintaining an accurate and up-to-date list of patients on an electronic medical record).

This means family physicians will be compensated for spending extra time with patients, especially those with complex needs, such as patients with mental-health conditions, and seniors.

The Ministry of Health continues to develop measures to support and improve access to primary care, including improved recruitment, retention and training initiatives. This includes a digital rostering system to determine where capacity exist throughout the province to attach patients to clinics and providers. The ministry aims to have this system in place by July 2023. ipafr iewk kudrqI somf hY . ipafr df bIj do idl imlx qy Putdf hY. ipafr awKfˆ imlx qy huMdf hY qy idl huMgfrf bx jfˆdf hY. ipafr `c CotI ijhI Tokr aish swt bx jfˆdI hY. ipafr ivwc vÌf qy by-vÌfeI vI hY. ipafr kdy muwl nhIˆ ivkdf . ipafr dy ËKm sdf awlHy huMdy hn . ipafr iksy nfl vI ho skdf hY nf ik `kwly iensfn nfl . ipafr krn qoˆ pihlfˆ hr pwK qoˆ jfxUM hoxf jrUrI hY . ipafr ivwc hr GVI iewk sfl vfˆg bIqdI hY . ipafr ivwc suhwpx jrUrI nhIˆ hY. ipafr Cupky jfˆ ieÈfirafˆ nfl nhIˆ ho skdf . ipafr hox qy idl dI ipafr mËbUrn jfˆ ËbrdsqI nhIˆ hoxf cfhIdf . ipafr df aMq mOq hY nf ik iËMdgI . ipafr pfAuxf afsfn hY ,inBfAuxf ctfn . ipafr krky pCqfAuxf Éqrf hY . ipafr nUM iqafgxf pRfx iqafgx dy brfbr hY . ipafr leI hr iewk df hwk brfbr hY . ipafr krnf apxy afp nUM vycxf hY . ipafr ivwc keI muÈklfˆ hn ijMnfˆ df sfhmxf krnf pYˆdf hY . ipafr krky pRmfqmf qwk vI pf skdy hfˆ . ipafr iewk qrÌf nf-kfmXfb ipafr hY . ipafr bÊYr lflc, nÌy nuksfn qy ivqkry rihq hoxf cfhIdf hY . ipafr ivwc inrfÈqf quhfnUM mOq dy mUMh qwk iljf skdI hY . ipafr iksy pYmfny vsqU nfl nhIˆ mfipaf jf skdf . ipafr krnf hr koeI cfhuMdf hY, pr nsIb apxf apxf . ipafr quhfnUM dyr qwk ijAux leI pRyrdf hY . ipafr quhfnUM hr sihxÈIqlf pRdfn krdf hY . ipafr quhfnUM bhuq hwd qwk myhrbfn bxf idMdf hY . ipafr mfn snmfn hMkfr df nfˆ nhIˆ hY . ipafr afqmf qwk Auqrdf hY qy afqmbl idMdf hY . ipafr dI aQfh sImf hY . ipafr dy inwG ijhf hor koeI vI inwG nhIˆ hY . ipafr dy afDfr qy iemfrqfˆ,iÌlmfˆ,ikqf bfˆ,inÈfnIafˆ dunIafˆ qy imsfl hn . ipafr df bhuq vwzf hwQ hY iksy dy kvI, Èfier bnx ivwc . ipafr df lÌË sfirafˆ akyivafˆ Qkyivafˆ nUM dUr krdf hY . ipafr iewk sLbd hI hY, shI arQ Audoˆ dwsdf hY jdoˆ qusIˆ iksy nUM iml lYˆdy ho. ipafr nUM cfhuMx vflf ikqy nf ikqy koeI idl huMdf hY . ipafr nfl idl dy hI nhIˆ sfry drvfËy KuwlH jfˆdy hn . ipafr df dfrU vI ipafr hI hY . ipafr ivwc shI Èbd iewk tOink df kMm krdy hn . ipafr ivwc Byt kIqy Puwlfˆ dI Ëbfn idl qoˆ bgYr koeI nhIˆ smJdf . ipafr Cohx nfloˆ mihsUs krn nfl iËafdf mËydfr huMdf hY . ipafr sfrIafˆ KuÈhflIafˆ nUM mfq pf idMdf hY . ipafr quhfnUM iekwlfpx mihsUs nhIˆ hox idMdf . ipafr nfloˆ ijAux df bhfnf hor koeI nhIˆ hY . ipafr iewk aYsI QMmI hY jo quhfnUM zolx nhIˆ idMdI . ipafr iksy nf iksy nfl kdy qfˆ huMdf hI hY . ipafr iËMdgI dy mfhxy bdl idMdf hY . ipafr dy irÈqy ivwc Èwk qy ipafr brfbr nhIˆ cwl skdy . ipafr ivwc ivÈvfÈ hI sB qoˆ vwzI qy pwkI nIˆh hY . ipafr ivwc duaf qy dvf dovyˆ kMm krdy hn jo idMdf hY qy jo lYˆdf hY . ipafr dI pRIBfÈf ? ieh iewk bhuq hI kiTn svfl hY .

The payment model will significantly streamline and simplify the administrative burden placed on family physicians thus ensuring physicians can spend more time with their patients, managing and co-ordinating their care.

It is important to compensate physicians for their time; it is also important to support physicians so they can use their time effectively. Therefore, through the new physician master agreement, the Ministry of Health and Doctors of BC are establishing a working group to reduce administrative burden on family physicians.

The LFP payment model is part of B.C.’s Health Human Resources Strategy. This strategy, announced on Sept. 29, 2022, ensures people get the health services they need and are cared for by a healthy workforce. The strategy focuses on 70 actions to recruit, train and retain healthcare workers, while redesigning the health-care system to foster workplace satisfaction and innovation.

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