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Health committee  That's about right. But of course that doesn't necessarily mean that they are full-time clinicians. There lies the difficulty in terms of really understanding clearly what is a full-time equivalent in this country.

April 3rd, 2014Committee meeting

Dr. Francine Lemire

Health committee  I'll begin the answer and hopefully I'm not being asked to solve all that in the next few minutes. We do have an important cohort of baby boomers who are at the end of their professional careers. Interestingly enough I think they remain quite engaged in clinical practice, but pro

April 3rd, 2014Committee meeting

Dr. Francine Lemire

Health committee  There's no magic, I don't believe, in terms of explaining what happened. I certainly do agree with what Danielle has described. The funding has helped to create some innovation and I think you refer to this yourself. There's been some incredible pockets of innovation around the c

April 3rd, 2014Committee meeting

Dr. Francine Lemire

Health committee  Once again you're asking me to solve this problem—

April 3rd, 2014Committee meeting

Dr. Francine Lemire

Health committee  —in three minutes or less.

April 3rd, 2014Committee meeting

Dr. Francine Lemire

Health committee  The “why” is we're now catching up—

April 3rd, 2014Committee meeting

Dr. Francine Lemire

Health committee  We need to collectively ramp up our mandate around social accountability.

April 3rd, 2014Committee meeting

Dr. Francine Lemire

Health committee  An example of what's happening in Quebec.... In Quebec, a decision has been made that one needs to address the distribution of physicians. So there is some regional health human resource planning. So if I'm a resident in family medicine, at the beginning of my residency I'm look

April 3rd, 2014Committee meeting

Dr. Francine Lemire

Health committee  I think there are some financial incentives, but I think the Government of Quebec has been pretty clear that physicians need to go where they are needed.

April 3rd, 2014Committee meeting

Dr. Francine Lemire

Health committee  That speaks to the importance of the role of the community around the retention of physicians.

April 3rd, 2014Committee meeting

Dr. Francine Lemire

Health committee  It works a little bit. I don't think we can necessarily expect a physician to go to a rural community based on a regional plan of health human resources and stay there for 25 years.

April 3rd, 2014Committee meeting

Dr. Francine Lemire

Health committee  I don't think I can shed any light on that in a specific manner. Again, I will say that I think we owe, to some extent, a level of responsibility in trying to instill in our practitioners that practice of full scope. But also understand that other providers just as Danielle talke

April 3rd, 2014Committee meeting

Dr. Francine Lemire

Health committee  I would suggest alternate payment models that are—

April 3rd, 2014Committee meeting

Dr. Francine Lemire

Health committee  It's where you get a payment per year, per patient, that is within your panel. Your responsibility, then, as a practice, not only as a sole family doctor but as a practice is to look after that population.

April 3rd, 2014Committee meeting

Dr. Francine Lemire

Health committee  I just gave some examples of family health teams where there have been some improvements. I think in the U.K.... Do you want to speak to that?

April 3rd, 2014Committee meeting

Dr. Francine Lemire