I can speak from my experience working in primary care in Ontario.
In Ontario there have been some moves towards new funding models in order to improve access to primary care physicians. Traditionally, family doctors and doctors in general are paid fee for service, so there's been a move to capitate it, which means that doctors are paid for the size of roster they have per patient, and then they're also paid a percentage on fee for service to see those patients.
Then there's another model, which is the model that I work in. I work in a community health centre. It's a model that Ms. Davies alluded to earlier. Here we're salaried, and we have a slightly different goal. Our goal is to work with a more high-needs population, patients who don't speak English or French as their first language, immigrants or refugees, the homeless population. We're encouraged to spend more time per patient, because they tend to be much more complex, and we have a higher complexity as a result.
It's recognizing that there's not a one-size-fits-all solution for marginalized populations. The community health centre is a great model. For other communities it may be something else. It's a willingness to have funding to try these new reforms in order to address primary care.