Right now, I have in my mind the example of a geriatrician in Quebec who wants to work for community organizations. However, the remuneration methods are not set up to accommodate work in a community setting. They are linked to services provided in hospitals. So we have a young geriatrician doing volunteer work because he really believes in it.
There has to be strong leadership on the part of the central government, provincial governments and associations like ours to bring about a change in methods in order to encourage home-based medical practice.