Health Care: A Community Concern?

By Anne Crichton; Ann Robertson et al. | Go to book overview

CHAPTER 11

Medical Practice Organization:
Alternative Medical Care
Delivery Models

This chapter is divided into two sections: discussions of Community Health Centres and other alternative delivery models.

Concurrent with the planning to introduce Medical Care Insurance in 1966, there was some interest in the prospects of restructuring medical care organization. The Canadian Medical Association (CMA 1967) gave its support to the group practice model. How this concept was developed was discussed in Chapter 9. It was not developed far because computerization of billing enabled many doctors to choose loose forms of individualistic practice organization with commitment to sharing overhead and backup services while maintaining their own patient lists.


The Community Health Centre Model of Practice/Centres locaux
des services communautaires

Some practitioners and community members questioned all individualistic forms of practice organization whether solo or partnership practice. 1 They thought this form of organization did not have a place for consumer inputs other than through individual doctor-patient discussions, nor did it have any

____________________
1
For example the Saskatchewan Community Clinic physicians, the Community Health Services Association of Saskatchewan and the Canwood Association (Crichton and Anderson 1973) as well as the United Steelworkers of America, the Sault Ste. Marie and District Group Health Association and St. Catharines' Group Health Centres (Lomas 1985) inter alia.

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