Report on Work Placement

Running Head: WORK PLACEMENT
Topic- Report on work placement
Student name
University name
Author notes

WORK PLACEMENT
TABLE OF CONTENTS
Answer to question 1.......................................................................................................................3
Research of Primary Care (PC) reform in Ontario province.......................................................3
Number of PC groups operating..................................................................................................4
Description of the setting up of PC groups and their mode of operations...................................4
Interview session and other underway PC reforms......................................................................7
Answer to question 2.......................................................................................................................8
Interview with a different cultural people....................................................................................8
Comparison of healthcare system in Canada and Africa.............................................................8
Identification and resolution of problems....................................................................................9
Recommendations for change and personal opinions................................................................10
Answer to question 3.....................................................................................................................11
Layout of office and reception areas..........................................................................................11
Change required in the layout....................................................................................................12
Designing an ideal health office layout......................................................................................12
References......................................................................................................................................17
Appendices....................................................................................................................................19
A sample interview form of clients/ patients.............................................................................19
Thank you letter to interviewees................................................................................................20
Confidentiality statement...........................................................................................................21
Agreement and personal information.........................................................................................22
Interview session with an African origin people.......................................................................23
2

WORK PLACEMENT
PROJECT A
Answer to question 1
Research of Primary Care (PC) reform in Ontario province
Ontario is one of the most innovative provinces in pursuing primary care reform in
Canada. A number of primary care reform models are introduced to improve overall primacy
care support in Ontario. The multi-dimensional and complex structures created inconveniences
in many areas (Chatwood, 2018). The PC framework is based on three governing bodies namely
Primary Health Care, professional autonomy and neo-institutionalism. The PCR models fail to
balance structural and institutional relationships simultaneously. As a result, there is difficulty in
control areas of political, economic and clinical care aspects (Freund et al., 2015). Thus, greatest
amount of reform is required in altering the structural relationship between the medical
associations and the state. Power balance need to be emphasized more in reform areas. The
Ontario government has already invested in huge amount in regard to PC in the province but
deteriorating fiscal position has increased conflicts in regard to organized medicine and
physician budgets and a radical restructuring of the PC was hindered greatly (Hutchison &
Glazier, 2013). But Ontario still stands out among other Canadian provinces and the single-
minded focus of the government on PC is worth praising. The flexibility of the Universal
Medical Care coverage and Saskatoon Agreement has been increased by the PC reform in
Ontario (Jeffords & Jones, 2019). The PC in areas of care transition funding, home care and
coverage of catastrophic drugs has also been reformed greatly. To support reforms in PC changes
in physician remuneration was focused along with additional provinces of bonuses and other
performance-based incentives providence (Marchildon, 2013). This change has direct positive
impact on the number of graduates entering into Primary Care and there is a sharp increase in
3

WORK PLACEMENT
their numbers in recent times. Though the reform is still in work-in-process stage in regard to
quality of care providence.
Number of PC groups operating
Number of PC groups or models operating in Ontario province are basically seven in
number that work on three remuneration forms namely fee-for-service, capitation and salary
(Marchildon, 2013). From the year 2002 to present times, these basic models were established
namely Family Health Network (2002), Family Health Groups (2003), Rural and Northern
Physician Group Agreement (2004), Comprehensive Care model (2005), Family Health team
(2005), Family Health Organization (2007) and Nurse Practitioner-Led Clinic (2007)
(Marchildon & Hutchison, 2016).
Description of the setting up of PC groups and their mode of operations
The table below provides the description of PC groups and their working mechanisms.
PC groups Descriptions Mode of operations
Family Health Network Here three or more physicians
work in groups and provide
care to patients in roster
manner including after hour
coverage facility. Here a
combination of limited direct
service and tele-health
advisory service is provided
to patients.
It works on capitation
remuneration that is a blend
of bonuses and targeted
incentives.
4

WORK PLACEMENT
The number of family
physicians available is 230
which is 1.8% of total PC
providers. Professional team
availability is limited.
Family Health Groups Same as Family Health
Network.
But here the number of
available family physicians
are higher and includes 2565
physicians which is 20.5% of
total PC service providers.
Here also professional team
availability is limited.
It works on Free-for-service
(FFS) remuneration and here
also bonus and targeted
incentives are blended.
Rural and Northern Physician
Group Agreement
There is a special
arrangement of primary care
physicians who deal with
dispersed population of the
rural and norther areas.
Number of physicians are 98
which is 0.8% of total PC
providers.
Here also professional team
It works on salary
remuneration where both
bonus and targeted incentives
are blended.
5

WORK PLACEMENT
availability is limited.
Comprehensive Care model Here solo physicians provide
PC to rostered patients with
after hour care providence as
well (Stewart & Ryan, 2015).
Number of physicians are 377
which is 3.0% of total PC
providers.
Here professional team is not
found.
FFS remuneration
Family Health team Here inter-professional teams
beyond doctors and nurses
are included as health
providers such as dieticians,
psychologists, social activists
etc.
Number of physicians are
2771 which is 22.1% of total
PC providers.
Here professional team
availability is adequate.
Blended capitation, blended
salary and salary
remuneration.
Family Health Organization Same as Family Head
Network
Number of physicians are
Broader basket of PC service
is included in capitation
remuneration with blended
6