Doc shortage September update

September chart
The past nine months show an almost linear growth of Nova Scotians wanting, but unable to find, a family physician. The current rate is 6.2 per cent of the population, up from 4.6 per cent in January. It represents another 14,753 people looking for a doctor for a total of 56,630. On the other hand, NSHA does its calculation based on the number of people who have registered with its Need a Family Practice Registry. It’s possible greater awareness of the registry is driving the numbers up. As usual, metro Halifax represents about half the problem.
Source: Need a Family Practice Registry Monthly Report – September 2018

Steady increase since January


56,630 now seeking doctors


Two key players depart


Is good policy to blame?

TWO OF THE key players in the Nova Scotia Health Authority’s physician recruitment efforts have left the building in the past few days.

No doubt the alarming record of the past nine months is part of the reason (see chart above).

The health authority bases its numbers of the count of doctor-less people signed on to its Need a Family Practice Registry, something it strongly encourages. This makes sense because it’s realistic — you can be sure someone who’s taken the trouble to register truly needs a doctor. By contrast, surveys will count people who shouldn’t be counted: those who don’t want a family doctor but still, truthfully, say “no” when asked if they have one. That could be why Statistics Canada always reports a higher number than NSHA.

Put another way, the steady increase in the number of people needing doctors may be a reflection of a steady increase in awareness of the registration service. Can this be an example of sound  policy being bad office politics?

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