Associate Professor, Centre for Health Services and Policy Research, University of British Columbia
Kimberlyn McGrail est professeure adjointe à l'Université de la Colombie-Britannique et codirectrice du UBC Centre for Health Services and Policy Research. Elle est aussi experte conseil auprès du site EvidenceNetwork.ca, une ressource Web exhaustive et non partisane destinée aux journalistes appelés à traiter des politiques de santé au Canada.
B.C. attempted to coax individual doctors to provide important primary care services (chronic disease management, mental health care and preventative care, for example) and discourage walk-in style practice by providing additional incentive payments within the public fee-for-service system.
We like new things and we seem to have a general assumption that if something is good, then more of it is better. New tests, screening devices and procedures are invented and we expect that they will be adopted immediately into the system.
But we too often forget that care itself comes with certain risks -- all drugs have side-effects, many forms of imaging expose us to radiation, surgeries may have complications, even the fact of being diagnosed with a chronic condition can have a negative effect on people's outlook on life.