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 January 26, 2009 Tanya Talaga; With files from Spectator staff
 Toronto Star
 TORONTO (Jan 26, 2009)

Help is on the way for 500,000 Ontario residents without a family
physician.
Starting next month, a new hotline will help patients find a doctor in
their area willing to take new patients.

The government says all it will take is a call to a special 1-800
number, where a Telehealth Ontario staffer will take down your health
history and pass it on to a nurse who will find you a family doctor
"This is a made-in-Ontario solution," Health Minister David Caplan
said. "We will be the first jurisdiction I am aware of that is doing
this."

For years, people without family doctors have sought medical help in
emergency wards, at walk-in clinics or have chosen to go without
steady medical care. It's estimated 400,000 to one million Ontarians
do not have a family doctor.
In Hamilton, between 27,000 and 60,000 people have no family
physician. Niagara in general has had a shortage of physicians.

The program, called Health Care Connect, is to be launched in
February. It is part of a provincial government and Ontario Medical
Association commitment to find family doctors for 500,000 people.
The new 1-800 number, to be released next month, will be an addition
to Telehealth Ontario.

Telehealth Ontario is a confidential and free government phone number
that offers 24-hour health advice from registered nurses.
"This won't be a perfect matching system where it will be immediate,"
said Caplan, the health minister. Ministry officials did not give a
guarantee on how fast they can match patients with doctors.

A doctor shortage exists partly because in past years there were not
enough students taken into medical schools to make up for those who
were retiring. Also, Ontario's population has grown, among other
factors.
"It may take a little time but at least it will give us the ability to
meet those needs,"Caplan said .

The Health Ministry and the Ontario Medical Association, the body
representing nearly 33,000 physicians, have made the commitment to
find family doctors for Ontarians.
Physicians will get a bonus to take on new patients. For instance, if
a doctor takes on a complex patient, such as someone with a chronic
illness and a multitude of health problems, he or she will get a $350
one-time payment. For an uncomplicated patient under age 65, the
doctor will be paid $100.

Since 2004, Ontario's doctors have taken on an additional 630,000
patients who previously did not have a family physician, said Dr. Ken
Arnold, OMA president.
"Despite this tremendous effort by doctors we know that more work
still needs to be done," he said.

However, no one really knows how many Ontario residents are without a
family physician, Caplan said Caplan.
The new program should indicate where the greatest need is, he said.

"And not just how many patients, but where they are."
Once the government knows where doctor shortages are most acute, they
can use that information to set up more nurse practitioner-led clinics
or family health teams. Those teams are composed of nurses, doctors
and other health professionals working together to care for patients.

Nurse practitioners are specially trained nurses who can perform more
medical duties such as ordering diagnostic tests and writing certain
prescriptions.
Only Sudbury now has a nurse practitioner-led clinic. Three others are
on the way throughout Ontario.

"This will allow us to get more use and value from the investments we
are making," Caplan said.
Natalie Mehra, director of the health-care advocacy group the Ontario
Health Coalition, said the doctor shortage is a "big problem" all over
the province, particularly in Kingston, Windsor, Sarnia, Brockville,
and northern Ontario.

Scarborough physician Dr. Douglas Mark also wants to know where the
doctors will come from to care for 500,000 people. He sees anywhere
from 12 to 40 patients a day.
"Where are the doctors? They are going to have an awful time trying to
find these doctors."

Mark added the College of Physicians and Surgeons of Ontario also has
an online system where you can find local family doctors.
In addition, the Hamilton Academy of Medicine provides an online
doctor search.

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