The NDP introduced Collaborative Care Clinics (CCC), the Liberals embraced them and medical professionals question them.
The idea may seem benign and logical, but not every doctor wants to practice this way. The myth is that CCCs are the answer.
It’s been suggested to me that the medical community, even doctors in solo practice, have always collaborated in medical care. Family physicians are the front line. When a patient presents with a case requiring more investigation or specialized care, the physician refers them to the appropriate specialist. That specialist is one the physician knows, likes, trusts and can work with.
So collaboration isn’t anything new. It makes sense. And it makes sense in small rural setting as well as an urban location.
There are doctors who like their independence. Or at least prefer to pick who they work and share a practice with. Witness the number of shared practices across the province and country.
The reverse side to CCCs is forcing physicians to work with people they don’t like, have conflict with or under conditions they don’t like. What then?
Breaking up, firing, replacing members of the CCC can be messy, create hard feelings, leave patients in limbo and is unnecessary. Nova Scotia currently believes the CCC is the one-size-fits-all solution to health care delivery. So what contingency plans have the Health Department and Health Authority for dealing with discord among professionals forced to work within a CCC?