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Tuesday, December 7, 2010

Gabriola Health Care Meeting: Feb 28/08

The following is my summary of a significant health care meeting, held on Gabriola last week (Feb 26/08), and attended by senior representatives from the Ministry of Health and Vancouver Island Health Authority, along with stakeholders from the Gabriola community, including myself.  Ministry of Health and Vancouver Island Health Authority representatives have verified these statements for accuracy.  The following key issues were presented by MoH and VIHA:

·  Gabriola has a population of 4,500, half of whom choose to receive their medical care off island, leaving a total of approximately 2,300 who choose to seek medical care here on this island.  Medical Services Plan billing figures for Gabriola physicians support these figures.

·  The average volume for a successful family medical practice in the province of British Columbia is 1,200 patients per doctor.  Gabriola can therefore support two full time physicians or that equivalent in part time physicians.

·  No matter what we as a community think or want, no new physician is going to come to Gabriola and set up a medical practice, knowing they will not succeed financially, and be unable to pay their expenses.

·  We already have sufficient physicians to cover the current needs of the island, and Gabriola physicians are still accepting new patients.  We cannot expect to recruit or retain another full time physician without a dramatic change in population or usage.

·  Two full time medical doctors, or the equivalent in part time physicians, cannot provide full time emergency care or urgent care on Gabriola Island. The toll it would take on them, as individuals, would be unacceptable.

·  B. C. Ministry of Health says it has already spent $70,000 and countless hours on Gabriola, attempting to reach resolution of our health care requests.  No other community in B. C. has received as much funding or support.

·  Ministry of Health has designated Gabriola as a site to receive incentive funding in the Family Physicians for B. C. program, which assists in recruiting doctors to the island.  Most other communities that have requested this designation have not received it.

·  Gabriola has been designated to receive MOCAP funding for after hours medical care.  No other similar community in B. C. has received MOCAP funding.  Even without MOCAP, physicians in B. C. are paid extra for seeing patients after hours, the increments of pay increasing with the lateness of hour and advanced age of the patient. 

·  Gabriola's population is slightly younger than many other communities in this area, and somewhat healthier. Our chronic care statistics are consistent with those of other communities in the province.

·  Gabriola is not unique, special, or more deserving.  There are at least thirty similar communities in the province who have no physician at all. It is in our best interests to work together to appreciate and support the existing health care services already available on the island.                                                  

Verna Gregson
Submitted to and verified by VIHA and Ministry attendees

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