Our health care system is controlled by the Ministry of Health and the physicians. We hold all the cards. Your editorial “Measuring performance is essential to patient-centred care” 1 emphasizes the importance of a third group: the patients. The most common complaints here in Dufferin County are wait times in doctors’ waiting rooms and in the emergency department. Our “fee for service” system rewards the physician but perhaps not always the outcome. So your statement “align funding with performance” cannot be dismissed. Yes, the measurement of performance will not be easy. But it is possible. Our number one priority is to make the start.
Footnotes
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For the full letter, go to: www.cmaj.ca/cgi/eletters/182/3/225#298577
REFERENCE
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