State of the health system: an exploration of the patients first act and recent outcomes

Abstract

There is evidence that integrated healthcare systems are considered a solution to the challenge of maintaining access and integrity in healthcare. This is important to uphold the Canada Health Act (1982) principles of universality and accessibility. Furthermore, strong primary care services are the foundation for a high-performing healthcare system and Ontario has focused on improving primary care delivery for many years, through various means. Bill 41, the Patients First Act, was recently legislated in 2016 to promote the integration of primary care services in Ontario, as well as home care and public health, all under the mandate of the Local Health Integration Networks (LHINs). In order to transform and improve our healthcare system, we must reflect on past outcomes of healthcare reform that led to the enactment of Bill 41. It is also important to understand the consequences of any legislation and policy direction in healthcare, as well as its effect on all key stakeholders, including healthcare professionals, patients, services and institutions. Without adequate buy-in and support for new policies, change management will be tumultuous and limit the improvements that are intended to enhance service accessibility for patients. This Major Research Paper will explore the proposed benefits and actual challenges of adopting Bill 41. Furthermore, the paper presents a historical review of primary care reforms; a critical analysis of policy implementation challenges; and discussion of controversial responses to new healthcare legislation in the media, with specific consideration for the recent shift in government power.