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Doctors in at least 44 rural Alberta communities to reduce services: survey

Bragg Creek doctor leaving Canada because of new physician compensation
WATCH: The Alberta Medical Association is raising the alarm about the state of rural medicine, with a poll showing 47 per cent of rural doctors having to withdraw services beginning in July. It's a result of the new contract the province has with physicians. According to a health ministry spokesperson, supports for rural doctors are going to be announced soon. But as Adam Toy reports, one Alberta doctor is packing up shop and leaving the country.

A group of rural doctors says 44 Alberta communities will be directly affected by recent government changes to the way physicians can bill for services.

The Rural Sustainability Group was created to draw attention to what it calls an impending health-care crisis in Alberta’s rural communities.

It says it has surveyed more than 300 physicians across the province.

“The responses we have received are quite alarming,” said Dr. Samantha Myhr, who practises in Pincher Creek.

“Forty-four communities will be impacted by July from our initial data — that’s physicians who have been forced to make changes or look ahead to make changes after the pandemic in order to protect their ability to see patients or look after their patients at all.”

LISTEN BELOW: Dr. Ed Aasman joins the Ryan Jespersen Show

The total includes three communities — Sundre, Stettler and Lac La Biche — that have already been informed some of their doctors will be withdrawing emergency and obstetric services in hospitals.

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READ MORE: Alberta government ends master agreement with doctors; new rules coming April 1

No one from Alberta Health responded to a request for comment Monday, but a spokesman has said the ministry will replace any doctors who leave and ensure access is maintained in those communities.

Doctors in rural Alberta say they’re forced to make hard decisions under new funding model
Doctors in rural Alberta say they’re forced to make hard decisions under new funding model

The survey showed doctors in 41 additional rural communities will be informing their patients in the coming week that they will be making changes to some services by the end of July.

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“Most clinics are letting their patients know through clinic websites or through local paper interviews,” said Dr. Ed Aasman, who practises in Rocky Mountain House. “We’ve got a local Facebook page where we’ll be putting those changes on.”

Group of Alberta doctors resigning from serving hospital in Lac La Biche
Group of Alberta doctors resigning from serving hospital in Lac La Biche

Aasman, who’s also president of the Alberta Medical Association’s rural medicine section, said most doctors have decided they will give up their hospital work.

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As an example, Myhr said her clinic is located down the hall from the hospital.

“As of March 31st, doing the same work in the clinic… and in the hospital, it’s now valued less on the hospital side,” she said. “Whenever I am in the hospital, I am still paying overhead in my clinic and I am also not available to my clinic patients.

“That, I think, is the crux for most rural physicians that are trying to do everything.”

Lethbridge physicians pen letter over provincial funding woes
Lethbridge physicians pen letter over provincial funding woes

The provincial government walked away from bargaining with doctors in February and pushed through a number of changes three weeks ago to how they can bill for services.

That has led to a lawsuit by the Alberta Medical Association, which argues doctors’ charter rights were violated by not having access to third-party arbitration.

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Doctors have said that the changes would force hundreds of clinics across the province, particularly in rural areas, to reduce staff or close their doors.

On Monday afternoon, Steve Buick, the press secretary for Health Minister Tyler Shandro, told Global News in an email that the government is “preparing to announce changes to support rural physicians very soon.”

“Rural communities face longstanding challenges in recruiting and retaining physicians, and the pandemic has made those challenges even greater,” he said.

Dr. Vicci Fourie, who works in Westlock, said the decisions aren’t something physicians take lightly.

“This is not something that just happened and we decided overnight to do this,” he said. “We had lots of conversations with our rural MLAs. We had conversations with our mayors.”

READ MORE: In letter to members, Alberta Medical Association says province going ahead with ‘irresponsible’ changes

Fourie said he had a 2-1/2-hour conversation with his United Conservative MLA, but got the sense he would just walk the party line.

The rural doctors group said it would like the government to reverse the changes — at least until the COVID-19 pandemic is over.

It said it would also like to see the province return to the bargaining table with the Alberta Medical Association to consider the “unique needs” of rural physicians.

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–With a file from Global News

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