I would like for someone in government to start advocating for the end user - ie the one paying for this whole program, and who ultimately should benefit from the program. Seems to me that all the focus is on "the system" rather than the client.
That's chronically part of the problem, Gerard. There's no patient focus on the management end of things. There are tons of examples, including the shift to large warehouses to which people will be randomly assigned (now called FCTs) instead of adapting the flexible system we already have that involves private sector providers - that is family doctors - that we have used successfully for decades. Large. Bureaucratic. Impersonal. Indifferent. Those are the fundamental qualities of the health bureaucracy. People who deliver care are 100% patient focused. But they work for people who aren't and the system is not geared to deliver care. The extra bureaucrats created in the new top layer have done nothing and will do nothing to substantially change the culture of the organization since they and their existence reflect the wrong thinking that needs to go. Policy is people.
Great article Ed!
I would like for someone in government to start advocating for the end user - ie the one paying for this whole program, and who ultimately should benefit from the program. Seems to me that all the focus is on "the system" rather than the client.
That's chronically part of the problem, Gerard. There's no patient focus on the management end of things. There are tons of examples, including the shift to large warehouses to which people will be randomly assigned (now called FCTs) instead of adapting the flexible system we already have that involves private sector providers - that is family doctors - that we have used successfully for decades. Large. Bureaucratic. Impersonal. Indifferent. Those are the fundamental qualities of the health bureaucracy. People who deliver care are 100% patient focused. But they work for people who aren't and the system is not geared to deliver care. The extra bureaucrats created in the new top layer have done nothing and will do nothing to substantially change the culture of the organization since they and their existence reflect the wrong thinking that needs to go. Policy is people.