Canada

This is the best summary I could come up with:

A Toronto-based research team met with and surveyed some 10,000 Canadians about the state of the health-care system — and what they found is deep dissatisfaction and frustration with primary care as the country grapples with a severe shortage of family doctors.

The OurCare Initiative — led by Dr. Tara Kiran, a family doctor and scientist with the MAP Centre for Urban Health Solutions at Toronto's St. Michael's Hospital — conducted a national survey, assembled five "provincial priorities panels" and convened a series of community roundtables over the past 16 months.

It's one of the most comprehensive surveys ever conducted on Canadians' views of the health system and it provides crucial data on the poor state of primary care access in a growing and aging country.

The report found evidence of what it calls an "attachment crisis" — an estimated 22 per cent of Canadian adults (about 6.5 million people) do not have a family doctor or nurse practitioner they can see regularly.

The OurCare report concludes that the best way to solve Canadians' crisis of confidence in primary care is with a relatively straightforward, if elusive, fix: bring in more doctors and nurse practitioners.

The federal government's latest health accord with the provinces — and a series of bilateral side deals — amount to a meaningful improvement but they don't deliver all the country needs, Kiran said.

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