Provincial Healthcare Delivery

Typically, provinces and territories are divided into Regional Health Authorities (RHAs). These Regional Health Authorities play a central role in administering healthcare for their population. RHA’s will work with representatives of their hospitals and medical centres to ensure they are able to provide the necessary services to the community. The RHA will also have someone responsible for Physician recruitment across the region. This individual plays an important role in delivering recruitment solutions to the hospitals and medical clinics. Rarely, but not totally uncommon, there’s someone at a Provincial level playing a key role in supporting physician recruitment within the Province. This doesn’t mean the administration of recruitment is left to the Province. It becomes  the individual hospitals or medical centres responsibility to manage their own recruitment.

The Regional Health Authorities employ both Family and Specialist Physicians, but in some very remote regions they may rely solely on FP’s. Family Physicians practice solo or group practice no matter in cites or smaller towns. The majority of general practitioners in Canada work in group practice. In fact, there are less than one third of all family practitioners working in solo practice. Group practices are very common outside urban areas where distance from major hospitals and from a supply of  specialists becomes an issue . In rural remote areas Family Physicians have higher profile and play a far greater clinical role than traditional GPs. They regularly engage in including delivering babies, anesthesia, working/assisting in the operating room and  becoming involved in advanced procedural skills. Because of remote areas in Canada, it is not uncommon for an RHA to rely solely on Family Physicians. Rural physicians have a high degree of skill set compared to their urban colleagues with respect to specialty training (Emergency; Obs/Gyn etc).