Province
| Financial and geographic barriers to fee-for-service
practice
|
| Newfoundland |
New GP/FPs receive 50% of fee if they locate in oversupplied area. |
| P.E.I. | Province has an approved
complement of physicians; MDs without hospital
privileges receive 50% of fee. |
| N.S. | Billing numbers restricted to
defined geographic
location. MDs who change practice location require a new billing number.
Billing numbers may be rescinded if MD judged to be inactive because of low
billings. |
| N.B. | Specific targets for each region;
billing numbers dependent on hospital privileges. |
| Quebec | GP/FPs: if less than 10 years in
practice, fees reduced 30% unless MD spends
time every week on specific activities; physicians in metropolitan areas
paid 70% of fee for first 3 years.
Specialists: if in university region, new physicians paid at 70-80% of fee
until fifth year of practice;
if in intermediate region, 75-85% until fourth year of practice; if in
outlying area, 85-95% until fourth year
(20% premium on first 3 years). |
| Ontario | Under interim agreement, fees
for new physicians in specified urban centres paid at
70%, 75% and 80% of fee for first 3 years in practice. |
| Manitoba | Fixed quantity of billing
numbers;
new physicians are issued provisional numbers. |
| Saskatchewan | Geographic restrictions on
physicians immigrating from other countries;
no restrictions on Canadian graduates except in Saskatoon. |
| Alberta | No barriers. |
| B.C. | New physicians receive 50%, 75% or
100% of fees based on location until they have
100 points. Physicians earn 20 points per year of practice, and up to 20
additional points per year
for work in isolated areas. |
| Yukon | All new physicians paid 50% of fee
unless prior approval has been obtained. |
| N.W.T. | No barriers. |
Pulse