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1Assignment 1xyzStudent ID#Health and Social Service SystemHealthcare Administration and Service ManagementConestoga CollegeInstructor: ProfessorOctober 18, 2022
21.IDENTIFY TWO ISSUES IN PRIMARY HEALTHCARE:Primary Healthcareis the backbone of healthcare system in any community. The Primaryhealthcare is important for a society to experience health and wellness. The Healthcare system isfacing multiple challenges due to multiple determinants. I have mentioned two issues below:1.Poor Accessibility-Despite being one of the 5 criteria of the Medicare, Accessibility has become a majorproblem for the increasing population of Canada. The rural areas are more affected by it due to lack ofproper hospitals and family Physicians. One of the reasons is that the demographic of the country ischanging, the physicians are retiring but no replacements are made. Moreover, the main problemappears to be the long waiting time and problems fixing an appointment. The population does nothave access to physicians and medical services that they think are right for them. Even the smallestdiseases become a major problem due to delayed attention. This is not just prevalent in the OPD, butthe ED queue is also very long, depriving patients the immediate action. The long wait list is causedmajorly due to physician shortage. Therefore, more physicians needed to be trained to balance thisdemand. The declining number of family physicians does not meet the demand. [ CITATION Cla16 \l1033 ]2.Ever-rising health care cost-Ontario has a $60B budget for healthcare, and 36% of that is solely spent on thehospitals[ CITATION wil19 \l 1033 ], but instead 65Billion dollars were spent on hospitals in 2016,the largest for the healthcare sector. Moreover, this cost does not include the Physician's salary[CITATION Tho20 \p "Chapter 4" \l 1033 ]. There is a misconception among Canadian Citizens thathealthcare is free, and because of this misconception, they use healthcare frivolously. The ED isflooded with patients who do not need immediate assistance, creating long queues for those who needit. This leads to wastage of resources and time. The lack of awareness is also a cause for the frivoloususes. Moreover, the delay in care due to inaccessibility worsens the health condition, causing more

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