Health care is mired in an ability to adapt to changing circumstances, despite numerous reports and strategies on how to fix the system.
Health systems are the most complex enterprises on the planet: labyrinths of hospitals, nursing homes, laboratories, clinics, drugs and devices, dozens of occupations, a zillion protocols and regulations.
The grand plans never get implemented, and the pace of change remains stubbornly slow. Interest groups veto change regardless of the evidence in favour. About 15 years ago, several million Canadians were without a family doctor. Planners assumed there had to be a severe shortage of family doctors. Medical schools nearly doubled their capacity and there are now more family doctors per capita than ever before. Today, several million Canadians are without a family doctor.
Virtual care that had barely made inroads in Canada became the new normal within weeks. Hospitals became COVID centres. Vaccine research, testing and approvals reached breakneck speeds. It looked like transformation was possible after all. Put simply, this immensely complex and rigid system needs agility training. An obvious focus should be surge capacity. Luckily, COVID severely tested but mostly didn’t overwhelm hospital capacity, albeit by cancelling surgeries and ignoring others’ medical needs.
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