Dr. Leyland began by noting that healthcare delivery is one of the most complex human endeavours. “Indeed, the principles guiding the future evolution of quality healthcare delivery include patient safety, patient-centredness, timeliness, efficiency, effectiveness and equitability,” he said. Dr. Leyland quoted the theoretical physicist Albert Einstein: “We cannot solve our problems with the same thinking we used when we created them.” He suggested that this logic also applies to finding alternatives within the context of the changing face of healthcare delivery. In Canada, noted Dr. Leyland, “The future of healthcare is not hospital-based!” A number of factors are responsible for the shift from hospital- to community-based care…
