A front-line worker in Alberta’s healthcare system is raising concerns about the government’s proposed changes to Alberta Health Services (AHS). Known as Elizabeth (a pseudonym for fear of retaliation), she believes that dismantling AHS and creating four separate health agencies—primary care, acute care, continuing care, and Recovery Alberta—will negatively affect patient care.
Impact of Siloing Healthcare Services
Elizabeth argues that separating healthcare into distinct agencies will increase bureaucracy and red tape, making it harder for patients to receive consistent care. She explains, “Once you silo it (healthcare), it creates more red tape, and it’s more difficult to actually have continuity of care.”
Navigating the New Healthcare System
A major concern for Elizabeth is how patients will navigate the system when care is split across multiple agencies. For example, if someone needs home care or physiotherapy after being discharged from the hospital, the fragmented system could lead to patients falling through the cracks. “How is that going to work so you’re not falling through the cracks?” she asks.
Lack of Understanding from Decision-Makers
Elizabeth also points out that many decisions about healthcare restructuring are being made by individuals far removed from day-to-day operations. These decision-makers may not fully understand the challenges that frontline workers face.
Alberta’s Efforts to Address Concerns
While the Alberta government has hosted town halls and committed to open communication, Elizabeth remains unconvinced that the restructuring will address the real issues. The province’s Ministry of Health is reviewing feedback and analyzing data to improve the system. They are also establishing advisory councils to encourage local decision-making.
Shortage of Staff and Facilities
According to Elizabeth, a key issue that needs urgent attention is the shortage of staff and facilities. With high wait times in hospitals, many patients who lack a family doctor or access to urgent care are relying on emergency rooms. Elizabeth believes the restructuring funds would be better spent on improving frontline staff and reducing the system’s complexity rather than creating additional agencies.
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The Need for Improved Care, Not More Red Tape
In conclusion, Elizabeth warns that more bureaucracy and siloed healthcare services could harm patient care. Instead of focusing on rebranding, she advocates for better resource allocation towards frontline services to enhance the quality of care in Alberta’s healthcare system
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