Spring 2004

E x e c u t i v e   d i r e c t o r ' s   m e s s a g e
NLMA agenda focused on three important initiatives
Robert Ritter, Executive Director
I devote this column to three important initiatives that the NLMA will pursue vigorously for the foreseeable future.

by Robert Ritter

     Throughout history the medical profession has been revered by society in a unique and formidable way. The most precious of all assets, human life, is entrusted to the physician and there is perhaps no parallel to the doctor-patient relationship. References to physicians as the gatekeepers, custodians or trustees of the health care system reflect the public’s perception that the profession has an inherent obligation to provide leadership on matters that pertain to the provision of medical care. The medical community of this province fulfilled its leadership obligations effectively during our last negotiations with government some 18 months ago. Our mission was to protect vital physician recruitment and retention and to ensure quality, safe medical care.
     One of the great ironies that we face today is that while medical science has achieved technical advances that were unimaginable a generation ago, the capacity of the system to provide sustainable, adequate care for all its citizens is extremely fragile. Although this is a distressing reality for our entire nation, it is a more acute and complex challenge in our province because of the strained fiscal situation. As the recently elected provincial government sets out to remedy our economic problems, how will the medical profession fulfill its leadership obligations? Although the challenges are many, I would like to devote this column to three important initiatives that the NLMA has embarked upon over the last few months and will continue to pursue vigorously for the foreseeable future.
     In our last issue of Nexus, I discussed the enormous opportunities that modern information technology (IT) offers in the improvement of patient care as well as the effective management and control of the health care system. The transformation of IT potential into a smooth functioning and effective health information system is an endeavor of gigantic proportion and will require the expertise and cooperation of many stakeholders. There is no doubt that in the next decade the management of medical information will be electronically driven. The lifeblood of a successful system will flow from the information that is captured each time there is an encounter between a patient and a doctor. We must therefore be the driving force in building a reliable and secure medical information system that will be uncompromising in its application to patient care.
     In the coming weeks and months, we will be seeking your input and providing you with all of the necessary resources such as equipment, software, technical support and training to ensure a successful outcome.
     Although it seems as if the last round of negotiations with government were concluded only a short while ago, we must begin to plan in earnest now. During the next six to eight months we will be inviting all members to contribute to planning efforts through a variety of channels. The quality and the impact of our efforts will be directly proportional to the level of your participation in the process. As before, our focus will be on preserving the right numbers and mix of medical professionals as well as ensuring safe working conditions and healthy quality of life for all our practitioners. The over-riding principle of sustainable, quality care for the people of this province remains the core of our mission.
     Another irony in the current medical paradigm concerns the situation in which physicians are unable to live by the very advice they confer to their patients. The current working conditions of physicians in this province impede healthy behavior and lifestyle. During the coming period, the NLMA will be devoting a great deal of attention to better understanding the social and health problems of physicians and to developing appropriate preventative and promotional strategies.
     The days ahead will be exciting and challenging for the people of Newfoundland and Labrador. The health care agenda will be at the centre of much controversy and debate. And the NLMA will be right there.

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Nexus
Nexus DEFINED
A connected group or series; a bond, a connection.

Nexus is published quarterly for Newfoundland and Labrador's physicians. It is a forum for the exchange of views, ideas and information for members.