Canada

I was actually on this panel! A few things:

1. BC already has a few community health centers already (always pilot programs that succeeded but were never expanded).
2. They are actually non-profits - the idea is that they can focus on hiring experts for their specific area. So for an area with lots of physical labourers the center might offer physiotherapy, while an area with drug addiction might specialize in that support.
3. They're super desirable to work at for family physicians. Right now in BC to be a family doctor you essentially also have to run your own business, handle payroll, handle billing MSP, etc. Vacations are a pain to take - what if a patient needs to see you? With these centers the doctors can focus more on patient care and less on administration.

One recommendation in the report which I pushed for but only got as one sentence is to allow family doctors to supervise nurses as physician assistants and let them handle more basic care. Basically in the same way that a dentist has dental hygienists to handle cleaning or an engineering firm uses junior engineers under supervision, a doctor could use nurses to investigate symptoms and handle basic care, and then bring up items with the doctor. I know that's initially concerning from a patient perspective ("I won't see my doctor directly as much") but right now a huge proportion of people in BC can't get a doctor at all, and this seems like a more immediate way to expand care versus some of the other recommendations that will have more marginal improvements (like better document keeping methods).