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Standing in the kitchen, her stethoscope around her neck, Shelley Raymond holds Maria’s left shoulder and slowly moves her arm upward.“Has this arm been bothering you?” Raymond asks the 87-year-old, who has just finished eating lunch at her kitchen table, the radio chattering in the background. Lately, she hasn’t been able to move her left arm as easily as her right.It credits a million investment and the new agreement with doctors for the growth.Data provided by the Ministry of Health shows house calls by family doctors in Ontario have gone up from 264,900 in 2010 to more than 274,800 in 2013.
Pauline Gemmell, the director of the clinic explains it this way: If those patients didn’t get regular in-home checkups, chances are their condition would worsen to the point they’d have to call an ambulance and go to the hospital – scary for the patient and expensive for the system.She doesn’t get paid any extra for it and it’s not a requirement. The nurse practitioners at Raymond’s clinic work on a salary, not in a private practice using a fee-for-service system, so whether they perform house calls or not is not directly tied to funding.