The Alberta government is currently formulating regulations to operationalize a dual practice health-care model following the passage of enabling legislation late last year.

亞伯塔省政府在去年底通過授權立法後，目前正制定相關法規以將雙軌制醫療模式付諸實行。

The proposed transition toward a dual practice framework, wherein physicians may operate within both public and private sectors, has prompted the Alberta Medical Association (AMA) to submit a comprehensive set of seventy recommended safeguards. This submission, derived from a specialized task force of seven physicians and a November member survey, emphasizes the necessity of mitigating systemic risks to patient access and safety. Central to the AMA's position is the requirement for a unified provincial statutory oversight body and a non-partisan auditing entity to ensure regulatory compliance.

擬議向雙軌制框架轉型，允許醫師同時在公立與私立部門執業，這促使亞伯塔省醫療協會 (AMA) 提交了一套包含七十項建議保障措施的綜合方案。此提交文件源自一個由七名醫師組成的專門工作小組以及十一月的會員調查，強調必須減輕對患者就醫機會與安全造成的系統性風險。AMA 立場的核心在於要求建立一個統一的省級法定監管機構以及一個非黨派的審計實體，以確保符合監管要求。

Furthermore, the AMA has expressed concern regarding the potential for human resource attrition within the public sector. The association posits that the availability of private practice models—characterized by more favorable working conditions—could exacerbate existing shortages of critical personnel, such as anesthesiologists. To counteract this, the AMA advocates for the enforcement of public service participation and the imposition of limits on private activity during periods of diminished public system capacity.

此外，AMA 對公立部門可能出現人力資源流失表示擔憂。該協會認為，私立執業模式具備更優渥的工作條件，可能會加劇目前關鍵人員（如麻醉醫師）短缺的問題。為了對抗這一現象，AMA 主張強制執行參與公立服務，並在公立系統容量不足期間對私立執業活動設定限制。

Stakeholder positioning remains divergent. While national health-care advocacy groups have asserted that the provincial strategy may contravene the Canada Health Act—prompting requests for federal intervention by Prime Minister Mark Carney and Health Minister Marjorie Michel—the Alberta government has refuted these claims. The Ministry of Primary and Preventative Health Services has stated that regulations are being developed through evidence-based engagement. Current provincial directives indicate that family physicians will initially be excluded from the model, and that emergency care, oncology, and surgical services will maintain public funding. Potential government safeguards include the restriction of private procedures to non-standard hours or the imposition of quantitative limits on private practice volume.

利害關係人的立場仍然分歧。儘管全國性醫療倡議團體主張省政府的策略可能違反《加拿大健康法》，並促請總理 Mark Carney 與衛生部長 Marjorie Michel 要求聯邦介入，但亞伯塔省政府否認了這些指控。初級與預防醫療服務部表示，法規正透過基於證據的參與方式制定。目前的省級指令顯示，家庭醫師最初將被排除在該模式之外，且急診護理、腫瘤科與外科服務將維持公立資助。政府可能的保障措施包括將私立醫療程序限制在非標準時間，或對私立執業量設定定量限制。

The provincial government is currently reviewing the AMA's recommendations as it finalizes the regulatory framework for dual practice.

省政府在定案雙軌制監管框架之際，目前正審核 AMA 的建議。