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How much paperwork do doctors, patients, and administrators need to fill out in countries with universal healthcare before treatment can occur?If the treatment is simple counselling in my office, all I have to do is type my note, then I bill automatically through my electronic health record. So all codes for diagnosis and type of exam are preprogrammed into the system. Treatment has occurred. No trees were injured.If the treatment requires a prescription, then I can write the prescription in my Electronic health Record (EHR) and efax to pharmacy. Or I print it out, sign it. The patient takes it to a pharmacy where his or her insurance is checked, information is added to her computerized record and the medication is dispensed. If I made an error or pharmacist has a question, then they contact me and we fix it. Sometimes a medication is covered only under specific circumstances, so I may have to fill out an online form that gets efaxed to government requesting approval. (Examples might be a cholinesterase inhibitor for dementia, or a specific expensive treatment for Attention Deficit Disorder…). Minimal paperwork for treatment.It’s more complicated if I refer to a specialist. Depending on the specialty, there are a variety of ways to refer. Some go to a centralized booking Center, some are given to the patient who then has to call and make appointment, sometimes it goes to a team that has a specific referral form (pain clinic, head trauma….). In some cases I phone a specialist to find out how to get a patient in for rapid diagnosis in cancer care. Sometimes they’ll see the patient the next day. Only paperwork was a printed out referral with a copy of the X-ray.I have very little paperwork in general for treatment to occur (which is what you asked in your question).When I do have paperwork, it’s usually for insurance companies for short or long term disability, life insurance, workman’s compensation, road insurance for someone injured in a vehicle accident, fitness to drive forms….,The other administrative stuff I have to do involves looking up the patient results for all the tests I do. I try to minimize the testing I do, for example I do not send every cough for a chest x Ray or every case of dizziness for a brain scan. But even so, most of my patients come in with an illness that does require testing and I have to look through the results, file them or act upon them. That takes at least an hour a day.That has nothing to do with whether healthcare is privatized or universal.Hope this answered your question.