Physician payment models and preventive cancer screening: a population-based retrospective cohort analysis from Ontario, Canada.

ABSTRACT:

Background

Ontario's primary care reforms have introduced three blended physician payment models: (i) blended fee-for-service (BFFS), (ii) blended capitation without interprofessional teams, and (iii) blended capitation with teams. Each model includes the same pay-for-performance incentives, yet their impact on cancer screening, including that during the COVID-19 pandemic, remains unclear.

Methods

We used linked administrative data (2018-23) to examine the associations between these models and colorectal, cervical, and breast cancer screening rates. Fractional probit regression models, adjusting for physician and patient characteristics, estimated the effects of each payment model relative to the BFFS. Stratified analyses explored heterogeneity by physician sex, age, practic

SUBMITTER: Bai Y 

PROVIDER: S-EPMC12541715 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature