Capitation and enhanced fee-for-service models for primary care reform: a population-based evaluation.

ABSTRACT:

Background

Primary care reform in Ontario, Canada, included the initiation of a blended capitation model in 2001-2002 and an enhanced fee-for-service model in 2003. Both models involve patient rostering, incentives for preventive care and requirements for after-hours care. We evaluated practice characteristics and patterns of care under both models.

Methods

Using administrative data, we identified physicians belonging to either the capitation or the enhanced fee-for-service group throughout the period from Sept. 1, 2005, to Aug. 31, 2006, and their enrolled patients. Practices were stratified by location (urban v. rural). We compared the groups in terms of practice characteristics and patterns of care, including comprehensiveness of care, continuity of care, after-hours care

SUBMITTER: Glazier RH 

PROVIDER: S-EPMC2683211 | biostudies-literature | 2009 May

REPOSITORIES: biostudies-literature