Primary care reform and funding equity for mental health disorders in Ontario: a retrospective observational population-based study.

ABSTRACT:

Background

Mental health disorders are associated with high morbidity and reduced life expectancy, and are largely managed in primary care. We sought to assess the equity of distribution of new alternative payment models and teams introduced under primary care reform in Ontario for patients with mental health disorders.

Methods

We conducted a retrospective observational study using population-level administrative data for insured Ontario adults (age ≥ 18 yr) to identify all primary care payments to physicians that were allocated to individual patients in 2002/03 and 2011/12. We identified patients with mental health disorders using validated algorithms, and modelled the relations between per capita primary care costs and mental health disorders over time, stratified by type

SUBMITTER: Bayoumi I 

PROVIDER: S-EPMC7850171 | biostudies-literature | 2020 Apr-Jun

REPOSITORIES: biostudies-literature