Primary care bonus payments and patient-reported access in urban Ontario: a cross-sectional study.

ABSTRACT:

Background

Rurality strongly correlates with higher pay-for-performance access bonuses, despite higher emergency department use and fewer primary care services than in urban settings. We sought to evaluate the relation between patient-reported access to primary care and access bonus payments in urban settings.

Methods

We conducted a cross-sectional, secondary data analysis using Ontario survey and health administrative data from 2013 to 2017. We used administrative data to calculate annual access bonuses for eligible urban family physicians. We linked this payment data to adult (≥ 16 yr) patient data from the Health Care Experiences Survey to examine the relation between access bonus achievement (in quintiles of the proportion of bonus achieved, from lowest [Q1, reference ca

SUBMITTER: Premji K 

PROVIDER: S-EPMC8648352 | biostudies-literature | 2021 Oct-Dec

REPOSITORIES: biostudies-literature