Impact of Team-Based Care on Emergency Department Use.

ABSTRACT:

Purpose

We sought to assess the impact of team-based care on emergency department (ED) use in the context of physicians transitioning from fee-for-service payment to capitation payment in Ontario, Canada.

Methods

We conducted an interrupted time series analysis to assess annual ED visit rates before and after transition from an enhanced fee-for-service model to either a team capitation model or a nonteam capitation model. We included Ontario residents aged 19 years and older who had at least 3 years of outcome data both pretransition and post-transition (N = 2,524,124). We adjusted for age, sex, income quintile, immigration status, comorbidity, and morbidity, and we stratified by rurality. A sensitivity analysis compared outcomes for team vs nonteam patients matched on year

SUBMITTER: Kiran T 

PROVIDER: S-EPMC8786428 | biostudies-literature | 2022 Jan-Feb

REPOSITORIES: biostudies-literature