Longitudinal costs and health service utilisation associated with primary care reforms in Ontario: a retrospective cohort study protocol.

ABSTRACT:

Introduction

Over the last 20 years, the Canadian province of Ontario implemented several new models of primary care focusing on changes to physician remuneration, clinics led by nurse practitioners and the introduction of interprofessional primary care teams. Health outcome and cost evaluations of these models thus far have been mostly cross-sectional and in some cases results from these studies were conflicting. The aim of this population-based study is to investigate short, medium and long-term effectiveness of these reforms over the past 15-20 years.

Methods and analysis

This is the protocol for a retrospective cohort study including fee-for-service (FFS) and community health centre cohorts (control cohorts) or patients who switched from either being unattached or from F

SUBMITTER: Aubrey-Bassler K 

PROVIDER: S-EPMC9024230 | biostudies-literature | 2022 Apr

REPOSITORIES: biostudies-literature