Impact of Primary Care Delivery Models on Performance
Author Information
Author(s): Jaakkimainen R, Barnsley J, Klein-Geltink J, Kopp A, Glazier R H
Primary Institution: Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada
Hypothesis
Did changing primary care delivery models change performance?
Conclusion
Some improvements in preventive screening and diabetes management were seen among people after they enrolled in a Family Health Group (FHG) or Family Health Network (FHN).
Supporting Evidence
- Performance measures did not vary consistently between models.
- Colorectal cancer screening increased in both FHNs and FHGs.
- Prescribing performance measures for diabetes care improved after enrolling in either a FHG or FHN.
Takeaway
This study looked at how different ways of providing primary care affected patient care. It found that some changes helped patients get better screenings and diabetes care.
Methodology
The study used Ontario administrative claims data to compare performance measures in Family Health Groups (FHGs) and Family Health Networks (FHNs).
Potential Biases
Potential confounding factors such as socioeconomic status and comorbidity were not controlled for.
Limitations
The study was limited to enrolled patients and may not reflect the entire population; also, using administrative data alone poses challenges in assessing quality of care.
Participant Demographics
The study included physicians and patients from Ontario, Canada, with a focus on those enrolled in FHGs and FHNs.
Statistical Information
P-Value
p<0.001
Statistical Significance
p<0.001
Digital Object Identifier (DOI)
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