Patient-Centered Medical Homes in Ontario

Rosser, Walter; Colwill, Jack M.; Kasperski, Jan; Wilson, Lynn

doi:10.1056/nejmp0911519

Cited by 64 publications

(52 citation statements)

References 2 publications

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“…Although Alberta's primary care networks have some unique features, they are similar to Ontario's family health teams 9,10 and patient-centered Medical homes in the United States. 11 Each of these approaches seeks to improve access to and coordination of care.…”

Section: Discussionmentioning

confidence: 99%

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Enrolment in primary care networks: impact on outcomes and processes of care for patients with diabetes

Manns

Tonelli

Zhang

et al. 2011

CMAJ

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Background: Primary care networks are a newer model of primary care that focuses on improved access to care and the use of multidisciplinary teams for patients with chronic disease. We sought to determine the association between enrolment in primary care networks and the care and outcomes of patients with diabetes. Methods:We used administrative health care data to study the care and outcomes of patients with incident and prevalent diabetes separately. For patients with prevalent diabetes, we compared those whose care was managed by physicians who were or were not in a primary care network using propensity score matching. For patients with incident diabetes, we studied a cohort before and after primary care networks were established. Each cohort was further divided based on whether or not patients were cared for by physicians enrolled in a network. Our primary outcome was admissions to hospital or visits to emergency departments for ambulatory care sensitive conditions specific to diabetes. Results:Compared with patients whose prevalent diabetes is managed outside of primary care networks, patients in primary care networks had a lower rate of diabetes-specific ambulatory care sensitive conditions (adjusted incidence rate ratio 0.81, 95% confidence interval [CI] 0.75 to 0.87), were more likely to see an ophthalmologist or optometrist (risk ratio 1.19, 95% CI 1.17 to 1.21) and had better glycemic control (adjusted mean difference -0.067, 95% CI -0.081 to -0.052).Interpretation: Patients whose diabetes was managed in primary care networks received better care and had better clinical outcomes than patients whose condition was not managed in a network, although the differences were very small. AbstractResearch CMAJ, February 7, 2012, 184(2) E145

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Section: Discussionmentioning

confidence: 99%

“…ment. 9,10 Physicians are responsible for a defined number of patients and are assisted by nurse practitioners, psychologists, pharmacists, social workers and health educators, whose salaries are provided by the provincial ministry. A full evaluation of the impact of family health teams in Ontario is ongoing.…”

Section: Comparison With Other Studiesmentioning

confidence: 99%

Enrolment in primary care networks: impact on outcomes and processes of care for patients with diabetes

Manns

Tonelli

Zhang

et al. 2011

CMAJ

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“…19 One study in Canada found a panel size of 1400 patients per PCP. 20 A study in Denmark found a maximum level of 1600 patients per physician, 21 and a study in England found 2033 patients per solo physician. 22 Panel sizes of 900 to 1000 patients per physician are common in concierge or boutique practices.…”

Section: Is a Primary Care Panel Size Of 2500 Patients Reasonable?mentioning

confidence: 99%

A Primary Care Panel Size of 2500 Is neither Accurate nor Reasonable

Raffoul

Moore

Kamerow

et al. 2016

The Journal of the American Board of Family Medicine

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“…5 The report set Canada on a path of experimentation with primary care models that still continues. 6 World Health Organization A globally rec- 7 stated: "Primary health care is essential health care based on practical, scientifically sound and socially acceptable methods and technology made universally accessible to individuals and families in the community through their full participation and at a cost that the community and the country can afford…. It forms an integral part of both the country's health system, of which it is the central function and main focus, and the overall social economic development of the community.…”

Section: United Statesmentioning

confidence: 99%

Differing Impacts Of Market Concentration On Affordable Care Act Marketplace Premiums

et al. 2016

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The term primary care is widely used as if it were consistently defined or well understood. In fact, neither is the case. This paper offers a definition of primary care derived from historical perspectives-from both the United States and abroad. We discuss the evidence for primary care's important functions and international experiences with primary care. We also describe how and why the United States has deviated from this fuller realization of primary care, as well as the steps needed to achieve primary care and health outcomes on a par with those of other developed countries. These include doubling primary care financing to 10-12 percent of total health care spending-a step that would be likely to pay for itself via resulting reductions in overall health spending.

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Patient-Centered Medical Homes in Ontario

Cited by 64 publications

References 2 publications

Enrolment in primary care networks: impact on outcomes and processes of care for patients with diabetes

Enrolment in primary care networks: impact on outcomes and processes of care for patients with diabetes

A Primary Care Panel Size of 2500 Is neither Accurate nor Reasonable

Differing Impacts Of Market Concentration On Affordable Care Act Marketplace Premiums

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