From: The impact of primary care reform on health system performance in Canada: a systematic review
Organizational change | Study | Population | Intervention | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Source | Year | Design | Province | Study population | N | Sub-population | Study follow-up | Interventiona | Comparison group | Primary Outcome | |
Team-based primary care models | Héroux, J. et al. | 2014 | Cohort study | Quebec | Patients | 231,938 | Vulnerable patients | 3 years | Family medicine groups | Individuals not enrolled in a Family medicine group | Health service utilization |
Lévesque, J.F. et al. | 2012 | Cohort study | Quebec | Patients | 598 | Chronically ill (diabetes, heart failure, COPD, arthritis) | 18 months | Family medicine groupsb | Individuals receiving care in community health centers | Processes of care | |
Feldman, D.E. et al. | 2012 | Cohort study | Quebec | Patients | 598 | Chronically ill (diabetes, heart failure, COPD, arthritis) | 18 months | Family medicine groupsb | Individuals receiving care in community health centers | Processes of care | |
Manns, B.J. et al. | 2012 | Cohort study | Alberta | Patients | 154,928 | Diabetes | 1 year | Primary care networks | Individuals not enrolled in a Primary Care Network | Health service utilization | |
Campbell, D.J.T. et al. | 2012 | Cohort study | Alberta | Patients | 106,653 | Diabetes Low-income First Nations | 1 year | Primary care networks | Individuals in the sub-population of interest not enrolled with a Primary Care Network | Health service utilization | |
Payment models and incentives | Kiran, T. et al. | 2014 | Before and after | Ontario | Patients | Cervical cancer: 3,056,337 Breast cancer: 1,600,645 Colorectal cancer: 3,713,963 | NA | 10 years | Pay for performance | Outcome measures in the pre-intervention period | Processes of care |
Li, J. et al. | 2014 | Before and after | Ontario | Physicians | 2,154 | NA | 10 years | Pay for performance | FFS | Processes of care | |
Kantarevic, J. et al. | 2013 | Before and after | Ontario | Physicians | 3,588 | Diabetes | 2 years | Blended capitation | Enhanced FFS | Processes of care | |
Kiran, T. et al. | 2012 | Cohort study | Ontario | Patients | 58, 927 | Diabetes | 5 years | Payment modelsc | Outcome measures in the pre-intervention period | Processes of care | |
Jaakimainen, L.R. et al. | 2011 | Before and after | Ontario | Physicians | 3,940 | NA | 4 years | Payment modelsd | Outcome measures in the pre-intervention period | Processes of care | |
Kantarevic, J. et al. | 2015 | Before and after | Ontario | Physicians | 3,428 | NA | 7 years | Blended capitation | Enhanced FFS | Physician costs/productivity | |
Kantarevic, J. et al. | 2014 | Before and after | Ontario | Physicians | 673 | Complex and vulnerable patients | 2 years | Capitated incentive payment | Enhanced FFS | Physician costs/productivity | |
Kralj, B. et al. | 2013 | Before and after | Ontario | Physicians | 4,156 | NA | 4 years | Blended capitation | Enhanced FFS | Physician costs/productivity | |
Kantarevic, J. et al. | 2011 | Before and after | Ontario | Physicians | 7,003 | NA | 17 years | Enhanced FFSe | FFS | Physician costs/productivity |