| Salaried | Fee-for-service | New capitation | Established capitation |
---|---|---|---|---|
Duration of visit | ||||
Overall mean (minutes) | 24 | 15 | 15 | 15 |
Estimated effect – Beta (95% CI)a | ||||
Low income b | 3.1 (-0.7, 7.0) | 1.1 (-1.3, 3.4) | 0.5 (-1.8, 2.8) | -0.3 (-2.6, 2.0) |
Low education c | -1.3 (-7.1, 4.5) | -0.8 (-3.1, 1.5) | 0.1 (-2.0, 2.3) | -0.1 (-2.1, 1.9) |
Low income and education | 0.2 (-4.9, 5.3) | 0.7 (-2.7, 4.2) | 1.0 (-2.1, 4.1) | 0.1 (-3.4, 3.6) |
Number of visits per year | ||||
Overall mean (# visits) | 8.3 | 7.2 | 5.3 | 4.8 |
Estimated effect – Beta (95% CI)a | ||||
Low income | 7.0 ( 4.8, 9.2 ) | 3.5 ( 1.6, 5.3 ) | 1.4 ( 0.2, 2.6 ) | 1.6 ( 0.5, 2.6 ) |
Low education | 3.6 ( 0.3, 6.9 ) | 4.2 ( 2.3, 6.0 ) | 1.1 ( 0.0, 2.3 ) | 1.2 ( 0.3, 2.2 ) |
Low income and education | 5.4 ( 2.4, 8.4 ) | 3.7 ( 1.0, 6.3 ) | 0.9 (-0.7, 2.5) | 1.7 ( 0.1, 3.3 ) |
Estimated yearly visits for the typical patient d | ||||
No risk factor | 7.0 | 7.3 | 5.8 | 4.9 |
Low income | 14.0 | 10.7 | 7.2 | 6.5 |
Low education | 10.6 | 11.4 | 7.0 | 6.2 |
Low income and education | 12.4 | 10.9 | 6.7 | 6.6 |
Primary care assessment tool – Overall e | ||||
Mean overall score | 86% | 86% | 86% | 88% |
Estimated effect – Beta (95% CI)a | ||||
Low income | -0.6 (-2.2, 1.1) | 0.0 (-2.0, 2.0) | -0.8 (-2.8, 1.2) | 1.0 (-1.0, 2.9) |
Low education | 0.5 (-1.9, 2.9) | 1.8 (-0.2, 3.8) | -0.5 (-2.3, 1.4) | 0.6 (-1.1, 2.3) |
Low income and education | 1.5(-0.6, 3.7) | 3.9 ( 1.0, 6.7 ) | 3.0 ( 0.4, 5.7 ) | 2.1 (-0.8, 4.9) |
Primary care assessment tool - Individual scales f | ||||
Effect of low income and low education– Beta (95% CI)a | ||||
First Contact Accessibility | -2.3 (-6.1, 1.6) | 8.7 ( 3.7, 13.8 ) | 1.7 (-3.0, 6.5) | 3.1 (-1.3, 7.4) |
First Contact Utilization | -1.2 (-3.1, 0.6) | -1.1 (-3.2, 1.0) | 0.3 (-2.0, 2.6) | 0.6 (-1.7, 2.9) |
Cultural competency | 2.2 (-1.3, 5.8) | 2.4 (-2.6, 7.4) | 3.4 (-1.5, 8.2) | 1.3 (-4.6, 7.1) |
Family Centered Care | 2.5 (-0.3, 5.2) | 2.9 (-1.1, 6.9) | 4.4 ( 0.8, 7.9 ) | 2.3 (-2.0, 6.5) |
Relational Continuity | 5.1 ( 1.8, 8.5 ) | 5.1 ( 1.3, 9.0 ) | 5.3 ( 1.5, 9.2 ) | 2.0 (-1.9, 5.9) |
Humanism | -0.5 (-3.3, 2.3) | 1.8 (-1.9, 5.5) | 4.9 ( 1.1, 8.7 ) | 1.8 (-2.6, 6.2) |
Trust | -0.1 (-2.8, 2.7) | 1.7 (-2.0, 5.5) | 2.3 (-1.3, 5.9) | -0.2 (-4.1, 3.8) |
Health promotion - Discussed at least one subject g | ||||
Low income | 1.3 (0.6, 1.8) | 1.1 (0.7, 1.8) | 1.3 (0. 8, 2.1) | 1.2 (0.6, 1.8) |
Low education | 0.7 (0.4, 1.2) | 0.9 (0.6, 1.5) | 1.1 (0.7, 1.7) | 0.9 (0.6, 0.4) |
Low income and education | 1.7 ( 1.0, 2.8 ) | 0.8 (0.4, 1.7) | 1.2 (0.6, 2.2) | 0.9 (0.4, 2.0) |
Discussed healthy foods g | Â | Â | Â | Â |
Low income | 1.3 (0.9, 1.9) | 0.8 (0.4, 1.5) | 1.0 (0.5, 1.8) | 0.8 (0.4, 1.6) |
Low education | 0.7 (0.4, 1.4) | 0.7 (0.4, 1.4) | 0.8 (0.5, 1.5) | 1.1 (0.6, 1.9) |
Low income and education | 1.4 (0.8, 2.3) | 1.0 (0.4, 2.5) | 1.1 (0.5, 2.3) | 0.5 (0.1, 1.7) |
Discussed home safety g | Â | Â | Â | Â |
Low income | 1.3 (0.6, 2.7) | 3.9 (1.4, 10.5) | 6.7 ( 2.1, 21.2 ) | 1.0 (0.2, 4.4) |
Low education | 1.0 (0.3, 3.5) | 4.9 ( 1.9, 12.7 ) | 2.8 (0.8, 10.2) | 0.9 (0.3, 3.2) |
Low income and education | 2.4 ( 1.1, 5.5 ) | 2.2 (0.5, 10.7) | 1.9 (0.2, 16.3) | 2.0 (0.4, 9.8) |
Discussed family conflict g | Â | Â | Â | Â |
Low income | 1.2 (0.8, 2) | 2.7 ( 1.3, 5.4 ) | 1.7 (0.9, 3.3) | 2.1 ( 1.1, 4.2 ) |
Low education | 1.0 (0.5, 2.3) | 1.6 (0.7, 3.5) | 1.0 (0.4, 2.4) | 0.6 (0.3, 1.5) |
Low income and education | 1.4 (0.7, 2.7) | 1.7 (0.5, 5.2) | 2.3 ( 1.0, 5.4 ) | 0.7 (0.2, 3) |
Discussed exercise g | Â | Â | Â | Â |
Low income | 1.2 (0.8, 1.7) | 0.9 (0.6, 1.6) | 1.0 (0.6, 1.8) | 0.7 (0.4, 1.3) |
Low education | 0.5 (0.3, 1.0) | 0.7 (0.4, 1.2) | 0.9 (0.6, 1.5) | 0.7 (0.4, 1.3) |
Low income and education | 0.7 (0.4, 1.2) | 1.2 (0.6, 2.3) | 0.9 (0.4, 2.1) | 1.0 (0.5, 2.1) |
Discussed smoking g | Â | Â | Â | Â |
Low income | 0.8 (0.5, 1.3) | 1.8 (1.0, 3.2) | 1.0 (0.5, 2.0) | 1.3 (0.7, 2.4) |
Low education | 1.2 (0.5, 2.5) | 1.3 (0.7, 2.5) | 1.6 (0.9, 2.9) | 0.7 (0.3, 1.4) |
Low income and education | 1.7 (0.9, 3.0) | 1.4 (0.6, 3.5) | 2.1 (1.0, 4.6) | 1.2 (0.5, 3.4) |
Discussed alcohol g | Â | Â | Â | Â |
Low income | 0.8 (0.5, 1.4) | 0.3 (0.1, 1.3) | 0.4 (0.1, 1.1) | 1.3 (0.6, 2.9) |
Low education | 0.4 (0.1, 1.1) | 0.6 (0.2, 1.6) | 0.9 (0.5, 1.9) | 0.6 (0.2, 1.5) |
Low income and education | 0.7 (0.3, 1.5) | 2.1 (0.7, 6.4) | 0.8 (0.3, 2.4) | 2.5 (0.9, 7.4) |
Overall mean frequency of discussing at least one subject h | 1.19 | 0.83 | 0.93 | 0.84 |