New approaches to chronic disease management emphasize the need to improve the delivery of primary care services to meet the needs of chronically ill patients. This study (1) assessed whether chronic disease management differed among 4 models of primary health care delivery and (2) identifi ed which practice organizational factors were independently associated with high-quality care.
Editor's Key Points
- In Ontario, different models of primary care service delivery coexist. The organization and remuneration of primary care services might influence many aspects of quality of care and provider behaviour. Therefore, it is important to evaluate these models in order to better understand their performance and function.
- This study found that patients and providers reported high levels of family-centred care in all models of primary care service delivery.
Supervised consumption services (SCS) are being implemented across Canada in response to a variety of drug-related harms. We explored the implementation context of newly established SCS in Toronto and the role of policing in shaping program access by people who inject drugs (PWID).
- Integrating SCS within health centres provided clients access other health services.
- Hours of operation were seen as a barrier to SCS service uptake.
- The building layouts created privacy and anonymity concerns for clients.
Background: Community Health Centre (CHC) client populations with a history of mental illness or substance use disorders, or both, are not described well in the literature. We identified CHC clients in Ontario with a history of health care related to mental health or substance use disorders, or both, and describe their demographic characteristics, health system use and related health risks in comparison to other people in the province with similar diagnoses who did not use CHC services.
Objective: To determine which of 4 organizational models of primary care in Ontario were more community oriented.
Design: Cross-sectional investigation using practice and provider surveys derived from the Primary Care Assessment Tool, with nested qualitative case studies (2 practices per model).