Demonstrating the Effectiveness of Our Model of Comprehensive Primary Health Care
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.
Beginning in January 2018, CIHI and The Alliance for Healthier Communities embarked on a collaborative project focused on demonstrating the value of collecting structured linkable EMR data, especially for diagnosis and treatment data. In March 2018, The Alliance CHC members and CIHI reached an agreement to share 3 years of EMR data. The Alliance’s Business Intelligence Reporting Tool (BIRT) was leveraged to minimize impact on clinicians and in July, The Alliance successfully shared with CIHI 3 years of data from 73 CHCs for 570,000 clients representing more than 8.5 million encounters.
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).
Understanding value for money in Ontario's primary care system is complicated. This report examines patients/clients from April 2008 to March 2010 in: Community Health Centres (CHCs, a salaried model); Family Health Groups (FHGs, a blended fee-for-service model); Family Health Networks (FHNs, a blended capitation model); Family Health Organizations (FHOs, a blended capitation model); Family Health Teams (FHTs, an interprofessional team model composed of FHNs and FHOs); ‘Other’ smaller models combined; and those who did not belong to a model.
Les centres de santé communautaire de l’Ontario servent un grand nombre de personnes à faible revenu, ainsi que d’autres populations qui se heurtent traditionnellement à des obstacles dans l’accès aux services de prévention des maladies. Malgré cela, les centres de santé communautaire de l’Ontario atteignent des taux de dépistage du cancer supérieurs aux moyennes provinciales.