Characteristic | Type of medical home; no. (%) of patients* | No. (%) of all patients in Ontario† | ||
---|---|---|---|---|
Team-based capitation | Non–team-based capitation | Enhanced fee for service | ||
No. of patients | 2 412 291 | 3 230 189 | 5 033 000 | 13 161 935 |
Sex, male | 1 132 812 (47) | 1 535 955 (48) | 2 398 225 (48) | 6 466 459 (49) |
Age group, yr | ||||
< 19 | 507 696 (21) | 648 466 (20) | 1 055 402 (21) | 2 913 341 (22) |
19–44 | 779 220 (32) | 1 071 406 (33) | 1 836 052 (36) | 4 646 525 (35) |
45–64 | 721 279 (30) | 978 505 (30) | 1 454 919 (29) | 3 735 402 (28) |
≥ 65 | 404 096 (17) | 531 812 (16) | 686 627 (14) | 1 866 667 (14) |
Income quintile | ||||
1 (low) | 429 008 (18) | 511 905 (16) | 967 804 (19) | 2 485 684 (19) |
2 | 463 214 (19) | 578 977 (18) | 1 010 744 (20) | 2 557 363 (19) |
3 | 476 822 (20) | 628 572 (19) | 1 051 373 (21) | 2 624 984 (20) |
4 | 521 318 (22) | 714 470 (22) | 1 072 344 (21) | 2 773 236 (21) |
5 (high) | 511 907 (21) | 786 120 (24) | 917 342 (18) | 2 668 771 (20) |
Missing data | 10 022 (<1) | 10 145 (<1) | 13 393 (<1) | 51 897 (<1) |
Immigration status | ||||
Immigrated in past 10 yr | 55 339 (2) | 122 358 (4) | 526 081 (10) | 920 619 (7) |
Other newcomer in past 10 yr | 52 078 (2) | 73 578 (2) | 175 392 (3) | 454 419 (3) |
Long-term resident | 2 304 874 (96) | 3 034 253 (94) | 4 331 527 (86) | 11 786 897 (90) |
Rurality index | ||||
Major urban | 1 249 855 (52) | 2 180 293 (68) | 4 269 320 (85) | 9 544 639 (73) |
Non–major urban | 754 757 (32) | 792 425 (25) | 597 243 (12) | 2 532 267 (19) |
Rural | 378 431 (16) | 243 442 (8) | 148 767 (3) | 978 832 (7) |
Missing data | 29 248 (1) | 14 029 (<1) | 17 670 (<1) | 111 197 (1) |
Resource utilization band,‡ mean ± SD | 2.62 ± 1.13 | 2.67 ± 1.09 | 2.77 ± 1.02 | 2.54 ± 1.20 |
Adjusted diagnosis groups | ||||
No utilization | 162 519 (7) | 178 111 (6) | 187 004 (4) | 1 304 747 (10) |
1–4 (low comorbidity) | 1 258 840 (52) | 1 575 270 (49) | 2 200 542 (44) | 6 069 330 (46) |
5–9 | 834 317 (35) | 1 227 831 (38) | 2 142 350 (43) | 4 773 571 (36) |
≥ 10 (high comorbidity) | 156 615 (6) | 248 977 (8) | 503 104 (10) | 1 014 287 (8) |
Chronic disease | ||||
Hypertension | 530 704 (22) | 744 882 (23) | 1 104 240 (22) | 2 690 300 (20) |
Congestive heart failure | 48 487 (2) | 64 281 (2) | 80 528 (2) | 221 121 (2) |
Acute myocardial infarction | 34 978 (1) | 43 285 (1) | 52 847 (1) | 148 730 (1) |
COPD | 165 724 (7) | 209 316 (6) | 276 815 (6) | 743 649 (6) |
Asthma | 328 795 (14) | 465 793 (14) | 762 500 (15) | 1 858 465 (14) |
Mental illness | 440 002 (18) | 663 158 (21) | 1 129 405 (22) | 2 524 459 (19) |
Diabetes mellitus and age > 40 yr | 199 265 (8) | 283 550 (9) | 458 513 (9) | 1 065 721 (8) |
Note: COPD = chronic obstructive pulmonary disease, SD = standard deviation.
↵* Except where indicated otherwise. These columns include data for nonenrolled patients assigned (by virtual rostering) to physicians practising in medical homes.
↵† The data in this column represent all Ontario residents, including those not attached (by formal enrolment or virtual rostering) to a medical home; the numbers in this column are therefore greater than the sum of the 3 medical home categories.
↵‡ For resource utilization bands, 1 = low utilization and 5 = high utilization.