Table 3:

Characteristics of practices across primary care funding models

Characteristic*Primary care model
SalariedFee for serviceNew capitationEstablished capitation
Patient profilen = 856n = 849n = 827n = 752
Age, yr, mean43.747.948.450.0
Female, %68.059.058.954.2
Insured in Ontario, %95.399.899.9100.0
> 1 visit in previous year, %87.084.880.076.2
Chronic diseases
 No. of chronic diseases per patient, mean0.330.350.400.44
 Hypertension, %§19.121.024.524.6
 Diabetes mellitus, %7.86.67.68.6
 Coronary artery disease, %§4.85.46.98.8
 Congestive heart failure, %0.81.41.42.0
 ≥ 1 chronic disease, %§23.225.228.629.6
Contextual factorn = 35n = 35n = 35n = 32
< 10 km to hospital, %71.485.394.186.7
Rurality index ≥ 4, %§68.651.485.787.5
Family physician profilen = 108n = 58n = 80n = 42
No. of years since graduation, mean19.222.322.628.5
Presence of ≥ 1 female family physician,** %85.348.548.625.0
Foreign trained, %††9.317.22.514.3
College of Family Physicians of Canada certification, %79.484.577.967.5
Organizational structuren = 35n = 35n = 35n = 32
No. of nurses per FTE family physician, mean0.90.20.60.7
Panel size < 1600 patients per FTE family physician, %84.848.458.142.9
Booking interval for routine visit, min, mean24.812.913.913.6
Staffing
 Solo practice, %§025.737.137.5
 Presence of nurse-practitioner(s), %100.08.631.018.8
 No. of nurses, mean2.70.62.01.1
Information technology‡‡
 Electronic health records, %§28.614.357.143.8
 Electronic system for patient scheduling, %§97.162.971.468.8
 Electronic reminder system for recommended patient care (e.g., screening), %††25.714.345.728.1
 Electronic interface to external laboratory/diagnostic imaging, %§45.714.351.440.6
  • Note: CI = confidence interval, FTE = full-time equivalent.

  • * Characteristics shown were obtained from chart data, provider survey data and organizational survey data and used in the analyses.

  • The four models are known by their financing arrangement: salaried (community health centre), fee for service (fee-for-service practices), new capitation model (family health networks) and established capitation model (health services organizations). See Table 1 for more information.

  • Characteristic was significantly different (p < 0.001) across the models; χ2 or F test (analysis of variance [ANOVA]), as appropriate.

  • § Characteristic is significantly different (p < 0.01) across the models; χ2 or F test (ANOVA), as appropriate.

  • Rurality index is based on the Rurality Index of Ontario and ranges from 0–100.

  • ** The presence of a female family physician could only be determined from the respondents. Since at least 50% of the providers were required to participate, it is likely that some practices in which not all providers participated were wrongly coded as not having a female family physician.

  • †† Characteristic is significantly (p < 0.05) different across the models; χ2 test or F test (ANOVA), as appropriate.

  • ‡‡ For information technology factors, practices were asked to report whether the practice site had implemented, to any extent, each of the technologies listed.