Table 3:

Association between enrolment in payment model and chronic disease management and prevention, as of Mar. 31, 2011

Type of screening and payment modelCrude rate, %Type of analysis;* RR (95% CI)
UnadjustedAdjusted for patient characteristicsAdjusted for patient and physician characteristics
Recommended testing for diabetes
Team-based capitation39.71.24 (1.20 to 1.28)1.24 (1.20 to 1.28)1.22 (1.18 to 1.25)
Non–team-based capitation36.21.12 (1.09 to 1.15)1.12 (1.09 to 1.15)1.10 (1.07 to 1.14)
Enhanced fee for service31.6ReferenceReferenceReference
Cervical cancer screening
Team-based capitation69.21.07 (1.06 to 1.09)0.99 (0.99 to 1.00)1.00 (0.99 to 1.01)
Non–team-based capitation67.51.05 (1.04 to 1.06)1.00 (1.00 to 1.01)1.01 (1.00 to 1.02)
Enhanced fee for service66.3ReferenceReferenceReference
Breast cancer screening
Team-based capitation76.61.10 (1.09 to 1.11)1.08 (1.07 to 1.09)1.06 (1.06 to 1.07)
Non–team-based capitation74.51.07 (1.06 to 1.08)1.05 (1.04 to 1.06)1.04 (1.03 to 1.05)
Enhanced fee for service71.5ReferenceReferenceReference
Colorectal cancer screening
Team-based capitation63.01.08 (1.06 to 1.09)1.05 (1.03 to 1.06)1.03 (1.02 to 1.04)
Non–team-based capitation63.51.08 (1.07 to 1.10)1.05 (1.04 to 1.07)1.04 (1.03 to 1.05)
Enhanced fee for service60.9ReferenceReferenceReference
  • Note: CI = confidence interval, RR = relative risk.

  • * Adjustment was performed with Poisson regression models, using generalized estimating equations to account for clustering at the physician level.

  • Adjustment for the following patient characteristics: age, rurality, income quintile, morbidity (resource utilization band) and immigration status.

  • Adjustment for the following physician characteristics: age, sex, number of rostered patients and whether a Canadian medical graduate.