ArticleCanadian family physician Medecin de famille canadien2009
Comparison of primary care physician payment models in the management of hypertension.
Article in Canadian family physician Medecin de famille canadien, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The influence of health systems on hypertension awareness, treatment, and control: a systematic literature review.PLoS medicine · 2013Pooled it
- Effect of preventive primary care outreach on health related quality of life among older adults at risk of functional decline: randomised controlled trial.BMJ (Clinical research ed.) · 2010Trial
- Will blended family physician payment models revive primary care in Canada?Canadian family physician Medecin de famille canadien · 2025Article
- Capitated versus fee-for-service reimbursement and quality of care for chronic disease: a US cross-sectional analysis.BMC health services research · 2022Article
- The Effects of the Health System Response to the COVID-19 Pandemic on Chronic Disease Management: A Narrative Review.Risk management and healthcare policy · 2021Review
- Awards season.Canadian family physician Medecin de famille canadien · 2016Article
- Periodic health examinations and missed opportunities among patients likely needing mental health care.The American journal of managed care · 2016Observational
- The untold story: examining Ontario's community health centres' initiatives to address upstream determinants of health.Healthcare policy = Politiques de sante · 2014Article
- Primary health care in Canada: systems in motion.The Milbank quarterly · 2011Article
- Identification of factors driving differences in cost effectiveness of first-line pharmacological therapy for uncomplicated hypertension.The Canadian journal of cardiology · 2010Review
- Family medicine research and CFP.Canadian family physician Medecin de famille canadien · 2010Article
- Hypertension and the family physician.Canadian family physician Medecin de famille canadien · 2009Article
- Hypertension management by family physicians: is it time to pat ourselves on the back?Canadian family physician Medecin de famille canadien · 2009Article
- Progress of Ontario's Family Health Team model: a patient-centered medical home.Annals of family medicineArticle
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine primary care physician screening, treatment, and control rates for hypertension and to examine whether type of physician payment model affected these rates.
designA cross-sectional chart abstraction study.
settingCommunity health centres (salary), primary care networks (capitation), or traditional fee-for-service practices in Ontario.
participantsA total of 135 primary care physicians, 45 from each of the 3 different models of care. Data were abstracted from 28 adult patient charts randomly selected from each physician.
main outcome measuresScreening rates were based on the presence of at least 1 blood pressure reading in the past 3 years, treatment rates on the number of patients with hypertension treated with antihypertensive medication, and control rates on the number of patients with hypertension whose most recent blood pressure readings were below 140/90 mm Hg, below 130/80 mm Hg for patients with diabetes, or below 120/75 mm Hg for patients with renal disease.
resultsOverall, 92.5% of all patients were screened for hypertension, 86.4% of patients with hypertension were treated with antihypertensive medications, and 44.9% of patients with hypertension had their blood pressure controlled. Mean screening rates were 90.6%, 93.5%, and 93.3% (P = .22), and after adjusting for sociodemographic factors and comorbid conditions, mean treatment rates were 90.9%, 81.0%, and 87.4% (P < .05) and mean control rates were 54.5%, 38.6%, and 41.6% (P < .05) for capitation, salary, and fee-for-service physicians, respectively.
conclusionOur results showed that although screening rates were similar between all 3 models, there were differences in treatment and control rates, with capitation physicians having the best treatment and control rates. Further investigation into whether this type of payment model results in improved chronic disease management for other chronic diseases and preventative care maneuvers will give support to health care policy makers who are moving toward capitation-type payment models for primary care delivery.
Indexed as
Identifiers
19602662PMC2718607What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.