ArticleAnnals of family medicine2016
Those Left Behind From Voluntary Medical Home Reforms in Ontario, Canada.
Article in Annals of family medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.
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Who cites it
35 citing papers in PubMed.
- Examining Access to Primary Care for People With Opioid Use Disorder in Ontario, Canada: A Randomized Clinical Trial.JAMA network open · 2022Trial
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- Impact of grassroots development of interprofessional team-based practices: Retrospective matched cohort study using ICES data.Canadian family physician Medecin de famille canadien · 2026Article
- Designed for simplicity, used for complexity: The systemic pressures shaping walk-in clinic practices and outcomes.PloS one · 2025Article
- Characteristics of walk-in clinic physicians and patients in Ontario: Cross-sectional study.Canadian family physician Medecin de famille canadien · 2024Article
- Changes in Primary Care Health Services During the COVID-19 Pandemic: A Longitudinal Analysis of Data From Ontario.Healthcare policy = Politiques de sante · 2024Article
- Article
- Virtual Visits With Own Family Physician vs Outside Family Physician and Emergency Department Use.JAMA network open · 2023Article
- Breast Cancer Screening Among Females With and Without Schizophrenia.JAMA network open · 2023Article
- Cancer Screening Disparities Before and After the COVID-19 Pandemic.JAMA network open · 2023Article
- Characteristics and Health Care Use of Patients Attending Virtual Walk-in Clinics in Ontario, Canada: Cross-sectional Analysis.Journal of medical Internet research · 2023Article
- Article
- Cohort study of team-based care among marginalized people who use drugs in Ottawa.Canadian family physician Medecin de famille canadien · 2022Article
- Article
- Alternative payment models: A path forward.Canadian family physician Medecin de famille canadien · 2021Article
- Comparing primary care Interprofessional and non-interprofessional teams on access to care and health services utilization in Ontario, Canada: a retrospective cohort study.BMC health services research · 2021Article
- Role of Interprofessional primary care teams in preventing avoidable hospitalizations and hospital readmissions in Ontario, Canada: a retrospective cohort study.BMC health services research · 2020Article
- Article
- Attachment to primary care and team-based primary care: Retrospective cohort study of people who experienced imprisonment in Ontario.Canadian family physician Medecin de famille canadien · 2019Article
- Quality of primary care among individuals receiving treatment for opioid use disorder.Canadian family physician Medecin de famille canadien · 2019Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeHealth systems are transitioning patients to medical homes to improve health outcomes and reduce cost. We sought to understand the characteristics and quality of care for patients who did and did not participate in the voluntary transition to medical homes.
methodsWe used administrative data for diabetes monitoring and cancer screening to compare services received by patients attached to a medical home (n = 10,785,687) with services received by those seeing a fee-for-service physician (n = 1,321,800) in Ontario, Canada, on March 31, 2011. We used Poisson regression to examine associations in 2011 after adjustment for patient factors and also assessed changes in outcomes between 2001 and 2011.
resultsPatients attached to a fee-for-service physician were more likely to be immigrants and live in a low-income neighborhood and urban area. They were less likely to receive recommended testing for diabetes (25% vs 34%; adjusted relative risk [RR] = 0.74; 95% CI, 0.73-0.75) and less likely to receive screening for cervical (52% vs 66%; adjusted RR = 0.79; 95% CI, 0.79-0.79), breast (58% vs 73%; adjusted RR = 0.80; 95% CI, 0.80-0.81), and colorectal cancer (44% vs 62%; adjusted RR = 0.72; 95% CI, 0.71-0.72) compared with patients attached to a medical home physician in 2011. These differences in quality of care preceded medical home reforms.
conclusionPatients left behind from medical home reforms are more likely to be poor, urban, and new immigrants and receive lower quality care. Strategies are needed to reach out to these patients and their physicians to reduce gaps in care.
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