ArticleCMAJ open
The association between payment model and specialist physicians' selection of patients with diabetes: a descriptive study.
Article in CMAJ open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Physician Variation and the Impact of Payment Model in Cardiac Imaging.Journal of the American Heart Association · 2023Article
- Behavioral Impact on Clinical Specialist Payment Method: A Systematic Review.Iranian journal of public health · 2022Review
- Effects of removing a fee-for-service incentive on specialist chronic disease services: a time-series analysis.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2021Article
- Comparing Compensation of U.S. Military Physicians and Civilian Physicians in Residency Training and Beyond.Cureus · 2021Article
- Association of Specialist Physician Payment Model With Visit Frequency, Quality, and Costs of Care for People With Chronic Disease.JAMA network open · 2019Article
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Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAs the number of people with chronic diseases increases, understanding the impact of payment model on the types of patients seen by specialists has implications for improving the quality and value of care. We sought to determine if there is an association between specialist physician payment model and the types of patients seen.
methodsIn this descriptive study, we used administrative data to compare demographic characteristics, illness severity and visit indication of patients with diabetes seen by fee-for-service and salary-based internal medicine and diabetes specialists in Calgary and Edmonton between April 2011 and September 2014. The study cohort included all newly referred adults with diabetes (no appointment with a specialist in prior 4 yr). Diabetes was identified using a validated algorithm that excludes gestational diabetes.
resultsPatients managed by salary-based physicians (
interpretationSalary-based specialists were more likely to see patients with a clear indication for a specialist visit, while fee-for-service specialists were more likely to see healthier patients. Future research is needed to determine if the differences in types of patients are attributable to payment model or other provider- or system-level factors.
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Registered trials
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