Table 1 Primary Care Models in Ontario
Primary Care Model Types | Core Features |
|---|---|
Traditional fee-for-servicea | No enrolment of patients. Fee-for-service payment for services rendered |
Enhanced fee-for-servicea | Enrolment of patients encouraged. Fee-for-service payment for services rendered. Incentives and bonuses (including. For achieving cancer screening targets) for enrolled patients. Escalating cancer screening bonuses for achieving set targets start if at least 60% of enrolled eligible women up-to-date on cervical screening, if at least 55% of enrolled eligible women up-to-date on breast screening, or if at least 15% of enrolled eligible adults up-to-date on colorectal screening. |
Capitation-based | Enrolment of patients required. Capitation payment covering a defined basket of services, with 15% of the usual fee-for-service when these services are rendered and 100% fee-for-service for services outside the basket. Incentives and bonuses (including for achieving cancer screening targets as above) for enrolled patients |
Capitation-based team model | As above, including funding to create interdisciplinary teams |
Community health centres | Interdisciplinary teams, serve harder-to-reach populations, salaried payment |