@article {Muldoon384, author = {Laura Muldoon and Jennifer Rayner and Simone Dahrouge}, title = {Patient poverty and workload in primary care}, volume = {59}, number = {4}, pages = {384--390}, year = {2013}, publisher = {The College of Family Physicians of Canada}, abstract = {Objective To determine if patient poverty is associated with increased workload for primary care providers (PCPs). Design Linkage of administrative data identifying patient poverty and comorbidity with survey data about the organizational structure of community health centres (CHCs). Setting Ontario{\textquoteright}s 73 CHCs. Participants A total of 64 CHC sites (N = 63 included in the analysis). Main outcome measures Patient poverty was determined in 2 different ways: based on receipt of Ontario Drug Benefits (identifying recipients of welfare, provincial disability support, and low-income seniors{\textquoteright} benefits) or residence in low-income neighbourhoods. Patient comorbidities were determined through administrative diagnostic data from the CHCs and the Institute for Clinical Evaluative Sciences. Primary care workload was determined by examining PCP panel size (the number of patients cared for by a full-time-equivalent PCP during a 2-year interval). Results The CHCs with higher proportions of poor patients had smaller panel sizes. The smaller panel sizes were entirely explained by the medical comorbidity profile of the poor patients. Conclusion Poor patients generate a higher workload for PCPs in CHCs; however, this is principally because they are sicker than higher-income patients are. Further information is required about the spectrum of services used by poor patients in CHCs.}, issn = {0008-350X}, URL = {https://www.cfp.ca/content/59/4/384}, eprint = {https://www.cfp.ca/content/59/4/384.full.pdf}, journal = {Canadian Family Physician} }