Article Figures & Data
Tables
PRACTICE CHARACTERISTIC NEW MODEL (N = 407) TRADITIONAL MODEL (N = 352) P VALUE Proportion of income from capitation payments, mean (SD) 27.94 (36.60) 10.44 (26.09) < .001 Proportion of income from fee-for-service payments, mean (SD) 25.89 (38.79) 31.17 (41.65) NS Clinic is open after 6:00 pm,* mean (SD) 2.52 (1.30) 1.76 (1.25) < .001 Clinic is open on weekends,* mean (SD) 2.35 (1.45) 1.76 (1.25) < .001 Physicians meet with other FPs or GPs,† mean (SD) 2.87 (0.40) 2.79 (0.50) < .01 Physicians meet with nurses,† mean (SD) 2.59 (0.77) 1.96 (0.96) < .001 Physicians work alone,‡ n (%) 39 (9.6) 89 (25.4) < .001 Practice uses an electronic medical record,‡ n (%) 298 (73.4) 192 (54.5) < .001 VARIABLE N (%) Self-reported perceived health • Very good 1566 (21.6) • Good 3692 (50.9) • Fair 1612 (22.2) • Poor 308 (4.2) No. of doctor visits in past 6 mo • First time 1079 (14.9) • Once before this visit 1730 (23.8) • 2–4 times before 2764 (38.1) • ≥ 5 times before 1480 (20.3) • Do not know 143 (2.0) Reason for visit* • Ill or did not feel well 1435 (19.8) • Routine medical checkup or physical examination 1897 (26.1) • Get repeat prescription, referral, or medical letter 2271 (31.3) • Second opinion 104 (1.4) • Doctor requested follow-up 1859 (25.6) • Other 1203 (16.6) Urgency of visit • Urgent (needed to be seen today) 558 (7.7) • Somewhat urgent (wanted to be seen today) 1460 (20.1) • Not that urgent (wanted to be seen within a few days) 2567 (35.4) • Not urgent 2412 (33.2) ↵* Participants could select all answers that applied.
- Table 3.
Practice profile based on new and traditional models of care: N = 759. Totals might be different owing to missing data.
VARIABLE NEW MODELS, N (%) TRADITIONAL MODELS, N (%) TOTAL Province • Ontario 131 (71.6) 52 (28.4) 183 • British Columbia 8 (13.8) 50 (86.2) 58 • Newfoundland and 0 (0.0) 41 (100.0) 41 Labrador • Quebec 149 (69.3) 66 (30.7) 215 • Alberta 89 (83.2) 18 (16.8) 107 • New Brunswick and Prince Edward Island 5 (9.4) 48 (90.6) 53 • Saskatchewan 5 (27.8) 13 (72.2) 18 • Nova Scotia 13 (22.4) 45 (77.6) 58 • Manitoba 7 (29.2) 17 (70.8) 24 Size of city where practice is located • Large city or suburbs 194 (55.3) 157 (44.7) 351 • Small town or mixed urban-rural 136 (53.8) 117 (46.2) 253 • Rural 71 (48.3) 76 (51.7) 147 - Table 4.
Comparison of availability and accommodation items in new and traditional models of care
ITEM NEW MODEL, MEAN (SD) TRADITIONAL MODEL, MEAN (SD) df t P VALUE 95% CI Opening hours are clearly indicated outside* 1.32 (0.47) 1.42 (0.49) 741 −2.69 .01 −0.17 to −0.03 How to get care outside of regular hours is clearly indicated outside* 1.66 (0.48) 1.77 (0.42) 728 −3.29 < .001 −0.18 to −0.05 Parking space is available for those with disabilities* 1.89 (0.31) 1.89 (0.32) 752 −0.09 NS −0.05 to 0.04 Toilets for those with disabilities are available* 1.89 (0.31) 1.88 (0.33) 744 −0.52 NS −0.06 to 0.03 Wheelchair and stroller accessibility† 1.46 (0.59) 1.49 (0.69) 757 −0.58 NS −0.12 to 0.06 Opening hours are too restricted* 1.95 (0.16) 1.95 (0.15) 747 0.36 NS −0.02 to 0.03 Home visits are available when needed* 1.76 (0.26) 1.70 (0.30) 711 2.11 NS 0.01 to 0.10 Practice is too far away from where I am living* 1.93 (0.10) 1.94 (0.10) 752 −0.71 NS −0.02 to 0.01 There is too long of a wait to speak to someone when calling* 1.93 (0.10) 1.94 (0.10) 757 −1.91 NS −0.03 to 0.00 It is clear how to get evening, night, and weekend services* 1.72 (0.42) 1.66 (0.39) 757 2.03 NS 0.00 to 0.12 It was easy to get an appointment* 1.07 (0.11) 1.06 (0.11) 752 0.71 NS −0.01 to 0.02 Days waited for this visit from the time the appointment was made‡ 3.26 (0.66) 3.02 (0.73) 752 4.71 < .001 0.14 to 0.34 Able to arrange an appointment with the doctor as soon as was wanted* 1.18 (0.01) 1.15 (0.01) 754 2.12 < .05 0.00 to 0.05 It is too difficult to see a family doctor from this practice during evening, nights, and weekends* 1.93 (0.36) 1.92 (0.40) 757 −0.40 NS −0.07 to 0.04 Can see regular doctor every time* 1.21 (0.24) 1.15 (0.22) 757 3.28 < .001 0.02 to 0.09 Can see other doctors in this practice if my regular doctor is not available* 1.50 (0.44) 1.54 (0.45) 757 −1.11 NS −0.10 to 0.03 Can see other health care professionals in this practice (eg, nurse practitioner, dietitian, pharmacist) without having to see a doctor* 1.85 (0.47) 2.00 (0.45) 757 −4.38 < .001 −0.21 to −0.08 - Table 5.
Affordability dimension between new and traditional models of care: All items rated using the dichotomous response format (yes or no, where yes = 1 and no = 2).
ITEM NEW MODEL, MEAN (SD) TRADITIONAL MODEL, MEAN (SD) df t P VALUE 95% CI Did not take medication because of cost 1.50 (0.46) 1.49 (0.46) 757 0.43 NS −0.05 to 0.08 Difficult to get health care because had to take time off work 1.80 (0.53) 1.82 (0.52) 757 −0.36 NS −0.09 to 0.08 Difficult to get health care services because of additional costs (babysitting, parking, etc) 1.57 (0.51) 1.57 (0.49) 757 −0.16 NS −0.08 to 0.07 Did not take laboratory tests or examinations because of their costs 1.36 (0.45) 1.32 (0.45) 757 1.03 NS −0.08 to 0.07 Did not get services recommended because of their costs (physiotherapy, psychotherapy, etc) 1.93 (0.59) 1.90 (0.62) 757 0.53 NS −0.06 to 0.03 NS—nonsignificant.
- Table 6.
Descriptive information for all items included in the physician involvement scale: All items rated using the dichotomous response format (yes or no, where yes = 1 and no = 2).
ITEM NEW MODEL, MEAN (SD) TRADITIONAL MODEL, MEAN (SD) The doctor involved me in making decisions about treatment or health-related goals 1.04 (0.07) 1.05 (0.08) The doctor knows important information about my medical history and health issues 1.01 (0.04) 1.02 (0.06) The doctor knows about my living situation 1.08 (0.14) 1.13 (0.17) The doctor does not just deal with medical problems but can also help with personal problems and worries 1.12 (0.16) 1.13 (0.17) After this visit, I feel I can cope better with my health problem or illness than before 1.04 (0.08) 1.04 (0.08)
