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These individuals were overrepresented in the Salaried model, reported more visits/year across all models, and tended to report longer visits in the Salaried model.
A comprehensive economic evaluation is required to fully capture the societal benefit of the Salaried model.
Physicians working under the salaried model are remunerated based on the number of physicians within a group that provide services to a specific community.
In Salaried model, which is designed to serve more vulnerable populations, the salaried structure removes the financial barrier that providers encounter when accommodating patients who have greater needs.
At-risk patients in the Salaried model were somewhat more likely to report health promotion activities than patients from Capitation and Fee-For-Service models.
Patients receiving care in the Salaried model had significantly longer visit durations (24 minutes) than those receiving care in FFS or Capitation practices (15 minutes).
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In the salaried models, physicians had fewer visits and served fewer patients.
Half of the physicians excluded were from salaried models and specifically Community Health Centres (CHCs).
All but the FFS and salaried models include incentives to enroll patients and have requirements for after-hours care.
For the purpose of this study, Ontario primary care models are categorized as: Fee-for-Service (FFS); Family Health Group (FHG); blended capitation; Family Health Teams (FHTs); and salaried models.
Alternative solutions might include incentives, capitation models based on diagnoses, salaried models, funding of non-physician primary care providers, or funding models based on community needs [ 40].
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com