Table 3:
Association between enrolment in payment model and chronic disease management and prevention, as of Mar. 31, 2011
Type of screening and payment model | Crude rate, % | Type of analysis;* RR (95% CI) | ||
---|---|---|---|---|
Unadjusted | Adjusted for patient† characteristics | Adjusted for patient† and physician‡ characteristics | ||
Recommended testing for diabetes | ||||
Team-based capitation | 39.7 | 1.24 (1.20 to 1.28) | 1.24 (1.20 to 1.28) | 1.22 (1.18 to 1.25) |
Non–team-based capitation | 36.2 | 1.12 (1.09 to 1.15) | 1.12 (1.09 to 1.15) | 1.10 (1.07 to 1.14) |
Enhanced fee for service | 31.6 | Reference | Reference | Reference |
Cervical cancer screening | ||||
Team-based capitation | 69.2 | 1.07 (1.06 to 1.09) | 0.99 (0.99 to 1.00) | 1.00 (0.99 to 1.01) |
Non–team-based capitation | 67.5 | 1.05 (1.04 to 1.06) | 1.00 (1.00 to 1.01) | 1.01 (1.00 to 1.02) |
Enhanced fee for service | 66.3 | Reference | Reference | Reference |
Breast cancer screening | ||||
Team-based capitation | 76.6 | 1.10 (1.09 to 1.11) | 1.08 (1.07 to 1.09) | 1.06 (1.06 to 1.07) |
Non–team-based capitation | 74.5 | 1.07 (1.06 to 1.08) | 1.05 (1.04 to 1.06) | 1.04 (1.03 to 1.05) |
Enhanced fee for service | 71.5 | Reference | Reference | Reference |
Colorectal cancer screening | ||||
Team-based capitation | 63.0 | 1.08 (1.06 to 1.09) | 1.05 (1.03 to 1.06) | 1.03 (1.02 to 1.04) |
Non–team-based capitation | 63.5 | 1.08 (1.07 to 1.10) | 1.05 (1.04 to 1.07) | 1.04 (1.03 to 1.05) |
Enhanced fee for service | 60.9 | Reference | Reference | Reference |
Note: CI = confidence interval, RR = relative risk.
Adjustment was performed with Poisson regression models, using generalized estimating equations to account for clustering at the physician level.
Adjustment for the following patient characteristics: age, rurality, income quintile, morbidity (resource utilization band) and immigration status.
Adjustment for the following physician characteristics: age, sex, number of rostered patients and whether a Canadian medical graduate.