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. 2018 Aug 29;19:147. doi: 10.1186/s12875-018-0827-1

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

aModels of interest in this study