ICES | Primary Care Models in Ontario English - page 17

Comparison of Primary Care Models in Ontario by Demographics, Case Mix and Emergency Department Use, 2008/09 to 2009/10
Findings
8
ICES
Exhibit 2
Exhibit 2 illustrates the uptake of various
physician payment models over time. In 2008,
the FHG model had the largest number of
rostered patients, but by 2010, the number of
patients rostered in the FHO model exceeded
that in the FHG.
Exhibit 3
Across Ontario, 11,896,508 residents were
included in the study, with 10,759,566 (90.4%)
residing in urban areas and 1,136,942 (9.6%) in
rural areas. CHCs had close to 110,000 clients
(0.9% of the total), FGHs close to four million
patients (33.3%), FHNs close to 100,000
(0.8%), FHOs over two million (18.9%), FHTs
close to 1.9 million (15.7%), ‘Other’ models
about half a million (4.5%) and those not in a
group (NON) just over three million (25.8%).
FHNs and FHOs that were part of a FHT were
included as FHT and not included in the FHN
or FHO categories. The proportion of each
group that was rural varied widely, from 3.4%
in FHGs to 36.0% in FHNs.
The percent female was larger than male for
all models except those who were not in a
CHC and not rostered (NON), where there
were slightly more males.
The proportion of children aged 18 years and
younger was larger in rural than urban areas
for all models and was highest in the NON
group in both urban and rural areas. The
proportion of seniors was lowest in the NON
group and highest in the FHN group in urban
areas and in ‘Other’ models in rural areas.
By definition, the lowest income quintile
represents close to 20% of residents in each
community. Those living in the lowest income
neighbourhoods were over-represented in
CHCs in both urban and rural areas, reaching
34.5% in urban areas. Those living in low-
income neighbourhoods were most under-
represented in the FHN, FHO and FHT models
in urban areas and in the FHG and FHN
models in rural areas.
Newcomers, a proxy for new immigrants to
Ontario, were far more prevalent in urban
than rural areas and were most over-
represented in CHCs and in the NON group, in
both urban and rural areas. Newcomers were
under-represented in FHN, FHO and FHT
models in urban areas, with roughly half or
less of the proportion for Ontario.
Those receiving prescriptions through
welfare (Ontario Works) or disability (Ontario
Disability Support Program) and seniors with
low-income were over-represented in CHCs
in both urban and rural areas.
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