Quality of asthma care under different primary care models in Canada: a population-based study
详细信息 查看全文
- 作者：Teresa To (1) (2) (3) (4)
Jun Guan (2)
Jingqin Zhu (1) (2)
M Diane Lougheed (5) (6)
Alan Kaplan (7)
Itamar Tamari (8)
Matthew B Stanbrook (2) (4) (9)
Jacqueline Simatovic (1)
Laura Feldman (1) (3)
Andrea S Gershon (1) (10) (2) (4)
1. Child Health Evaluative Sciences ; The Hospital for Sick Children ; 555 University Avenue ; Toronto ; Canada
2. Institute for Clinical Evaluative Sciences ; Toronto ; Canada
3. Dalla Lana School of Public Health ; University of Toronto ; Toronto ; Canada
4. Institute of Health Policy ; Management and Evaluation ; University of Toronto ; Toronto ; Canada
5. Department of Medicine ; Queen鈥檚 University ; Kingston ; Canada
6. ICES 鈥?Queen鈥檚 ; Kingston ; Canada
7. Family Physician Airways Group of Canada ; Warwick ; Canada
8. Stonegate Community Health Centre ; Toronto ; Canada
9. Toronto Western Research Institute ; University Health Network ; Toronto ; Canada
10. Sunnybrook Health Sciences Centre ; Toronto ; Canada - 关键词：Asthma ; Quality of care ; Performance measures ; Health indicators ; Health services use
- 刊名：BMC Family Practice
- 出版年：2015
- 出版时间：December 2015
- 年：2015
- 卷：16
- 期：1
- 全文大小：581 KB
- 参考文献：1. Russell, GM, Dahrouge, S, Hogg, W, Geneau, R, Muldoon, L, Tuna, M (2009) Managing chronic disease in ontario primary care: the impact of organizational factors. Ann Fam Med 7: pp. 309-318 10.1370/afm.982" target="_blank" title="It opens in new window">CrossRef
2. Family Practice Compensation Models. [healthforceontario.ca/en/Home/Physicians/Training_%7C_Practising_in_Ontario/Physician_Roles/Family_Practice_Models/Family_Practice_Compensation_Models" class="a-plus-plus">http://www.healthforceontario.ca/en/Home/Physicians/Training_%7C_Practising_in_Ontario/Physician_Roles/Family_Practice_Models/Family_Practice_Compensation_Models]
3. To, T, Cicutto, L, Degani, N, McLimont, S, Beyene, J (2008) Can a community evidence-based asthma care program improve clinical outcomes? A longitudinal study. Med Care 46: pp. 1257-1266 10.1097/MLR.0b013e31817d6990" target="_blank" title="It opens in new window">CrossRef
4. To, T, McLimont, S, Wang, C, Cicutto, L (2009) How much do health care providers value a community-based asthma care program? 鈥?a survey to collect their opinions on the utilities of and barriers to its uptake. BMC Health Serv Res 9: pp. 8
5. To, T, Daly, C, Feldman, R, McLimont, S (2012) Results from a community-based program evaluating the effect of changing smoking status on asthma symptom control. BMC Public Health 12: pp. 293 10.1186/1471-2458-12-293" target="_blank" title="It opens in new window">CrossRef
6. To, T, Dell, S, Dick, PT, Cicutto, L, Harris, JK, MacLusky, IB (2006) Case verification of children with asthma in Ontario. Pediatr Allergy Immunol 17: pp. 69-76 10.1111/j.1399-3038.2005.00346.x" target="_blank" title="It opens in new window">CrossRef
7. Gershon, AS, Wang, C, Guan, J, Vasilevska-Ristovska, J, Cicutto, L, To, T (2009) Identifying patients with physician diagnosed asthma in health administrative databases. Can Respir J 16: pp. 183-188
8. To, T, Guttmann, A, Lougheed, MD, Gershon, AS, Dell, SD, Stanbrook, MB (2010) Evidence-based performance indicators of primary care for asthma: a modified RAND Appropriateness Method. Int J Qual Health Care 22: pp. 476-485 10.1093/intqhc/mzq061" target="_blank" title="It opens in new window">CrossRef
9. Gershon, AS, Victor, JC, Guan, J, Aaron, SD, To, T (2012) Pulmonary function testing in the diagnosis of asthma: a population study. Chest 141: pp. 1190-1196 10.1378/chest.11-0831" target="_blank" title="It opens in new window">CrossRef
10. Lougheed, M, Lemi猫re, C, Dell, S, Ducharme, F, Fitzgerald, J, Leigh, R (2010) Canadian Thoracic Society Asthma Management Continuum鈥?010 Consensus Summary for children six years of age and over, and adults. Can Respir J 17: pp. 15-24
11. Lougheed, MD, Lemiere, C, Ducharme, FM, Licskai, C, Dell, SD, Rowe, BH (2012) Canadian Thoracic Society 2012 guideline update: Diagnosis and management of asthma in preschoolers, children and adults. Can Respir J 19: pp. 38
12. Lynd, L, Sandford, A, Kelly, E, Par茅, P, Bai, T, Fitzgerald, J (2004) Reconcilable differences: a cross-sectional study of the relationship between socioeconomic status and the magnitude of short-acting beta-agonist use in asthma. Chest 126: pp. 1161-1168 10.1378/chest.126.4.1161" target="_blank" title="It opens in new window">CrossRef
13. Lynd, L, Guh, D, Par茅, P, Anis, A (2002) Patterns of inhaled asthma medication use: a 3-year longitudinal analysis of prescription claims data from British Columbia, Canada. Chest 122: pp. 1973-1981 10.1378/chest.122.6.1973" target="_blank" title="It opens in new window">CrossRef
14. Glazier, R, Zagorski, B, Rayner, J (2012) Comparison of Primary Care Models in Ontario by Demographics, Case Mix and Emergency Department Use, 2008/09 to 2009/10. ICES Investigative Report. Institute for Clinical Evaluative Sciences, Toronto
15. Matheson, FI, Moineddin, R, Dunn, JR, Creatore, MI, Gozdyra, P, Glazier, RH (2006) Urban neighborhoods, chronic stress, gender and depression. Soc Sci Med 63: pp. 2604-2616 10.1016/j.socscimed.2006.07.001" target="_blank" title="It opens in new window">CrossRef
16. Gershon, A, Guan, J, Wang, C, Victor, J, To, T (2012) Describing and quantifying asthma comorbidity [corrected]: a population study. PLoS ONE 7: pp. e34967 10.1371/journal.pone.0034967" target="_blank" title="It opens in new window">CrossRef
17. Gershon, A, Wang, C, Guan, J, Vasilevska-Ristovska, J, Cicutto, L, To, T (2009) Identifying individuals with physician diagnosed COPD in health administrative databases. COPD 6: pp. 388-394 10.1080/15412550903140865" target="_blank" title="It opens in new window">CrossRef
18. Jennison, C, Turnbull, B (1993) Sequential equivalence testing and repeated confidence intervals, with applications to normal and binary responses. Biometrics 49: pp. 31-43 10.2307/2532600" target="_blank" title="It opens in new window">CrossRef
SAS/STAT User's Guide, Version 9.
19. Glazier, RH, Zagorski, BM, Rayner, J (2012) Comparison of Primary Care Models in Ontario by Demographics, Case Mix and Emergency Department Use, 2008/09 to 2009/10. Institute for Clinical Evaluative Sciences, Toronto
20. Roland, M (2004) Linking physicians' pay to the quality of care - a major experiment in the United Kingdom. N Engl J Med 351: pp. 1448-1454 10.1056/NEJMhpr041294" target="_blank" title="It opens in new window">CrossRef
21. Shih, A, Davis, K, Schoenbaum, S, Gauthier, A, Nuzum, R, McCarthy, D (2008) Organizing the U.S. Health Care Delivery System for High Performance. The Commonwealth Fund.
22. Aaron, SD, Vandemheen, KL, Boulet, LP, McIvor, RA, Fitzgerald, JM, Hernandez, P (2008) Overdiagnosis of asthma in obese and nonobese adults. CMAJ 179: pp. 1121-1131 10.1503/cmaj.081332" target="_blank" title="It opens in new window">CrossRef
23. Stupka, E, Shazo, R (2009) Asthma in seniors: Part 1. Evidence for underdiagnosis, undertreatment, and increasing morbidity and mortality. Am J Med 122: pp. 6-11 10.1016/j.amjmed.2008.09.022" target="_blank" title="It opens in new window">CrossRef
24. Quinn, K, Shalowitz, M, Berry, C, Mijanovich, T, Wolf, R (2006) Racial and ethnic disparities in diagnosed and possible undiagnosed asthma among public-school children in Chicago. Am J Public Health 96: pp. 1599-1603 10.2105/AJPH.2005.071514" target="_blank" title="It opens in new window">CrossRef
25. Huzel, L, Roos, LL, Anthonisen, NR, Manfreda, J (2002) Diagnosis asthma: The fit between survey and administrative database. Can Respir J 9: pp. 407-412
26. Devlin, RA, Sarma, S (2008) Do physicians remuneration schemes matter? The case of Canadian family physicians. J Health Econ 27: pp. 1168-1181 10.1016/j.jhealeco.2008.05.006" target="_blank" title="It opens in new window">CrossRef
27. Kantarevic, J, Kralj, B, Weinkauf, D (2011) Enhanced fee-for-service model and physician productivity: evidence from Family Health Groups in Ontario. J Health Econ 30: pp. 99-111 10.1016/j.jhealeco.2010.10.005" target="_blank" title="It opens in new window">CrossRef
28. Kantarevic, J, Kralj, B (2013) Link between pay for performance incentives and physician payment mechanisms: evidence from the diabetes management incentive in ontario. Health Econ 22: pp. 1417-1439 10.1002/hec.2890" target="_blank" title="It opens in new window">CrossRef
29. Li J, Hurley J, Decicca P, Buckley G. Physician response to pay-for-performance: evidence from a natural experiment. Health Econ. 2013. - 刊物主题：General Practice / Family Medicine; Primary Care Medicine;
- 出版者：BioMed Central
- ISSN：1471-2296
文摘
Background Previous research has shown variations in quality of care and patient outcomes under different primary care models. The objective of this study was to use previously validated, evidence-based performance indicators to measure quality of asthma care over time and to compare quality of care between different primary care models. Methods Data were obtained for years 2006 to 2010 from the Ontario Asthma Surveillance Information System, which uses health administrative databases to track individuals with asthma living in the province of Ontario, Canada. Individuals with asthma (n=1,813,922) were divided into groups based on the practice model of their primary care provider (i.e., fee-for-service, blended fee-for-service, blended capitation). Quality of asthma care was measured using six validated, evidence-based asthma care performance indicators. Results All of the asthma performance indicators improved over time within each of the primary care models. Compared to the traditional fee-for-service model, the blended fee-for-service and blended capitation models had higher use of spirometry for asthma diagnosis and monitoring, higher rates of inhaled corticosteroid prescription, and lower outpatient claims. Emergency department visits were lowest in the blended fee-for-service group. Conclusions Quality of asthma care improved over time within each of the primary care models. However, the amount by which they improved differed between the models. The newer primary care models (i.e., blended fee-for-service, blended capitation) appear to provide better quality of asthma care compared to the traditional fee-for-service model.