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Apr 3, 2019 · A new study says Ontario's access bonus system — meant to make doctors more available outside of regular hours — is rewarding doctors who are less available. Doctors say government neglect ...
Jan 4, 2019 · The “access bonus” is a substantial fee Ontario doctors are paid if their patients do not seek care outside their group, such as at a walk-in clinic. The study found that the average amount family physicians were receiving for the “access bonus” ranged from over $17,000 per physician and exceeding $36,000 for physicians in the highest quintile.
Apr 3, 2019 · It's the unintended consequence of the Ontario system that decides how much family doctors are paid. A new study says Ontario's access bonus system — meant to make doctors more available outside of regular hours — is rewarding doctors who are less available. Dr. Rick Glazier is one of the authors of that study into access bonus payments.
Apr 2, 2019 · But, instead of resulting in better access to primary health care, as intended, the bonuses had unintended consequences, said Glazier. While doctors would be penalized if their patients went to ...
- Elizabeth Payne
access bonus is structured such that primary care practices earn bonuses when their patients do not seek external care (i.e., outside use) for core primary care services. The more outside use, the lower the bonus,11 though emergency department visits are not included in the calculation. In 2019, our team published a study showing that rurality
Oct 1, 2021 · In the early 2000s, Canadians were having challenges accessing primary care.1 – 6 To address the problem, Ontario was among several provinces that implemented aggressive primary care reform,7 – 9 including the 2004 introduction of a pay-for-performance financial incentive, the access bonus, which can increase a family physician’s earnings by up to about 20% of their capitation payments ...
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Does Ontario's access bonus system make doctors more available?
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Does a 'access bonus' reduce primary care visits outside capitation practices?
Apr 1, 2019 · This study was a cross-sectional population-based analysis of Ontario’s Family Health Organization model in 2012–13, which comprised 4,052 primary care physicians and 5.9 million patients. We ...