Paying for Primary Care: The Factors Associated with Physician Self‐selection into Payment Models

B-Tier
Journal: Health Economics
Year: 2015
Volume: 24
Issue: 9
Pages: 1229-1242

Authors (6)

David Rudoler (not in RePEc) Raisa Deber (not in RePEc) Janet Barnsley (not in RePEc) Richard H. Glazier (not in RePEc) Adrian Rohit Dass (University of Toronto) Audrey Laporte (Canadian Centre for Health Eco...)

Score contribution per author:

0.335 = (α=2.01 / 6 authors) × 1.0x B-tier

α: calibrated so average coauthorship-adjusted count equals average raw count

Abstract

To determine the factors associated with primary care physician self‐selection into different payment models, we used a panel of eight waves of administrative data for all primary care physicians who practiced in Ontario between 2003/2004 and 2010/2011. We used a mixed effects logistic regression model to estimate physicians' choice of three alternative payment models: fee for service, enhanced fee for service, and blended capitation. We found that primary care physicians self‐selected into payment models based on existing practice characteristics. Physicians with more complex patient populations were less likely to switch into capitation‐based payment models where higher levels of effort were not financially rewarded. These findings suggested that investigations aimed at assessing the impact of different primary care reimbursement models on outcomes, including costs and access, should first account for potential selection effects. Copyright © 2015 John Wiley & Sons, Ltd.

Technical Details

RePEc Handle
repec:wly:hlthec:v:24:y:2015:i:9:p:1229-1242
Journal Field
Health
Author Count
6
Added to Database
2026-01-25