Topic > Comparison of Three Methods of Payment for Doctors in Ontario

Introduction It is generally accepted that the method of payment of doctors influences their professional attitude and behavior. As a result, health policy makers manipulate the payment system in an attempt to achieve optimal health care for their citizens, such as improving accessibility, quality of care, patient satisfaction, and cost containment. In Ontario, there is a wide range of mechanisms used to pay doctors for their services, funded by both the federal and provincial governments. According to the Canada Health Act Annual Report (2013), the majority of primary care physicians are funded using fee-for-service, but of that majority, only less than 30% are compensated solely on a fee-for-service basis. service plan. The remaining physicians are funded using one of the following blended compensation models:1. Improved Fee-for-Service: Family Health Groups (FHGs), Comprehensive Care Model2. Mixed capitalization models: Family Health Network (FHN), Family Health Organization (FHO)3. Blended Complement Model: Rural and Northern Physician Group Arrangements (RNPGA)4. Blended Salary Model: Community Sponsor Family Health Team (FHT) Each model features different types of earnings incentives for physicians to provide cost-effective care that improves clinical outcomes. This paper will conduct a cost-benefit analysis of the three underlying methods that are used exclusively or mixed together to pay doctors in Ontario. It will compare and contrast the fee for service, capitation and salary model. This article will explore the impact of these models on the quality and quantity of the primary healthcare system. Fee for Service Fee for Service is the most common method and also the most accused...... middle of document...... 2012–2013 (130413). (2013). Retrieved from Majesty the Queen in Right of Canada website: http://www.hc-sc.gc.ca/hcs-sss/alt_formats/pdf/pubs/cha-ics/2013-cha-lcs-ar-ra -eng .pdfBlomqvist A., Busby C., (2012). How to pay family doctors: why “pay per patient” is better than fee for service. Howe Institute CD Commentary, Commentary 365. Lischko A. (2011). Physician Payment Reform: Reviewing and Updating Models. Massachusetts Medical Society.Xu, M & Yu, W. (2003). Doctor Payment Options: A Policy Discussion for New Brunswick. University of New Brunswick Department of Health and Wellness. Chawla, M., Windak, A., Berman, P., & Kulis, M. (1997). Paying the doctor: review of different methods. Data for Decision Making Project, Department of Population and International Health, Harvard School of Public Health, Boston, Massachusetts