Quality and quantity in primary care mixed‐payment models: evidence from family health organizations in Ontario

2013/02/01 by Boris Kralj, Jasmin Kantarevic
Economics, Econometrics and Finance · Health Professions · #Global Health Care Issues #Healthcare Policy and Management #Primary Care and Health Outcomes

paper · doi:10.1111/caje.12003

openalex publication_date 2013/02/01 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/26

Abstract

Abstract We study the impact of a mixed capitation model (the Family Health Organization, FHO) on quality and quantity outcomes among primary care physicians in Ontario. Using a panel of administrative data covering one year before and two years after the FHO model was introduced, we find that physicians in the FHO model provide about 6% to 7% fewer services and visits per day, but are between 7% and 11% more likely to achieve preventive care quality targets. These results suggest that the mixed capitation model with contractible quality indicators may be welfare improving relative to the FFS model.

Citations

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