Impact of general practitioner payment scheme on avoidable hospitalization for ambulatory care sensitive conditions

Project number: 
10-003
Approval date: 
Thursday, July 15, 2010
Principal Investigator: 
Eka,Ukeme
Institution: 
University of Northern British Columbia (UNBC)
Funding Agency: 
not grant funded
Datasets requested: 
Consolidation file (BC Ministry of Health)
Hospital Separations (BC Ministry of Health)
Research objective: 

The purpose of this study is to compare the effectiveness of Primary Health Care (PHC) interventions provided by GPs remunerated under two payment schemes fee-for service (FFS); and alternative payment plan (APP). This study will use health service utilization data for Ambulatory Care Sensitive Conditions (ACSC) to explore the effectiveness of primary health care interventions provided under each GP payment scheme. We will examine the effectiveness of each GP payment scheme by documenting the rates of hospitalization for ACSC. We will examine outcomes by community to determine whether there appears to be any relationship between the rates of hospitalization for ACSC and either of the GP payment plans.

This analysis will allow us to answer two key questions:
a) Are there any relationship between GP payment plans and hospitalization for
ACSC; and
b) Are smaller communities more likely to result in higher impact on ACSC

This knowledge will serve to bring evidence to adequate and effective economic incentive for GPs and quality primary care service.

Publications: 

Academic thesis or dissertation

  • Eka, M.E.U "Impact of general practitioner payment scheme on avoidable hospitalization for ambulatory care sensitive conditions." (2011) University of Northern British Columbia in Community Health Sciences MSc Thesis

Page last revised: December 5, 2017