What are the impacts of being formally enrolled with a GP on continuity and integration of care: evidence from a comparison of QC and BC.

Project number: 
18-036
Approval date: 
Tuesday, May 1, 2018
Principal Investigator: 
McGrail,Kimberlyn
Institution: 
Centre for Health Services and Policy Research
Funding Agency: 
Canadian Institutes of Health Research(CIHR),Michael Smith Foundation (MSFHR),Canadian Institutes of
Datasets requested: 
PharmaNet
consolidation - census geocodes
Deaths (BC Vital Statistics Agency)
Hospital Separations (BC Ministry of Health)
Consolidation file (BC Ministry of Health)
NACRS
Medical Services Plan (BC Ministry of Health)
Consolidation - demographic (Ministry of Health)
Research objective: 

To assess whether and how patient enrolment may improve patient experiences, continuity and quality of care, and policy-relevant outcomes, we will:

1. Explore the meaning of patient enrolment to patients and providers and the potential mechanisms by which enrolment may change their experiences, behaviours, and relationships

2. Make cross-provincial research using existing administrative data more relevant and feasible by engaging with our partners to identify relevant outcomes, identify methodological challenges, and develop replicable techniques to address them in order to develop comparable measures across jurisdictions.

3. Estimate the impact and effect modifiers of being formally enroled with a GP on continuity and quality of care, and on policy-relevant health care system outcomes.

In Obj. 1 & 3 we will investigate whether the meaning and impacts of enrolment with a GP vary by patient characteristics (e.g., high-users of health care services, patients of low socioeconomic status).

RESEARCH HYPOTHESIS
We hypothesize that the meaning and impacts of enrolment with a GP may vary by patient characteristics: e.g., high users of health care services, patients with lower socioeconomic status. We will investigate this hypothesis under both Obj. 1 & 3.


Page last revised: June 5, 2018