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: 
Approval date: 
Tuesday, May 1, 2018
Principal Investigator: 
Centre for Health Services and Policy Research
Funding Agency: 
Canadian Institutes of Health Research(CIHR),Michael Smith Foundation (MSFHR)
Datasets requested: 
Medical Services Plan (BC Ministry of Health)
Consolidation - demographic (Ministry of Health)
consolidation - census geocodes
Deaths (BC Vital Statistics Agency)
Hospital Separations (BC Ministry of Health)
Consolidation registry (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).

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: September 2, 2019