Proportion of patients rostered to primary care by patient and provider characteristics
| Variable | No. (%)* | ||
|---|---|---|---|
| SMI patients (rostered), n = 448 319 | Diabetes mellitus patients (rostered), n = 854 668 | Ontario population (rostered), n = 8 135 246 | |
| Patient characteristics | |||
| Proportion of total Ontario population, % | 4.3 | 8.2 | 77.8 |
| Proportion rostered, % | 88.4 | 93.3 | 90.8 |
| Age, yr | |||
| 18–44 | 186 077 (86.4) | 75 707 (90.3) | 3 388 208 (88.7) |
| 45–64 | 184 472 (89.2) | 364 188 (92.8) | 3 029 283 (91.8) |
| 65–74 | 50 514 (91.4) | 236 718 (94.1) | 1 005 245 (93.6) |
| ≥ 75 | 27 256 (91.7) | 178 055 (94.4) | 712 510 (94.0) |
| Age, yr, mean ± SD | 48.34 ± 16.61 | 63.16 ± 13.53 | 48.91 ± 17.97 |
| Sex | |||
| Male | 186 458 (87.5) | 456 420 (93.2) | 3 799 657 (90.1) |
| Female | 261 861 (89.0) | 398 248 (93.3) | 4 335 589 (91.5) |
| Income quintile, patient | |||
| Missing | 1168 (79.2) | 1348 (85.1) | 14 808 (79.0) |
| Q1 (low) | 117 950 (86.6) | 195 392 (92.3) | 1 477 462 (89.2) |
| Q2 | 96 584 (88.3) | 188 533 (93.3) | 1 602 289 (90.6) |
| Q3 | 84 809 (89.2) | 178 112 (93.6) | 1 657 195 (91.2) |
| Q4 | 74 650 (89.6) | 155 313 (93.7) | 1 666 417 (91.5) |
| Q5 (high) | 73 158 (89.6) | 135 970 (93.7) | 1 717 075 (91.6) |
| New arrival to Ontario | |||
| Yes | 11 349 (84.9) | 39 709 (89.6) | 511 661 (86.8) |
| No | 436 970 (88.5) | 814 959 (94.3) | 7 634 585 (91.9) |
| Rurality | |||
| Missing | 2365 (84.2) | 7243 (90.8) | 53 855 (87.1) |
| Rural | 28 440 (88.9) | 62 534 (94.0) | 587 390 (92.6) |
| Suburban | 87 323 (89.2) | 162 483 (94.3) | 1 631 452 (92.2) |
| Urban | 330 191 (88.2) | 622 408 (92.9) | 5 862 549 (90.3) |
| Sum of ADGs in look-back period | |||
| 0 | 6884 (89.8) | NA | 321 924 (90.8) |
| 1–5 | 101 956 (88.5) | 217 459 (93.8) | 3 114 293 (90.0) |
| 6–10 | 187 590 (88.9) | 376 133 (93.6) | 3 303 576 (91.5) |
| ≥ 11 | 151 889 (87.7) | 261 076 (92.4) | 1 395 453 (91.2) |
| Psychosocial ADGs in look-back period | |||
| 0 | 92 430 (89.8) | 534 174 (93.9) | 5 307 675 (91.1) |
| 1 | 160 749 (89.6) | 251 122 (92.8) | 2 263 334 (91.1) |
| 2 | 147 070 (87.6) | 59 281 (90.8) | 480 171 (88.7) |
| 3 | 48 070 (84.4) | 10 091 (87.6) | 84 066 (84.4) |
| Primary care attachment in look-back period | |||
| Attached | 444 994 (89.2) | 852 469 (93.5) | 8 040 316 (92.2) |
| Unattached | 3325 (39.5) | 2199 (49.3) | 94 930 (40.2) |
| Primary care visits in the look-back period (primary care utilization), mean ± SD | 22.80 ± 26.04 | 23.48 ± 19.01 | 13.92 ± 15.73 |
| Psychiatric hospital admissions in look-back period | |||
| 0 | 403 260 (88.9) | 845 144 (93.3) | 8 058 855 (90.9) |
| 1 | 27 809 (85.1) | 6865 (89.0) | 54 145 (85.9) |
| ≥ 2 | 17 250 (83.1) | 2659 (85.1) | 22 246 (83.3) |
| Psychiatry visits during the study period, mean ± SD | 3.03 ± 9.23 | 0.33 ± 2.97 | 0.32 ± 3.27 |
| Psychiatric hospital admissions during the study period | |||
| 0 | 415 028 (88.8) | 846 442 (93.3) | 8 074 434 (90.9) |
| 1 | 21 934 (84.4) | 6429 (89.1) | 45 620 (85.6) |
| ≥ 2 | 11 357 (82.3) | 1797 (85.9) | 15 192 (82.8) |
| Provider characteristics | |||
| Physician sex | |||
| Female | 180 920 (89.4) | 294 295 (93.6) | 3 272 627 (91.5) |
| Male | 267 399 (87.7) | 560 373 (93.1) | 4 862 619 (90.4) |
| Physician age, yr, mean ± SD | 51.87 ± 11.63 | 53.30 ± 11.46 | 52.39 ± 11.37 |
| Rurality | |||
| Missing | 701 (83.1) | 1859 (87.9) | 14 078 (87.9) |
| Rural | 22 932 (89.6) | 51 201 (94.7) | 460 515 (93.3) |
| Suburban | 77 781 (89.3) | 147 931 (94.6) | 1 447 933 (92.7) |
| Urban | 346 905 (88.1) | 653 677 (92.9) | 6 212 720 (90.3) |
| Panel size, mean ± SD | 1957.03 ± 1025.16 | 2091.80 ± 1055.08 | 2034.42 ± 1036.28 |
| Total core primary care visits in study period | |||
| 0 | 30 482 (100.0) | 21 561 (100.0) | 871 124 (100.0) |
| 1 | 24 629 (80.3) | 20 651 (86.1) | 711 475 (83.9) |
| 2 | 27 961 (84.8) | 29 263 (89.6) | 762 917 (87.5) |
| 3–5 | 90 066 (87.8) | 133 167 (92.3) | 2 027 137 (90.0) |
| 6–10 | 121 877 (89.3) | 288 343 (94.0) | 2 075 481 (91.6) |
| ≥ 11 | 153 304 (88.2) | 361 683 (93.3) | 1 687 112 (91.4) |
| Mean ± SD | 9.93 ± 10.30 | 11.38 ± 9.25 | 6.92 ± 7.43 |
| Continuity of care, % | |||
| 0–40 | 79 427 (89.5) | 95 283 (93.3) | 1 163 249 (91.2) |
| 41–80 | 110 935 (84.5) | 184 573 (90.4) | 1 736 926 (87.7) |
| > 80 | 174 885 (90.6) | 503 337 (94.6) | 2 889 555 (93.0) |
| Attachment by collapsed model of care | |||
| Blended capitation team-based care | 147 487 (91.0) | 240 428 (95.2) | 2 517 934 (94.1) |
| Blended capitation no team-based care | 149 674 (88.7) | 294 021 (94.5) | 2 862 906 (92.6) |
| Enhanced fee for service | 145 252 (85.2) | 312 141 (90.6) | 2 677 226 (86.1) |
| Other | 5906 (100.0) | 8078 (100.0) | 77 180 (100.0) |
↵* Unless otherwise stated.
Note: ADGs = Aggregated Diagnosis Groups, NA = not applicable, SD = standard deviation, SMI = serious mental illness.