Characteristics of patients enrolled with family physician eligible for serious mental illness premium in fiscal years 2016/17–2017/18
| Variable | No. (%)* | |||||||
|---|---|---|---|---|---|---|---|---|
| $3001–$4000 n = 2 307 819 | $2001–$3000 n = 825 873 | $1001–$2000 n = 1 304 148 | ≤ $1000 n = 934 499 | Eligible (had ≥ 5 SMI patients), no premium n = 88 890 | Ineligible (< 5 SMI patients) in an eligible model n = 3 642 797 | Non-PEM physicians n = 373 489 | Total n = 9 477 515 | |
| Age at index, yr | ||||||||
| 18–44 | 954 450 (41.4) | 347 823 (42.1) | 548 041 (42.0) | 397 114 (42.5) | 36 363 (40.9) | 1 590 094 (43.7) | 138 273 (37.0) | 4 012 158 (42.3) |
| 45–64 | 858 945 (37.2) | 301 975 (36.6) | 482 621 (37.0) | 344 002 (36.8) | 32 479 (36.5) | 1 335 576 (36.7) | 143 141 (38.3) | 3 498 739 (36.9) |
| 65–74 | 286 368 (12.4) | 101 979 (12.3) | 158 648 (12.2) | 114 185 (12.2) | 11 745 (13.2) | 422 858 (11.6) | 51 108 (13.7) | 1 146 891 (12.1) |
| ≥ 75 | 208 056 (9.0) | 74 096 (9.0) | 114 838 (8.8) | 79 198 (8.5) | 8303 (9.3) | 294 269 (8.1) | 40 967 (11.0) | 819 727 (8.6) |
| Mean ± SD | 49.03 ± 18.12 | 48.86 ± 18.09 | 48.76 ± 18.06 | 48.57 ± 17.99 | 49.34 ± 18.31 | 48.07 ± 17.86 | 50.98 ± 18.31 | 48.64 ± 18.02 |
| Sex, female | 1 191 074 (51.6) | 436 917 (52.9) | 705 173 (54.1) | 506 256 (54.2) | 47 322 (53.2) | 1 934 913 (53.1) | 197 062 (52.8) | 5 018 717 (53.0) |
| Income quintile, patient | ||||||||
| Q1 (low) | 462 482 (20.0) | 154 425 (18.7) | 236 646 (18.1) | 161 755 (17.3) | 15 002 (16.9) | 659 526 (18.1) | 92 058 (24.6) | 1 781 894 (18.8) |
| Q2 | 466 334 (20.2) | 165 135 (20.0) | 255 402 (19.6) | 178 764 (19.1) | 15 900 (17.9) | 716 594 (19.7) | 80 561 (21.6) | 1 878 690 (19.8) |
| Q3 | 459 216 (19.9) | 167 933 (20.3) | 261 031 (20.0) | 190 827 (20.4) | 17 480 (19.7) | 750 051 (20.6) | 74 611 (20.0) | 1 921 149 (20.3) |
| Q4 | 441 416 (19.1) | 162 172 (19.6) | 265 909 (20.4) | 197 063 (21.1) | 18 485 (20.8) | 763 377 (21.0) | 66 202 (17.7) | 1 914 624 (20.2) |
| Q5 (high) | 473 584 (20.5) | 174 595 (21.1) | 282 464 (21.7) | 204 195 (21.9) | 21 852 (24.6) | 745 371 (20.5) | 59 063 (15.8) | 1 961 124 (20.7) |
| Missing | 4787 (0.2) | 1613 (0.2) | 2696 (0.2) | 1895 (0.2) | 171 (0.2) | 7878 (0.2) | 994 (0.3) | 20 034 (0.2) |
| New arrival to Ontario | ||||||||
| No | 2 203 310 (95.5) | 778 408 (94.3) | 1 225 055 (93.9) | 873 121 (93.4) | 85 063 (95.7) | 3 341 258 (91.7) | 345 593 (92.5) | 8 851 808 (93.4) |
| Yes | 104 509 (4.5) | 47 465 (5.7) | 79 093 (6.1) | 61 378 (6.6) | 3827 (4.3) | 301 539 (8.3) | 27 896 (7.5) | 625 707 (6.6) |
| Rurality, patient | ||||||||
| Urban | 1 645 034 (71.3) | 597 805 (72.4) | 936 030 (71.8) | 653 124 (69.9) | 49 727 (55.9) | 2 710 734 (74.4) | 289 903 (77.6) | 6 882 357 (72.6) |
| Suburban | 500 010 (21.7) | 169 018 (20.5) | 256 380 (19.7) | 187 267 (20.0) | 26 262 (29.5) | 658 362 (18.1) | 50 517 (13.5) | 1 847 816 (19.5) |
| Rural | 149 890 (6.5) | 54 391 (6.6) | 101 727 (7.8) | 88 015 (9.4) | 11 214 (12.6) | 245 121 (6.7) | 26 939 (7.2) | 677 297 (7.1) |
| Missing | 12 885 (0.6) | 4659 (0.6) | 10 011 (0.8) | 6093 (0.7) | 1687 (1.9) | 28 580 (0.8) | 6130 (1.6) | 70 045 (0.7) |
| Sum of ADGs in look-back period† | ||||||||
| 0 | 91 519 (4.0) | 30 267 (3.7) | 50 933 (3.9) | 36 092 (3.9) | 3601 (4.1) | 145 728 (4.0) | 6648 (1.8) | 364 788 (3.8) |
| 1–5 | 897 827 (38.9) | 319 607 (38.7) | 512 007 (39.3) | 358 194 (38.3) | 37 015 (41.6) | 1 384 168 (38.0) | 114 154 (30.6) | 3 622 972 (38.2) |
| 6–10 | 921 573 (39.9) | 332 292 (40.2) | 523 081 (40.1) | 378 056 (40.5) | 34 458 (38.8) | 1 483 288 (40.7) | 165 320 (44.3) | 3 838 068 (40.5) |
| ≥11 | 396 900 (17.2) | 143 707 (17.4) | 218 127 (16.7) | 162 157 (17.4) | 13 816 (15.5) | 629 613 (17.3) | 87 367 (23.4) | 1 651 687 (17.4) |
| Psychosocial ADGs in look-back period† | ||||||||
| 0 | 1 458 436 (63.2) | 530 378 (64.2) | 848 479 (65.1) | 609 479 (65.2) | 59 651 (67.1) | 2 405 454 (66.0) | 202 272 (54.2) | 6 114 149 (64.5) |
| 1 | 658 251 (28.5) | 232 994 (28.2) | 361 883 (27.7) | 259 414 (27.8) | 23 261 (26.2) | 996 946 (27.4) | 125 393 (33.6) | 2 658 142 (28.0) |
| 2 | 159 368 (6.9) | 52 723 (6.4) | 79 046 (6.1) | 55 698 (6.0) | 5056 (5.7) | 204 210 (5.6) | 36 605 (9.8) | 592 706 (6.3) |
| 3 | 31 764 (1.4) | 9778 (1.2) | 14 740 (1.1) | 9908 (1.1) | 922 (1.0) | 36 187 (1.0) | 9219 (2.5) | 112 518 (1.2) |
| Psychiatric hospitalization in look-back period† | ||||||||
| Mean ± SD | 0.02 ± 0.25 | 0.02 ± 0.24 | 0.02 ± 0.22 | 0.02 ± 0.21 | 0.01 ± 0.18 | 0.02 ± 0.22 | 0.04 ± 0.40 | 0.02 ± 0.24 |
| Total core primary care visits in study period† | ||||||||
| 0 | 237 754 (10.3) | 79 765 (9.7) | 130 508 (10.0) | 89 789 (9.6) | 10 136 (11.4) | 344 073 (9.4) | 16 186 (4.3) | 908 211 (9.6) |
| 1 | 222 485 (9.6) | 79 499 (9.6) | 124 800 (9.6) | 85 956 (9.2) | 9873 (11.1) | 330 709 (9.1) | 9381 (2.5) | 862 703 (9.1) |
| 2 | 229 656 (10.0) | 82 718 (10.0) | 130 338 (10.0) | 90 181 (9.7) | 10 101 (11.4) | 337 166 (9.3) | 14 167 (3.8) | 894 327 (9.4) |
| 3–5 | 588 811 (25.5) | 214 719 (26.0) | 339 289 (26.0) | 237 518 (25.4) | 24 628 (27.7) | 879 080 (24.1) | 76 899 (20.6) | 2 360 944 (24.9) |
| 6–10 | 581 432 (25.2) | 210 175 (25.4) | 332 059 (25.5) | 242 029 (25.9) | 21 686 (24.4) | 922 331 (25.3) | 117 603 (31.5) | 2 427 315 (25.6) |
| ≥11 | 447 681 (19.4) | 158 997 (19.3) | 247 154 (19.0) | 189 026 (20.2) | 12 466 (14.0) | 829 438 (22.8) | 139 253 (37.3) | 2 024 015 (21.4) |
| Continuity of care,‡ % | ||||||||
| 0–40 | 290 431 (18.0) | 107 264 (18.4) | 174 785 (19.0) | 147 292 (22.0) | 581 342 (21.6) | 35 981 (10.8) | 1 337 095 (19.6) | 290 431 (18.0) |
| 41–80 | 488 994 (30.2) | 185 762 (31.8) | 295 262 (32.1) | 225 428 (33.7) | 843 174 (31.3) | 126 545 (37.9) | 2 165 165 (31.8) | 488 994 (30.2) |
| > 80 | 838 499 (51.8) | 290 865 (49.8) | 448 455 (48.8) | 295 853 (44.3) | 1 265 113 (47.0) | 171 229 (51.3) | 3 310 014 (48.6) | 838 499 (51.8) |
Note: ADGs = Aggregated Diagnosis Groups, PEM = patient enrolment model, SD = standard deviation, SMI = serious mental illness.
↵* Unless stated otherwise.
↵† Look-back period: Apr. 1, 2013–Mar. 30, 2016.
↵‡ Continuity of care: proportion of primary care visits with the person’s own physician (for those with ≥ 3 primary care visits in 2 years).