Fee-for-service efficiencies examined

Like Australia, Ontario has been trying to move away from remuneration that is totally fee-for-service.

GPs in Ontario can now opt to receive capitation fees, either alone or as a member of an interdisciplinary team, or continue to charge fees. Researchers are assessing the effect of these reforms. One measure of interest is the rate of referrals from primary care. Analysis of administrative databases found that there were more than 16.2 million referrals over two years.

After adjusting for patient and provider characteristics,