CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
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Comparative Study
Longitudinal evaluation of physician payment reform and team-based care for chronic disease management and prevention.
We evaluated a large-scale transition of primary care physicians to blended capitation models and team-based care in Ontario, Canada, to understand the effect of each type of reform on the management and prevention of chronic disease. ⋯ The shift to capitation payment and the addition of team-based care in Ontario were associated with moderate improvements in processes related to diabetes care, but the effects on cancer screening were less clear.