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Primary Health Care System
Presenter: Leah Steele, University of Toronto January 19, 2011 Abstract: Dr. Steele speak about the relationship between primary care reform and the provision of mental health services to Ontario residents. Changes in primary care delivery that are relevant to Ontarians with mental illness include the move from fee-for-service to capitation models of physician remuneration, the addition of financial incentives for physicians to roster patients with serious mental illness, and the inclusion of funded mental health professionals in Family Health Teams. Dr Steele will report findings related to 1) the rates of enrolment in primary care models by individuals with mental illness, 2) the association between primary care model types and health service use by patients with mental illness including outpatient visits, hospitalizations and readmissions, and 3) the association between receipt of financial incentives by providers and the rates of inclusion in primary care models for patient with severe mental illness.
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