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Primary care network development: the regulator’s perspective

Author

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  • Anna Graber-Naidich

    (University of Toronto, Toronto, Canada)

  • Michael W Carter

    (University of Toronto, Toronto, Canada)

  • Vedat Verter

    (McGill University, Montreal, Canada)

Abstract

Our research is motivated by the proliferation of primary care models in Ontario, Canada. Currently, primary care is mainly provided by facilities belonging to six models of care. These models are remunerated by various schemes—a mixture of fee-for-service, capitation and salary. In addition, they provide different levels of care and several are better adjusted than others to treat complex health needs. The proposed mixed integer programming model allows the regulator to test the outcomes of locating different types of primary care facilities on the overall cost, accessibility and appropriateness of provided care. The network design is fitted to the heterogeneity of the population residing in a defined geographical area, directly using an index (deprivation index) that was found to correlate with increased health needs and barriers to care. The model capabilities are illustrated on the geographical area of Kingston, Ontario.

Suggested Citation

  • Anna Graber-Naidich & Michael W Carter & Vedat Verter, 2015. "Primary care network development: the regulator’s perspective," Journal of the Operational Research Society, Palgrave Macmillan;The OR Society, vol. 66(9), pages 1519-1532, September.
    • Handle: RePEc:pal:jorsoc:v:66:y:2015:i:9:p:1519-1532
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    Citations

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    Cited by:

    1. S. Khodaparasti & H. R. Maleki & S. Jahedi & M. E. Bruni & P. Beraldi, 2017. "Enhancing community based health programs in Iran: a multi-objective location-allocation model," Health Care Management Science, Springer, vol. 20(4), pages 485-499, December.
    2. Carter, Michael W. & Busby, Carolyn R., 2023. "How can operational research make a real difference in healthcare? Challenges of implementation," European Journal of Operational Research, Elsevier, vol. 306(3), pages 1059-1068.
    3. Kucukyazici, Beste & Zhang, Yue & Ardestani-Jaafari, Amir & Song, Lijie, 2020. "Incorporating patient preferences in the design and operation of cancer screening facility networks," European Journal of Operational Research, Elsevier, vol. 287(2), pages 616-632.
    4. Klein, Michael G. & Verter, Vedat & Moses, Brian G., 2020. "Designing a rural network of dialysis facilities," European Journal of Operational Research, Elsevier, vol. 282(3), pages 1088-1100.

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