title: Do new and traditional models of   primary care differ with regard to access?:   Canadian QUALICOPC study.
abstract: OBJECTIVE
  To examine access to primary care in new and traditional models using 2 dimensions of the concept of patient-centred access.
  
  
  METHODS
  An international survey examining the quality and costs of primary health care (the QUALICOPC study) was conducted in 2013 in Canada. This study adopted a descriptive cross-sectional survey method using data from practices across Canada. Each participating practice filled out the Family Physician Survey and the Practice Survey, and patients in each participating practice were asked to complete the Patient Experiences Survey.
  
  
  METHODS
  All 10 Canadian provinces.
  
  
  METHODS
  A total of 759 practices and 7172 patients.
  
  
  METHODS
  Independent t tests were conducted to examine differences between new and traditional models of care in terms of availability and accommodation, and affordability of care.
  
  
  RESULTS
  Of the 759 practices, 407 were identified as having new models of care and 352 were identified as traditional. New models of care were distinct with respect to payment structure, opening hours, and having an interdisciplinary work force. Most participating practices were from large cities or suburban areas. There were few differences between new and traditional models of care regarding accessibility and accommodation in primary care. Patients under new models of care reported easier access to other physicians in the same practice, while patients from traditional models reported seeing their regular family physicians more frequently. There was no difference between the new and traditional models of care with regard to affordability of primary care. Patients attending clinics with new models of care reported that their physicians were more involved with them as a whole person than patients attending clinics based on traditional models did.
  
  
  CONCLUSIONS
  Primary care access issues do not differ strongly between traditional and new models of care; however, patients in the new models of care believed that their physicians were more involved with them as people.
authors.forename: Baukje
authors.initials: B
authors.lastname: Miedema
authors.forename: Julie
authors.initials: J
authors.lastname: Easley
authors.forename: Ashley E
authors.initials: AE
authors.lastname: Thompson
authors.forename: Antoine
authors.initials: A
authors.lastname: Boivin
authors.forename: Kris
authors.initials: K
authors.lastname: Aubrey-Bassler
authors.forename: Alan
authors.initials: A
authors.lastname: Katz
authors.forename: William E
authors.initials: WE
authors.lastname: Hogg
authors.forename: Mylaine
authors.initials: M
authors.lastname: Breton
authors.forename: Danièle
authors.initials: D
authors.lastname: Francoeur
authors.forename: Sabrina T
authors.initials: ST
authors.lastname: Wong
authors.forename: Walter P
authors.initials: WP
authors.lastname: Wodchis
mesh_terms: D000328:Adult; D000368:Aged; D002170:Canada; D002204:Capitation Fee; D003430:Cross-Sectional Studies; D018588:Fee-for-Service Plans; D005260:Female; D005102:Health Expenditures; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D011320:Primary Health Care / Q000191:economics / Q000458:organization & administration*; D011795:Surveys and Questionnaires