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INDICATOR NAME
Name
Having a family doctor or other primary care provider
Alternate Name
Percentage of people aged 16 and older who reported having a family doctor or other primary care provider.
 
INDICATOR DESCRIPTION
Description
This indicator measures the percentage of people in Ontario aged 16 and older who reported having a family doctor or other primary care provider for regular check-ups and when sick. Having a primary care provider is associated with better follow-up, screening and illness prevention for patients, as well as better use of resources within the health system. A higher percentage is better.
Indicator Status
Active
HQO Reporting tool/product
Public reporting
Dimension
Patient-centred, Timely
Type
Outcome
 
DEFINITION AND SOURCE INFORMATION
Unit of Measurement
Percentage
Calculation Methods
Numerator divided by the denominator times 100
Numerator including inclusion/exclusion

The numerator is derived from certain responses to the 3 survey questions below. Respondents who answered “Yes” to question 1 or 3 below are reported as being attached to a primary care provider and are included in the numerator.

Weighted number of survey respondents who answered the following question:

1. Do you have a family doctor, a general practitioner or GP, or nurse practitioner that you see for regular check-ups, when you are sick and so on?

- Yes

- No

- Don’t know

- Refused 

Respondents who answered “yes” to question 1 are included in the numerator as attached respondents. Respondents who answered “no”, “don’t know”, or “refused” to question 1 were then asked question 2:

Weighted number of survey respondents who answered the following question:

2. Do you see any type of health care provider, for your health, on a regular basis?

 -Yes

- No

- Don’t know

- Refused

Respondents who answered “no” to question 2 are not included in the numerator. Respondents who answered “yes”, “don’t know”, or “refused” to question 2 were then asked question 3:

Weighted number of survey respondents who answered the following question:

3. Do you think of this person as your regular health care provider or family doctor?

-          Yes

-          No

-          Don’t know

-          Refused

Respondents who answered “yes” to question 3 are included in the numerator as attached respondents. Respondents who answered “no”, “don’t know” or “refused” to question 3 are not included in the numerator.

Denominator including inclusion/exclusion

The denominator is derived from responses to 3 survey questions and includes respondents who are attached to a primary care provider and those who are not attached.

 Weighted number of respondents to the survey question:

  1. Do you have a family doctor, a general practitioner or GP, or nurse practitioner that you see for regular check-ups, when you are sick and so on?

Yes

- No

- Don’t know

- Refused

Respondents who answered “yes” to question 1 are included in the denominator as attached respondents. Respondents who answered “no”, “don’t know”, or “refused” to question 1 were then asked question 2:

Weighted number of respondents to the survey question:

2. Do you see any type of health care provider, for your health, on a regular basis?

Yes

- No

- Don’t know

- Refused

Respondents who answered “no” to question 2 are included in the denominator as unattached respondents. Respondents who answered “yes”, “don’t know”, or “refused” to question 2 were then asked question 3:

Weighted number of survey respondents to the survey question:

3. Do you think of this person as your regular health care provider or family doctor?

-          Yes

-          No

-          Don’t know

-          Refused

Respondents who answered “yes” to question 3 are included in the denominator as attached respondents. Respondents who answered “no”, “don’t know” or “refused” to question 3 are included the denominator as unattached respondents.


Adjustment (risk, age/sex standardization)- detailed
None
Data Source
Health Care Experience Survey (HCES)
Data provided to HQO by
Ministry of Health
Reported Levels of comparability /stratifications (defined)
Age, Education, Immigration, Income, Language, Province, Region, Rurality, Sex
 
RESULT UPDATES
Indicator Results
 
OTHER RELEVANT INFORMATION
Caveats and Limitations
1. Only people aged 16 years and older can complete the survey. 2. People living in institutions, in households without telephones, and those with invalid/missing household addresses in the Registered Persons Database (RPDB) are excluded. 3. Respondents who were unable to speak English or French or were not healthy enough (physically or mentally) to complete the interview were not surveyed. The Health Care Experience Survey (HCES) on which the indicator data are based has been affected by reduced surveying in 2023. The 2023 data are unreliable for some indicator results, so those are not reported. Please note that results for 2023 are based on data collected from April to December 2023 rather than during the entire calendar year.
Comments Detailed
The results are weighted to account for the design characteristics of the survey and post-stratified by age and sex to reflect the Ontario population. In addition, regional and community weighting is applied. The education stratification analysis is reported among those aged 25 and older. Urban/rural status is defined using Statistics Canada's Statistical Area Classification. Household income analysis does not consider household composition.
Footnotes
i Lambrew J.M., DeFriese G.H., Carey T.S., Ricketts T.C., Biddle A.K. The Effects of Having a Regular Doctor on Access to Primary Care. Medical Care. 1996;34(2):138-51. ii R. Glazier. Balancing equity issues in health system: Perspectives of primary healthcare. 2007. iii Hay C, Pacey M, Bains N, Ardal S. Understanding the unattached population in Ontario. Evidence from Primary Care Access Survey. iv Rask K.J., Williams M.V., Parker R.M., McNagny S.E. Obstacles Predicting Lack of a Regular Provider and Delays in Seeking Care for Patients at an Urban Public Hospital. Journal of the American Medical Association. 1994;271(24):1931-33. v Jaakkimainen L el all. Primary Care: A practice Atlas. Toronto: Institute for clinical Evaluative Sciences. 2006
 
TAGS
Sector
Primary Care
Type
Outcome
Topic
Access, Patient Reported Measures
Dimension
Patient-centred, Timely
Source
Health Care Experience Survey (HCES)
 
PUBLISH
Publish Datetime
21/10/2024 13:05:00