IDEAS home Printed from https://ideas.repec.org/a/pal/jorsoc/v66y2015i9p1519-1532.html
   My bibliography  Save this article

Primary care network development: the regulator’s perspective

Author

Listed:
  • 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
    as

    Download full text from publisher

    File URL: http://www.palgrave-journals.com/jors/journal/v66/n9/pdf/jors2014119a.pdf
    File Function: Link to full text PDF
    Download Restriction: Access to full text is restricted to subscribers.
    File URL: http://www.palgrave-journals.com/jors/journal/v66/n9/full/jors2014119a.html
    File Function: Link to full text HTML
    Download Restriction: Access to full text is restricted to subscribers.
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. 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.
    2. 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.
    3. 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.
    4. 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.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:pal:jorsoc:v:66:y:2015:i:9:p:1519-1532. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Sonal Shukla or Springer Nature Abstracting and Indexing (email available below). General contact details of provider: http://www.palgrave-journals.com/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.