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Table 1 Numbers of patients enrolled with a family physician through GACOs before and after the changes in financial incentives by vulnerability, by source of registration in GACOs, and by priority code

From: Who gets a family physician through centralized waiting lists?

  

Before (Periods 1 to 47) N = 47

After (Periods 48 to 65) N = 18

p-value

All patients

All

Total

107 100

387 597

<.0001

Average per period

1 139

10 767

CI

555 ; 1 724

8517 ; 10 738

Patients with vulnerability

Yes: patients had a least one vulnerability code*

Total

74 017

116 119

<.0001

Average per period

1 575

6 451

CI

1 086 ; 2 064

5 661 ; 7 241

No

Total

33 083

271 478

<.0001

Average per period

704

15 082

CI

215 ; 1 193

14 292 ; 15 872

Source of referrals for GACO registration (The main categories are presented)

Hospitalization and ER

Total

3 283

3 449

0.58

Average per period

70

192

CI

-159 ; 299

-178 ; 561

Health professionals

Total

43 706

48 057

0.0002

Average per period

131

343

CI

72 ; 190

248 ; 439

Self-referral

Total

13 314

24 8039

<.0001

Average per period

289

13 780

CI

128 ; 451

13 518 ; 14 041

User

Total

33 466

71 359

<.0001

Average per period

824

3 964

CI

662 ; 986

3 704 ; 4 226

Priority codes

Priority 1: less than 30 days

Total

11 224

11 032

<.0001

Average per period

239

613

CI

10 ; 467

244 ; 982

Priority 2: less than 3 months

Total

31 378

78 341

<.0001

Average per period

668

4 352

CI

440 ; 896

3 983 ; 4 721

Priority 3: less than six months

Total

40 303

89 243

<.0001

Average per period

858

4 958

CI

629 ; 1 086

4 589 ; 5 327

Priority 4: less than one year

Total

8 750

38 531

<.0001

Average per period

186

2 141

CI

42 ; 415

1 772 ; 2 510

Priority 5: no time frame recommended

Total

15 445

170 450

<.0001

Average per period

329

9 469

CI

100 ; 557

9 100 ; 9 838

  1. *Patients were considered vulnerable if they presented with one of 19 codes of vulnerability as defined by Quebec's Health Insurance Board (RAMQ) based on the presence of certain medical diagnoses (e.g. diabetes, chronic obstructive pulmonary disease, mental health disorders).