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- Title
"A Band-Aid Solution": Policy Maker and Primary Care Provider Perspectives on the Value of Attachment Incentives.
- Authors
GARD MARSHALL, EMILY; COOK, MACKENZIE; MORITZ, LAUREN; BUOTE, RICHARD; MATHEWS, MARIA; BRETON, MYLAINE
- Abstract
Approximately 15% of Canadians are without a primary care provider ("unattached"). To address "unattachment," several provinces introduced a financial incentive for family physicians who attach new patients. A descriptive qualitative approach was used to explore perspectives of patient access and attachment to primary care. Semi-structured qualitative interviews were conducted with family physicians, nurse practitioners and policy makers in Nova Scotia. Thematic analysis was performed to identify participant perspectives on the value and efficacy of financial incentives to promote patient attachment. Three themes were identified: (1) positive impacts of the incentive, (2) shortcomings of the incentive and (3) alternative strategies to strengthen primary healthcare. Participants felt that attachment incentives may offer short-term solutions to patient unattachment; however, financial incentives cannot overcome systemic challenges. Participants recommended alternative policy levers to strengthen primary healthcare, including addressing the shortage of primary care providers and developing remuneration and practice models that support sustainable patient attachment.
- Subjects
CANADA; HEALTH policy; HEALTH services accessibility; ATTITUDES of medical personnel; RESEARCH methodology; INTERVIEWING; PRIMARY health care; QUALITATIVE research; POLICY sciences; THEMATIC analysis; JUDGMENT sampling; DATA analysis software
- Publication
Healthcare Policy, 2023, Vol 18, Issue 4, p106
- ISSN
1715-6572
- Publication type
Article
- DOI
10.12927/hcpol.2023.27090