The Family Health Team model is widely considered by health-system experts to be the best way to deliver primary care, especially for those with multiple complex medical conditions
, Ontario’s auditor-general suggested the Ministry of Health wasn’t getting value for the money it was pouring into the new payment models.
Dr. Bell, a former president of Toronto’s University Health Network who served as deputy minister from 2014 to 2018, said that although he believes the model is best for patients, the Liberal government he worked for decided to restrict entry into the FHO structure because it couldn’t get the Ontario Medical Association to agree at the bargaining table to clear accountability measures.
Either way, Ontario’s decision in 2015 to restrict entry into the more lucrative capitated payment models had immediate consequences, said Imaan Bayoumi, a family doctor and director of the Centre for Studies in Primary Care at Queen’s University.
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