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British Columbia’s Full Service Family Practice Incentive Program
The province of British Columbia has made substantial investments in primary care over the past 15 years, largely in the form of incentive payments to physicians. Over $1 billion has been spent on these payments, with the majority of this investment targeting the care of patients with chronic and complex conditions. We used administrative data to retrospectively examine the impact of incentive programs on primary care visits, continuity of care, disease-specific care processes, hospitalization rates, and costs, among patients with targeted chronic conditions. We used a quasi-experimental interrupted time series design, and explored various approaches to cohort and control group selection to confirm findings. We will review results of this analysis, and will also touch on broader trends in primary care human resource supply and service delivery over the period of investment.