Related Research

The Effects of the Geriatric Fee Code on Health Care Utilization

The research issue of this project is the question of how patterns of primary health care utilization are affected by the payment structures for physicians.


The objective of this project is to estimate the effects of the 1999 introduction of a geriatric visit fee code in Nova Scotia on the visiting behaviour of older versus younger patients, and healthier versus sicker older patients. We use a difference-in-differences approach to identify, whether patients visit the primary care physician more often after their 65th birthday, and whether this effect is greater after 1999. We use a regression framework to identify whether physicians increase the proportion of geriatric patients in their practice after 1999.

The research team consists of Dr. Dominika Wranik, Dr. Stephane Mechoulan, Dr. Adrian Levy, Dr. David Zitner, and Lynn Lethbridge at Dalhousie University.

The project is funded by the Nova Scotia Health Research Foundation. The project has been approved by the Dalhousie Research Ethics Board. Data are managed by the Dalhousie Population Health Research Unit.

A Typology of Pay-for-Performance Models in Publicly Funded Health Systems

PaperworkThe research issue of this project is the increased use of pay-for-performance and in particular bonus payments in publicly funded health systems, with focus on Canada.

The objective of this project is to develop a typology of pay-for-performance models as they are used in publicly funded systems. The typology characterized the pay-for-performance methods along their differentiating characteristics,and populates the typology with case studies of exemplar types.

The research team consists of Dr. Dominika Wranik at Dalhousie University and Dr. Alan Katz at the University of Manitoba.

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