The effect of enrolment policies on patient affiliation to a family physician: A quasi-experimental evaluation in Canada

Caroline King, M. Ruth Lavergne, Kimberlyn McGrail and Erin Strumpf

Health Policy, 2025, vol. 156, issue C

Abstract: Affiliation, defined as having a usual source of care, revealed by patterns of repeated interactions between the patient and a clinician over time, can influence patients’ care experience, continuity of care and health outcomes. Many jurisdictions implement primary care enrolment policies, with the motivation to increase affiliation and thereby improve downstream patient outcomes. However, there is little evidence on the impacts of these policies on patient-physician affiliation.

Keywords: Primary care; Patient enrolment; Patient affiliation; Difference-in-differences; Interrupted time series; Continuity of care; Administrative health data; Policy; Impact evaluation; Usual provider continuity; Reporting a regular medical doctor index (search for similar items in EconPapers)
Date: 2025
References: Add references at CitEc
Citations:

Downloads: (external link)
http://www.sciencedirect.com/science/article/pii/S0168851025000697
Full text for ScienceDirect subscribers only

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:eee:hepoli:v:156:y:2025:i:c:s0168851025000697

DOI: 10.1016/j.healthpol.2025.105313

Access Statistics for this article

Health Policy is currently edited by Katrien Kesteloot, Mia Defever and Irina Cleemput

More articles in Health Policy from Elsevier
Bibliographic data for series maintained by Catherine Liu () and ().