The purpose of the study was to determine the related healthcare costs of four nonprofit and four for-profit PHC clinics, in Northwestern Ontario, and to determine if there was a difference in cost-effectiveness and quality of services. An examination of three outcome variables, cost-effectiveness and two efficacy variables, HbA1c outcomes and the number of hospital admissions, provided an evaluation of efficacy and cost-effectiveness. Diabetes compliance was chosen, for the present study, as the measure of efficacy because of the large prevalence of diabetes in the population of NWO and the reliability of HbA1c as an extended and effective health care outcome measure over a longer period. A retrospective review of archival medical records of diabetic patients who attend either type of clinic determined if, and how many, diabetic patients were effectively controlling their diabetes. Archived financial and medical data from the PHC clinics were collected for the study. Overall costs for the year were divided by the number of patient encounters to determine cost-per-client encounter. An analysis of the data found there was a significant difference between PHC clinics in Northwestern Ontario. For-profit PHC clinics provided more cost-effective and efficient healthcare service delivery than non-profit PHC clinics. Recommendations from the findings contained alternatives for useful action. Recommendations for future studies grew out of the findings of the research and recommended future action in the future. Many new questions emerged from the present study as it provided a stepping off point for numerous ideas for future research.
|School:||University of Phoenix|
|School Location:||United States -- Arizona|
|Source:||DAI-B 70/09, Dissertation Abstracts International|
|Subjects:||Economics, Health care management|
|Keywords:||Canadian healthcare, Cost effectiveness, Diabetes, Diabetes compliance, Nonprofit, Ontario, Primary health care|
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