Relational Continuity, Physician Payment, and Team-Based Primary Care in the Canadian Health Care System

From Department of Family and Community Medicine, St. Michael’s Hospital, Toronto, Ontario, Canada; Department of Family and Community Medicine, University of Toronto, Ontario, Canada (TK, RHG); MAP Centre for Urban Health Solutions, St. Michael’s Hospital, Unity Health, Toronto, Ontario, Canada (TK, LL, RHG); Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario, Canada (TK, RHG); ICES Central, Toronto, Ontario, Canada (TK, LB, AK, RHG); ICES Queen’s, Kingston, Ontario, Canada (MEG, SK, EF); Health Services and Policy Research Institute, Queen’s University, Kingston, Ontario, Canada (MEG, SK, EF); Department of Family Medicine, Queen’s University, Kingston, Ontario, Canada (MEG); Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada (LL, RHG).

From Department of Family and Community Medicine, St. Michael’s Hospital, Toronto, Ontario, Canada; Department of Family and Community Medicine, University of Toronto, Ontario, Canada (TK, RHG); MAP Centre for Urban Health Solutions, St. Michael’s Hospital, Unity Health, Toronto, Ontario, Canada (TK, LL, RHG); Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario, Canada (TK, RHG); ICES Central, Toronto, Ontario, Canada (TK, LB, AK, RHG); ICES Queen’s, Kingston, Ontario, Canada (MEG, SK, EF); Health Services and Policy Research Institute, Queen’s University, Kingston, Ontario, Canada (MEG, SK, EF); Department of Family Medicine, Queen’s University, Kingston, Ontario, Canada (MEG); Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada (LL, RHG).

From Department of Family and Community Medicine, St. Michael’s Hospital, Toronto, Ontario, Canada; Department of Family and Community Medicine, University of Toronto, Ontario, Canada (TK, RHG); MAP Centre for Urban Health Solutions, St. Michael’s Hospital, Unity Health, Toronto, Ontario, Canada (TK, LL, RHG); Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario, Canada (TK, RHG); ICES Central, Toronto, Ontario, Canada (TK, LB, AK, RHG); ICES Queen’s, Kingston, Ontario, Canada (MEG, SK, EF); Health Services and Policy Research Institute, Queen’s University, Kingston, Ontario, Canada (MEG, SK, EF); Department of Family Medicine, Queen’s University, Kingston, Ontario, Canada (MEG); Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada (LL, RHG).

From Department of Family and Community Medicine, St. Michael’s Hospital, Toronto, Ontario, Canada; Department of Family and Community Medicine, University of Toronto, Ontario, Canada (TK, RHG); MAP Centre for Urban Health Solutions, St. Michael’s Hospital, Unity Health, Toronto, Ontario, Canada (TK, LL, RHG); Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario, Canada (TK, RHG); ICES Central, Toronto, Ontario, Canada (TK, LB, AK, RHG); ICES Queen’s, Kingston, Ontario, Canada (MEG, SK, EF); Health Services and Policy Research Institute, Queen’s University, Kingston, Ontario, Canada (MEG, SK, EF); Department of Family Medicine, Queen’s University, Kingston, Ontario, Canada (MEG); Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada (LL, RHG).

From Department of Family and Community Medicine, St. Michael’s Hospital, Toronto, Ontario, Canada; Department of Family and Community Medicine, University of Toronto, Ontario, Canada (TK, RHG); MAP Centre for Urban Health Solutions, St. Michael’s Hospital, Unity Health, Toronto, Ontario, Canada (TK, LL, RHG); Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario, Canada (TK, RHG); ICES Central, Toronto, Ontario, Canada (TK, LB, AK, RHG); ICES Queen’s, Kingston, Ontario, Canada (MEG, SK, EF); Health Services and Policy Research Institute, Queen’s University, Kingston, Ontario, Canada (MEG, SK, EF); Department of Family Medicine, Queen’s University, Kingston, Ontario, Canada (MEG); Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada (LL, RHG).

From Department of Family and Community Medicine, St. Michael’s Hospital, Toronto, Ontario, Canada; Department of Family and Community Medicine, University of Toronto, Ontario, Canada (TK, RHG); MAP Centre for Urban Health Solutions, St. Michael’s Hospital, Unity Health, Toronto, Ontario, Canada (TK, LL, RHG); Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario, Canada (TK, RHG); ICES Central, Toronto, Ontario, Canada (TK, LB, AK, RHG); ICES Queen’s, Kingston, Ontario, Canada (MEG, SK, EF); Health Services and Policy Research Institute, Queen’s University, Kingston, Ontario, Canada (MEG, SK, EF); Department of Family Medicine, Queen’s University, Kingston, Ontario, Canada (MEG); Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada (LL, RHG).

From Department of Family and Community Medicine, St. Michael’s Hospital, Toronto, Ontario, Canada; Department of Family and Community Medicine, University of Toronto, Ontario, Canada (TK, RHG); MAP Centre for Urban Health Solutions, St. Michael’s Hospital, Unity Health, Toronto, Ontario, Canada (TK, LL, RHG); Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario, Canada (TK, RHG); ICES Central, Toronto, Ontario, Canada (TK, LB, AK, RHG); ICES Queen’s, Kingston, Ontario, Canada (MEG, SK, EF); Health Services and Policy Research Institute, Queen’s University, Kingston, Ontario, Canada (MEG, SK, EF); Department of Family Medicine, Queen’s University, Kingston, Ontario, Canada (MEG); Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada (LL, RHG).

From Department of Family and Community Medicine, St. Michael’s Hospital, Toronto, Ontario, Canada; Department of Family and Community Medicine, University of Toronto, Ontario, Canada (TK, RHG); MAP Centre for Urban Health Solutions, St. Michael’s Hospital, Unity Health, Toronto, Ontario, Canada (TK, LL, RHG); Institute of Health Policy, Management, and Evaluation, University of Toronto, Toronto, Ontario, Canada (TK, RHG); ICES Central, Toronto, Ontario, Canada (TK, LB, AK, RHG); ICES Queen’s, Kingston, Ontario, Canada (MEG, SK, EF); Health Services and Policy Research Institute, Queen’s University, Kingston, Ontario, Canada (MEG, SK, EF); Department of Family Medicine, Queen’s University, Kingston, Ontario, Canada (MEG); Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada (LL, RHG).