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The Effect of Rostering with a Patient Enrolment Model on Emergency Department Utilization
Open accessAbstract
OBJECTIVE: To assess the effect of rostering with a patient enrolment model (PEM) in Ontario on emergency department utilization for non-emergent care. DATA SOURCES/STUDY SETTING: Administrative data for fiscal years 2006/07 through 2010/11 from the Ontario Ministry of Health and Long-Term Care were used for the analysis. STUDY DESIGN: Patient-level analysis with a difference-in-difference modelling approach was used to study the relationship. A control group was established using propensity score matching. PRINCIPAL FINDING: Results suggest that rostering with a PEM is associated with a statistically significant reduction in emergency department (ED) (non-emergent) visits in Ontario. More specifically, enrolment with PEMs reduced ED visits by 3% during the study period, translating into cost savings of approximately $8 million for hospitals in Ontario. CONCLUSION: This study shows that PEMs have achieved some degree of success in enhancing health system efficiency in Ontario through the reduction in the use of EDs for non-emergent care.
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“Several studies have examined specific primary care models that attach patients, making it difficult to disentangle the effect attributable to attachment from other features of these delivery models (e.g. team-based care, after-hours care) [37–41].”
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Cited by
Singh, J., Dahrouge, S., & Green, M. E. (2019) · BMC Family Practice · doi:10.1186/s12875-019-0942-7 · Cited by 34
Smithman, M. A., Haggerty, J., Gaboury, I., & Breton, M. (2022) · BMC Primary Care · doi:10.1186/s12875-022-01850-4 · Cited by 25
Metadata
- Authors
- Tiagi, R., & Chechulin, Y.
- Affiliations
- Ministry of Health and Long Term Care (CA)
- ORCID
- Tiagi, Raaj
- Venue
- Healthcare Policy | Politiques de Santé
- Publisher
- Longwoods Publishing
- Published
- 2014-05-28
- Volume
- 9
- Issue
- 4
- Pages
- 105-121
- ISSN
- 1715-6572 (ISSN-L)
- 1715-6580
- PMC
- PMC4749888
- OpenAlex
- W2144185040
- Cited by
- 18
- References
- 0
- Citations by year
- 2025: 4 · 2024: 2 · 2023: 1 · 2022: 3 · 2021: 4 · 2019: 1 · 2018: 2 · 2017: 1
- FWCI
- 0.36
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Healthcare policy (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Emergency Medicine › Emergency and Acute Care Studies
- Health Sciences › Medicine › Family Practice › Primary Care and Health Outcomes
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Keywords
- emergency department utilization, health system efficiency, hospital cost savings, Ontario health system
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Emergency Service, Hospital, Female, Health Services Misuse, Humans, Infant, Infant, Newborn, Male, Middle Aged, Ontario, Primary Health Care, Records, Models, Statistical, Universal Health Insurance, Young Adult, Propensity Score
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- CoChat. (2026). Citation check: The Effect of Rostering with a Patient Enrolment Model on Emergency Department Utilization. https://app.cochat.ai/papers/10.12927/hcpol.2014.23809
- The paper
- Tiagi, R., & Chechulin, Y. (2014). The Effect of Rostering with a Patient Enrolment Model on Emergency Department Utilization. Healthcare Policy | Politiques de Santé. https://doi.org/10.12927/hcpol.2014.23809
