Understanding the Health System Use of Ambulatory Care Patients
This study originated in the desire to better understand which types of physicians are providing "primary care type services" to Manitobans and what impact this has on the quality of care received. This study is limited to ambulatory care services provided to Manitobans aged 19 and older over a three-year period between the fiscal years 2007/08 and 2009/10. Ambulatory care services are those provided in the community, outside of hospitals and personal care homes. In particular, the focus is on Manitobans with at least one of six chronic conditions. This group was chosen as the focus of the study because those with a chronic condition tend to use the healthcare system more frequently and they are more likely to benefit from continuity of care and high quality primary care services. This report provides new information about the use of ambulatory care services in Manitoba. This information places current primary care reform initiatives in context. The findings support the focus on reform related to primary care providers (physicians and nurse practitioners) as they provide the vast majority of primary care.
Manitoba Centre for Health Policy
Community Health Sciences, Max Rady College of Medicine,
Rady Faculty of Health Sciences,
Room 408-727 McDermot Ave.
University of Manitoba
Winnipeg, MB R3E 3P5 Canada