Questions regarding this webinar can be sent to Ryan Janssen at ryan.janssen@hamiltonfht.ca

1. Using a population-based approach to provide care to the community

Learning Objectives

Using a geographic information system to map referrals to allied health workers showed important geographic disparities in rates of referrals that were consistent across multiple sites.  More importantly, though, as a function of allocating resources based on roster size, rather than based on ‘need,’ these regional disparities in rates of referral result in the inequitable provision of allied healthcare.  We hope that this will lead participants to reflect on their own resource allocation models and/or undertake a similar geographic analysis.

Summary/Abstract

Hamilton Family Health Team has historically allocated resources to practices as a function of roster size (equally) without consideration of differential need for services across communities (equitably).  This study investigated differential rates of mental health referrals by postal code forward sortation areas in Hamilton.  Results indicated that patients living in economically-deprived areas of Hamilton were referred to mental health services at twofold rate relative to patients living in more economically privileged areas.  We discuss the implications of these referral patterns for practices located in economically marginalized areas, as well as the challenges and considerations involved in developing a model for equitable resource allocation.
 

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