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Family Practice Models

Thinking about practising family medicine in Ontario? The Ministry of Health and Long-Term Care (MOHLTC) emphasizes comprehensive care that encompasses health promotion and disease prevention as well as treatment and disease management. The system accommodates a wide range of practice models but encourages group-based practice and interdisciplinary teams. Below are details about the different family practice models in the province:

Comprehensive Care Model

  • Designed for solo primary care physicians
  • Patient enrolment is strongly encouraged
  • Regular office hours plus one 3-hr session of extended hours (weekday evenings and/or weekends)
  • Sign agreement to join

How you get paid:

Family Health Groups

  • 3 or more physicians practising together – not necessarily in the same office space but in close proximity
  • Patient enrolment is strongly encouraged
  • Regular office hours and 3-5 sessions of extended hours (weekday evenings and/or weekends) based on number of group physicians. Patient volume may require additional sessions. Each after-hours session must be a minimum of 3 hours in duration
  • Nurse-staffed, after-hours Telephone Health Advisory Service provides advice to enrolled patients
  • Sign agreement to join

How you get paid:

Family Health Networks

  • 3 or more physicians working together as a group – not necessarily in the same office space but in close proximity
  • Physicians commit to enrol patients
  • Regular office hours and 3-5 sessions of extended hours (weekday evenings and/or weekends) based on number of physicians. Patient volume may require additional sessions. Each after-hours session must be a minimum of 3 hours in duration
  • Nurse-staffed, after-hours Telephone Health Advisory Service provides advice to enrolled patients
  • Sign governance and Family Health Network agreements to join
  • Family Health Networks can apply to the Ministry of Health and Long-Term Care for funding to add allied health professionals if they are successful in their application for a Family Health Team

How you get paid:

Family Health Organizations

  • 3 or more physicians work together as a group – not necessarily in the same office space but in close proximity
  • Physicians commit to enrol patients
  • Regular office hours and 3-5 sessions of extended hours (weekday evenings and/or weekends) based on number of physicians. Patient volume may require additional sessions. Each after-hours session must be a minimum of 3 hours in duration
  • Nurse-staffed, after-hours Telephone Health Advisory Service provides advice to enrolled patients
  • Sign governance and Family Health Organization agreements to join
  • Family Health Organizations can apply to the Ministry of Health and Long-Term Care for funding to add allied health professionals if they are successful in their application for a Family Health Team

How you get paid:

Family Health Teams

  • Work in interdisciplinary teams
  • Patient enrolment is strongly encouraged
  • Regular and extended hours
  • Become a member of a primary care group affiliated with an existing Family Health Team to join

How you get paid:

Rural-Northern Physician Group Agreement

  • Serves rural and northern communities with a complement of 1-7 physicians
  • Regular hours and 1-5 sessions of extended hours (weekday evenings and/or weekends) based on the size of the RNPGA
  • Nurse-staffed, after-hours Telephone Health Advisory Service provides advice to enrolled patients
  • Sign agreement to join
  • Rural and Northern Physician Groups can apply to the Ministry of Health and Long-Term Care for funding to add allied health professionals if they are successful in their application to become a Family Health Team

How you get paid:

Community Health Centres

  • Interdisciplinary teams serve hard-to-serve communities and populations that may have trouble securing health services
  • Centres focus on addressing the underlying conditions that affect people’s health, such as social determinants of health, poor diet and literacy
  • Regular and extended hours
  • Physicians are salaried employees of the Community Health Centre

How you get paid: