n. A form of health care in which a group of doctors looks after a roster of patients and are paid based partially on the size of that roster.
Patients who join the new system, called rostering, will typically have access to a family doctor from 9 a.m. to 10 p.m. seven days a week.
One promising solution is the rostering approach to family medicine. People are asked to sign a contract promising to see only their chosen physician or one with whom their doctor is affiliated. In exchange, rostered patients are guaranteed round-the-clock, daily medical service. The Harris government recently launched rostering pilot projects in five cities, with Hamilton being one of the most advanced in this experiment.
Other family doctors work on staff at community health centres (CHCs), where they are salaried employees. Ontario has 77 HSOs and 56 CHCs, some in existence since the early 1960s. Such blended methods of payment are common in other countries with publicly funded health care. Salaried doctors, multidisciplinary group-practice registration and "rostering" for accountability and payment are well supported in the literature and in the field.