Journal Article

Physician payment models and cardiac imaging in patients at low cardiovascular risk: A population-based cohort study in Alberta, Canada

Manns, Braden J., Tonelli, Marcello, Au, Flora, Chew, Derek S., James, Matthew T., Quinn, Amity E., Wilton, Stephen B., Ogundeji, Yewande Kofoworola

2025

Overview

Many factors beyond patient need influence the care that patients receive, including the way physicians are paid, and how services are delivered. In Alberta, outpatient non-invasive cardiac imaging (\"cardiac imaging\") is paid for publicly but performed at private, for-profit (investor/physician owned) facilities. We investigated patient, physician, and geographic factors associated with cardiac imaging in patients at low cardiovascular risk seeing specialist physicians in Alberta, Canada. This was a population-based retrospective cohort study using administrative health data from Alberta, Canada, where nearly all outpatient cardiac imaging is done at privately for-profit community-based facilities. We used administrative health data to identify a cohort of adult (aged ≥18 years) patients at low cardiovascular risk who were assessed by a cardiologist or internal medicine specialist for a new outpatient visit for a cardiac-related reason between April 1, 2011 and December 30, 2019 in Alberta. The primary outcome was cardiac imaging. Explanatory variables included patient and physician characteristics, including payment model (fee for service (FFS) or salary-based), and geography. We used multilevel, multivariable logistic regression models to measure the association between these factors and cardiac imaging. We identified 398,095 patients at low cardiovascular risk, of whom 27.5% received at least one cardiac imaging test. Compared to those seen by FFS cardiologists (and controlling for patient and geographic differences), patients seen by salary-based internal medicine specialists had the lowest odds of receiving cardiac imaging (OR=0.055, P < 0.001, CI 0.036-0.086), followed by those seen by FFS internal medicine specialists (OR=0.010, P < 0.001, CI 0.068-0.14), and salary-based cardiologists (OR=0.27, P < 0.001, CI 0.16-0.45). Findings were robust across multiple sensitivity analyses. Physician payment models and specialty are strongly associated with non-invasive cardiac imaging among patients at low cardiovascular risk.

• Publisher: Public Library of Science,PLOS,Public Library of Science (PLoS)
• Subject: Adult / Aged / Alberta - epidemiology / Capitation / Cardiac Imaging Techniques - economics / Cardiac stress tests / Cardiology / Cardiovascular disease / Cardiovascular diseases / Cardiovascular Diseases - diagnostic imaging / Cardiovascular Diseases - economics / Cardiovascular Diseases - epidemiology / Chronic illnesses / Cohort Studies / Demographic aspects / Diagnosis / Diagnostic tests / Female / Fitness equipment / Gender / Geography / Health insurance / Health risks / Heart / Humans / Hypertension / Imaging / Influence / Internal medicine / Male / Medical care / Medical fees / Medical research / Medicine / Medicine and Health Sciences / Medicine, Experimental / Middle Aged / Out of pocket costs / Patients / Payments / People and Places / Physicians / Physicians - economics / Population / Population studies / Primary care / Regression analysis / Regression models / Research and Analysis Methods / Retrospective Studies / Risk factors / Sensitivity analysis / Social Sciences / Utilization / Workloads