Choosing a family doctor is one of the most important healthcare decisions you make in Ontario. Beyond location and availability, the type of care model matters more than many patients realize.
This guide explains the difference between a Family Health Team and a solo family doctor, how each model works, and how to decide which option is right for you — in clear, practical terms.
What Is a Family Health Team?
A Family Health Team (FHT) is a group-based primary care model where multiple healthcare professionals work together to provide comprehensive care.
A Family Health Team may include:
- family doctors
- nurses or nurse practitioners
- dietitians
- social workers or mental health professionals
- pharmacists or care coordinators
The goal is to provide team-based, coordinated care that addresses both medical and preventive needs.
What Is a Solo Family Doctor?
A solo family doctor typically practices independently or with minimal staff support.
In this model:
- most care is provided directly by one physician
- services may be more limited in scope
- referrals to outside providers are more common
Solo practices can still provide high-quality care, especially for patients with straightforward medical needs.
Key Differences Between Family Health Teams and Solo Doctors
Access to Care
Family Health Team:
- multiple providers available
- easier access for follow-ups
- reduced reliance on walk-in clinics
Solo Family Doctor:
- access depends on one provider’s availability
- limited coverage during absences
Range of Services
Family Health Team:
- chronic disease management
- preventive care
- mental health support
- nutrition and lifestyle counselling
Solo Family Doctor:
- core medical care
- referrals for services outside the practice
Continuity and Coordination
Family Health Team:
- shared medical records
- coordinated care plans
- support during doctor absences
Solo Family Doctor:
- strong one-on-one relationship
- continuity depends on a single provider
How Each Model Handles Preventive Care
Family Health Teams often emphasize prevention through:
- routine screenings
- lifestyle counselling
- proactive follow-up
Solo practices may offer preventive care as well, but access to allied health professionals is typically more limited.
Mental Health Support Differences
Mental health care is a key differentiator.
Family Health Teams may offer:
- on-site counselling
- mental health screening
- integrated support plans
Solo doctors often refer patients externally for counselling or therapy.
Which Model Is Better for Chronic Conditions?
Patients managing chronic conditions such as diabetes, heart disease, or asthma may benefit from:
- coordinated monitoring
- access to multiple professionals
- structured follow-up
Family Health Teams are often better equipped for this level of ongoing support.
Are There Cost Differences?
For patients, there is no difference in OHIP coverage between a Family Health Team and a solo family doctor.
Medically necessary services provided by either model are covered by OHIP. Differences relate to care delivery, not patient cost.
How to Decide Which Option Is Right for You
Consider a Family Health Team if you:
- have complex or ongoing health needs
- value access to multiple providers
- want integrated preventive and mental health support
A solo family doctor may be a good fit if you:
- prefer one-on-one continuity
- have stable health needs
- value a long-standing personal relationship with a physician
Questions to Ask When Choosing a Clinic
Before registering, consider asking:
- who will be involved in my care?
- how are urgent concerns handled?
- what support services are available on-site?
Clear expectations help ensure a good fit.
Final Takeaway
Both Family Health Teams and solo family doctors play important roles in Ontario’s healthcare system.
The right choice depends on your health needs, preferences, and the level of support you want. Understanding the differences allows you to choose a care model that supports your long-term health and peace of mind.
