Evidence map›Paper›PMID 20547504›Full record

ArticleCanadian family physician Medecin de famille canadien2010

Predicting the scope of practice of family physicians.

Eric Wong, Moira Stewart

Abstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Health system drivers of hospital medicine in Canada: systematic review.Canadian family physician Medecin de famille canadien · 2013
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Focused practice in family medicine: Quantitative study.Canadian family physician Medecin de famille canadien · 2022
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Predictors of rural family medicine practice in Canada.Canadian family physician Medecin de famille canadien · 2018
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Eric WongDepartment of Family Medicine, Schulich School of Medicine & Dentistry, University of Western Ontario in London, Canada. mdericwong@gmail.com
Moira Stewart

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify factors that are associated with the scope of practice of FPs and GPs who have office-based practices.

designSecondary univariable and multivariable analyses of cross-sectional data from the 2001 National Family Physician Workforce Survey conducted by the College of Family Physicians of Canada.

settingCanada.

participantsGeneral community of FPs and GPs who spent most of their clinical time in office settings.

main outcome measuresDemographic characteristics and scope of practice score (SPS), which was the number of 12 selected medical services provided by office-based FPs and GPs.

resultsThe multivariable model explained 35.1% of the variation in the SPS among participants. Geographic factors of provincial division and whether or not the population served was rural explained 30.5% of the variation in the SPS. Male physician sex, younger physician age, being in group practice, greater access to hospital beds, less access to specialists, main practice setting of an academic teaching unit, mixed method physician payment, additional structured postresidency training, and greater number of different types of allied health professionals in the main practice setting were also associated with higher SPSs.

conclusionGeographic factors were the strongest determinants of scope of practice; physician-related factors, availability of health care resources to the main practice setting, and practice organization factors were weaker determinants. It is important to understand how and why geographic factors influence scope of practice, and whether a broad scope of practice independent of population needs benefits the population. This study supports primary care renewal efforts that use mixed payment systems, incorporate allied health care professionals into family and general practices, and foster group practices.

Indexed as

Practice Patterns, Physicians'Analysis of VarianceCanadaFamily PracticeFemaleGeneral PracticeHumansMaleProfessional Practice LocationReferral and ConsultationRural Health ServicesUrban Health Services

Identifiers

PMID20547504
PMCPMC2902392

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.