ArticleHealthcare policy = Politiques de sante2009
Factors affecting physician performance: implications for performance improvement and governance.
Article in Healthcare policy = Politiques de sante, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled 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.
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.
Who cites it
23 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Pooled it
- Effects of the scope of practice on family physicians: a systematic review.BMC family practice · 2021Pooled it
- Does practice size matter? Review of effects on quality of care in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2013Pooled it
- Association Between Patient Behavior and Clinician Emotional Burden, Perceived Performance, and Decision-Making in Implant Dentistry: A Cross-Sectional Study Among Clinicians.Clinical and experimental dental research · 2026Article
- Reframing Validity: How Values Shape Assessment in Postgraduate Medical Education.Perspectives on medical education · 2026Article
- Examining the influence of scarcity, weather, and vacation on physicians' performance, mortality, and costs.International journal of medical sciences · 2026Article
- Slack resources and individual performance of clinicians: the mediating role of job satisfaction and empirical evidence from public hospitals in Beijing, China.BMC health services research · 2023Article
- Physician engagement in regularly scheduled rounds.Canadian medical education journal · 2021Article
- Physicians' Knowledge and Practices Regarding Asthma in Jordan: A Cross-Sectional Study.Frontiers in public health · 2021Article
- Risk Perception of Health Professionals in Intrapartum Care Decisions: Protocol for a Mixed Methods Study.JMIR research protocols · 2020Article
- The role of accreditation in 21st century health professions education: report of an International Consensus Group.BMC medical education · 2020Article
- Primary care physicians' access to in-house ultrasound examinations across Europe: a questionnaire study.BMJ open · 2019Article
- Primary care performance of alternatively licenced physicians in Ontario, Canada: a cross-sectional study using administrative data.BMJ open · 2019Article
- Experiential knowledge of risk and support factors for physician performance in Canada: a qualitative study.BMJ open · 2019Article
- Exploring the situational motivation of medical specialists: a qualitative study.International journal of medical education · 2018Article
- Differences in medical services in Nordic general practice: a comparative survey from the QUALICOPC study.Scandinavian journal of primary health care · 2017Article
- Exploring Record Keeping, Clinical Reasoning, and Practice Context: Peer Assessment Findings from the Perspective of Situational Competence.Physiotherapy Canada. Physiotherapie Canada · 2017Article
- Prescribing and practice development decision-making in Irish general practices.Irish journal of medical science · 2015Review
- Impact of college-administered quality practice assessments: a longitudinal evaluation of repeat peer assessments of continuing competence in physiotherapists.Physiotherapy Canada. Physiotherapie Canada · 2015Article
- Physicians' perceived barriers to management of sexually transmitted infections in Vietnam.BMC public health · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA physician's personal and professional characteristics constitute only one, and not necessarily the most important, determining factor of clinical performance. Our study assessed how physician, organizational and systemic factors affect family physicians' performance.
methodOur study examined 532 family practitioners who were randomly selected for peer assessment by the College of Physicians and Surgeons of Ontario. A series of multivariate regression analyses examined the impact of physician factors (e.g., demographics, certification) on performance scores in five clinical areas: acute care, chronic conditions, continuity of care and referrals, well care and records. A second series of regressions examined the simultaneous effects of physician, organizational (e.g., practice volume, hours worked, solo practice) and systemic factors (e.g., northern practice location, community size, physician-to-population ratio).
resultsOUR STUDY HAD THREE KEY
findings(a) physician factors significantly influence performance but do not appear to be nearly as important as previously thought; (b) organizational and systemic factors have significant effects on performance after the effects of physician factors are controlled; and (c) physician, organizational and systemic factors have varying effects across different dimensions of clinical performance.
conclusionsWe discuss the implications of our results for performance improvement and physician governance insofar as both need to consider the broader environmental context of medical practice.
Identifiers
21037818PMC2805145What OpenQuestion holds
Registered trials
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.