Evidence map›Paper›PMID 21037819›Full record

ArticleHealthcare policy = Politiques de sante2009

Financial and work satisfaction: impacts of participation in primary care reform on physicians in ontario.

Michael E Green, William Hogg, David Gray, Doug Manuel, Michelle Koller, Sarah Maaten, Yan Zhang, Samuel E D Shortt

Abstract read
In one paragraph

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 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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

14 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Do compensation models affect family physician job satisfaction? Scoping review.Canadian family physician Medecin de famille canadien · 2025
    Article
  5. Article
  6. Canadian family physician Medecin de famille canadien · 2021
    Article
  7. Alternative payment models: A path forward.Canadian family physician Medecin de famille canadien · 2021
    Article
  8. Article
  9. Computer use in primary care practices in Canada.Canadian family physician Medecin de famille canadien · 2017
    Article
  10. Article
  11. Article
  12. Article
  13. Practice and payment preferences of newly practising family physicians in British Columbia.Canadian family physician Medecin de famille canadien · 2012
    Article
  14. 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

8 authors.

Michael E GreenAssociate Professor, Departments of Family Medicine & Community Health and Epidemiology, Centre for Health Services and Policy Research, Centre for Studies in Primary Care, Queen's University, Kingston, ON.
William Hogg
David Gray
Doug Manuel
Michelle Koller
Sarah Maaten
Yan Zhang
Samuel E D Shortt

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Governments in Ontario have promised family physicians (FPs) that participation in primary care reform would be financially as well as professionally rewarding. We compared work satisfaction, incomes and work patterns of FPs practising in different models to determine whether the predicted benefits to physicians really materialized. Study participants included 332 FPs in Ontario practising in five models of care. The study combined self-reported survey data with administrative data from ICES and income data from the Canada Revenue Agency. FPs working in non-fee-for-service (FFS) models had higher levels of work satisfaction than those in FFS models. Incomes were similar across groups prior to the advent of primary care reform. Incomes of family health network FPs rose by about 30%, while family health group FPs saw increases of about 10% and those in FFS experienced minimal changes or decreases. Self-reported change in income was not reliable, with only 47% of physicians correctly identifying whether their income remained stable, increased or decreased. The availability of a variety of FFS- and non-FFS-based payment options, each designed to accommodate physicians with different types or styles of practice, may be a useful tool for governments as they grapple with issues of physician recruitment and retention.

Identifiers

PMID21037819
PMCPMC2805146

What OpenQuestion holds

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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.