ArticleCMAJ open2017
Identification of physicians providing comprehensive primary care in Ontario: a retrospective analysis using linked administrative data.
Article in CMAJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers.
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Who cites it
55 citing papers in PubMed.
- Primary Care Attachment and Long-Term Mortality in Burn Survivors: A Population-Based Cohort Study.Journal of burn care & research : official publication of the American Burn Association · 2026Article
- A population-based study on the impact of social determinants of health on time to treatment of stage I lung cancer in Ontario, Canada.BMC cancer · 2026Article
- Impact of grassroots development of interprofessional team-based practices: Retrospective matched cohort study using ICES data.Canadian family physician Medecin de famille canadien · 2026Article
- Interprofessional teams and capacity in collaborative primary care: a rapid scoping review.Systematic reviews · 2026Article
- Toward a family medicine capability framework for Canada: From competence to capability.Canadian family physician Medecin de famille canadien · 2026Article
- Factors affecting lung cancer stage at diagnosis and receipt of surgery in Ontario: A population-based analysis.PloS one · 2026Article
- Predictors of burnout among academic family medicine faculty: Looking back to plan forward.PloS one · 2026Article
- Article
- Changes in Family Physicians Over Time in Alberta, Canada: A 16-Year Population-Based Cohort Study.Annals of family medicine · 2025Article
- Evaluating the Usability, Technical Performance, and Accuracy of Artificial Intelligence Scribes for Primary Care: Competitive Analysis.JMIR human factors · 2025Article
- Trends colliding: Aging comprehensive family physicians and the growing complexity of their patients.Canadian family physician Medecin de famille canadien · 2025Article
- Family Physicians in Focused Practice in Ontario, Canada: A Population-Level Study of Trends From 1993/1994 Through 2021/2022.Annals of family medicine · 2025Article
- Comprehensiveness in Primary Care: A Scoping Review.The Milbank quarterly · 2025Article
- Primary care in the COVID-19 pandemic and beyond: Lessons from Ontario.Canadian family physician Medecin de famille canadien · 2025Article
- Characterizing the services provided by family physicians in Ontario, Canada: A retrospective study using administrative billing data.PloS one · 2025Article
- Determinants of First Practice Location among Canadian Geriatric Medicine Trainees and Recent Graduates: Findings of a Cross-sectional Survey in 2023.Canadian geriatrics journal : CGJ · 2024Article
- Characteristics of walk-in clinic physicians and patients in Ontario: Cross-sectional study.Canadian family physician Medecin de famille canadien · 2024Article
- Mortality After Multivessel Revascularization in Patients With Diabetes and Acute Coronary Syndromes.JACC. Advances · 2024Article
- Article
- The relationship between relational continuity and family physician follow-up after an antidepressant prescription in older adults: a retrospective cohort study.BMC primary care · 2024Article
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGiven the changing landscape of primary care, there may be fewer primary care physicians available to provide a broad range of services to patients of all age groups and health conditions. We sought to identify physicians with comprehensive primary care practices in Ontario using administrative data, investigating how many and what proportion of primary care physicians provided comprehensive primary care and how this changed over time.
methodsWe identified the pool of active primary care physicians in linked population-based databases for Ontario from 1992/93 to 2014/15. After excluding those who saw patients fewer than 44 days per year, we identified physicians as providing comprehensive care if more than half of their services were for core primary care and if these services fell into at least 7 of 22 activity areas. Physicians with 50% or less of their services for core primary care but with more than 50% in a single location or type of service were identified as being in focused practice.
resultsIn 2014/15, there were 12 891 physicians in the primary care pool: 1254 (9.7%) worked fewer than 44 days per year, 1619 (12.6%) were in focused practice, and 1009 (7.8%) could not be classified. The proportion in comprehensive practice ranged from 67.5% to 74.9% between 1992/93 and 2014/15, with a peak in 2002/03 and relative stability from 2009/10 to 2014/15. Over this period, there was an increase of 8.8% in population per comprehensive primary care physician.
interpretationWe found that just over two-thirds of primary care physicians provided comprehensive care in 2014/15, which indicates that traditional estimates of the primary care physician workforce may be too high. Although implementation will vary by setting and available data, this approach is likely applicable elsewhere.
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