Evidence map›Paper›PMID 31551384›Full record

ArticleBMJ open2019

Practice patterns among early-career primary care (ECPC) physicians and workforce planning implications: protocol for a mixed methods study.

M Ruth Lavergne, Laurie J Goldsmith, Agnes Grudniewicz, David Rudoler, Emily Gard Marshall, Megan Ahuja, Doug Blackie, Fred Burge, Richard J Gibson, Richard H Glazier and 18 more

Abstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing 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

29 citing papers in PubMed.

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  18. Family medicine has become more complex: New funding model is a welcome first step.Canadian family physician Medecin de famille canadien · 2023
    Article
  19. Changes over time in patient visits and continuity of care among graduating cohorts of family physicians in 4 Canadian provinces.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2022
    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

28 authors.

M Ruth LavergneFaculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada ruth_lavergne@sfu.ca.ORCID 0000-0002-4205-4600
Laurie J GoldsmithFaculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada.
Agnes GrudniewiczTelfer School of Management, University of Ottawa, Ottawa, Ontario, Canada.
David RudolerUniversity of Ontario Institute of Technology, Oshawa, Ontario, Canada.
Emily Gard MarshallDepartment of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Megan AhujaCentre for Health Services and Policy Research, University of British Columbia, Vancouver, British Columbia, Canada.
Doug BlackieSchool of Leadership Studies, Royal Roads University, Victoria, British Columbia, Canada.
Fred BurgeDepartment of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Richard J GibsonNova Scotia Health Authority, Halifax, Nova Scotia, Canada.
Richard H GlazierInstitute for Clinical Evaluative Sciences, Toronto, Ontario, Canada.
Steve HawrylyshynFirst Five Years group, College of Family Physicians of Canada, Toronto, Ontario, Canada.
Lindsay HeddenFaculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada.
Jacalynne Hernandez-LeeDepartment of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Kathleen HorreyDepartment of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Mike JoyceNova Scotia Department of Health and Wellness, Halifax, Nova Scotia, Canada.
Tara KiranDepartment of Family and Community Medicine, St. Michael's Hospital and University of Toronto, Toronto, Ontario, Canada.
Adrian MacKenzieNova Scotia Department of Health and Wellness, Halifax, Nova Scotia, Canada.
Maria MathewsDepartment of Family Medicine, University of Western Ontario, London, Ontario, Canada.
Rita McCrackenDepartment of Family Practice, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.ORCID 0000-0002-2962-0364
Kimberlyn McGrailCentre for Health Services and Policy Research, University of British Columbia, Vancouver, British Columbia, Canada.
Madeleine McKayDepartment of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada.
Charmaine McPhersonNova Scotia Department of Health and Wellness, Halifax, Nova Scotia, Canada.
Goldis MitraDepartment of Family Practice, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Tara SampalliNova Scotia Health Authority, Halifax, Nova Scotia, Canada.
Ian ScottDepartment of Family Practice, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
David SnaddenDepartment of Family Practice, Faculty of Medicine, University of British Columbia Northern Medical Program, Prince George, British Columbia, Canada.ORCID 0000-0002-4818-1184
Gail Tomblin MurphyDepartment of Community Health and Epidemiology and WHO/PAHO Collaborating Centre on Health Workforce Planning and Research, Dalhousie University, Halifax, Nova Scotia, Canada.
Sabrina T WongCentre for Health Services and Policy Research, University of British Columbia, Vancouver, British Columbia, Canada.

Funding

CIHR R-PJT-155965
6 · The paper itself

Abstract

introductionCanadians report persistent problems accessing primary care despite an increasing per-capita supply of primary care physicians (PCPs). There is speculation that PCPs, especially those early in their careers, may now be working less and/or choosing to practice in focused clinical areas rather than comprehensive family medicine, but little evidence to support or refute this. The goal of this study is to inform primary care planning by: (1) identifying values and preferences shaping the practice intentions and choices of family medicine residents and early career PCPs, (2) comparing practice patterns of early-career and established PCPs to determine if changes over time reflect cohort effects (attributes unique to the most recent cohort of PCPs) or period effects (changes over time across all PCPs) and (3) integrating findings to understand the dynamics among practice intentions, practice choices and practice patterns and to identify policy implications. METHODS AND ANALYSIS: We plan a mixed-methods study in the Canadian provinces of British Columbia, Ontario and Nova Scotia. We will conduct semi-structured in-depth interviews with family medicine residents and early-career PCPs and analyse survey data collected by the College of Family Physicians of Canada. We will also analyse linked administrative health data within each province. Mixed methods integration both within the study and as an end-of-study step will inform how practice intentions, choices and patterns are interrelated and inform policy recommendations. ETHICS AND DISSEMINATION: This study was approved by the Simon Fraser University Research Ethics Board with harmonised approval from partner institutions. This study will produce a framework to understand practice choices, new measures for comparing practice patterns across jurisdictions and information necessary for planners to ensure adequate provider supply and patient access to primary care.

Indexed as

Family PracticeHealth Planning GuidelinesMedical Staff, HospitalPhysicians, Primary CarePractice Patterns, Physicians'AdultCanadaCareer ChoiceFemaleHealth WorkforceHumansMaleQualitative ResearchResearch Designgraduate medical educationhealth workforcemixed methods, family medicineprimary health care

Identifiers

PMID31551384
PMCPMC6773300

What OpenQuestion holds

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LicenceCC BY-NC
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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.