ArticleCMAJ open
Family physician perspectives on primary care reform priorities: a cross-sectional survey.
Article in CMAJ open. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
What it found
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The trial behind it
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.
- Mapping Evidence and Constructing an Analytic Framework: An Umbrella Review Summarizing Primary Care Family Physicians' Experiences With Clinical Integration.Annals of family medicine · 2025Pooled it
- Toward better prevention of physician burnout: insights from individual participant data using the MD-specific Occupational Stressor Index and organizational interventions.Frontiers in public health · 2025Pooled it
- Current practices, attitudes and barriers to paediatric lipid screening and management amongst Family Physicians and Paediatricians in British Columbia.Paediatrics & child health · 2025Article
- Informing family physician payment reform in Canada: protocol for a cross-provincial, multimethod study.BMJ open · 2025Article
- Will blended family physician payment models revive primary care in Canada?Canadian family physician Medecin de famille canadien · 2025Article
- Diving deep in the undergraduate medical education curriculum: Going beyond the tip of the iceberg for primary care solutions.Canadian family physician Medecin de famille canadien · 2025Article
- Characteristics and Factors Influencing Clinical Pharmacy Services in Small Hospitals in British Columbia: A Theory-Informed Survey.The Canadian journal of hospital pharmacy · 2025Article
- Chronic pain management in primary care: Using population-based data to examine family physician practice patterns.Canadian family physician Medecin de famille canadien · 2024Article
- "Family doctors are also people": a qualitative analysis of how family physicians managed competing personal and professional responsibilities during the COVID-19 pandemic.Human resources for health · 2024Article
- System-Based Interventions to Address Physician Burnout: A Qualitative Study of Canadian Family Physicians' Experiences During the COVID-19 Pandemic.International journal of health policy and management · 2024Article
- The best defence is a good offence: Ensuring equitable access to primary care in Canada.Healthcare management forum · 2023Article
- What can publicly funded schools teach us about how to fix the family doctor shortage?Healthcare management forum · 2023Article
- Article
- 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 · 2022Article
- Keeping the front door open: ensuring access to primary care for all in Canada.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2022Article
- Development and pilot evaluation of an educational session to support sparing opioid prescriptions to opioid naïve patients in a Canadian primary care setting.Family practice · 2022Article
- Family physician practice patterns during COVID-19 and future intentions: Cross-sectional survey in Ontario, Canada.Canadian family physician Medecin de famille canadien · 2022Article
- Access to and quality of care for sexual and gender minority women living with HIV in Metro Vancouver, Canada: Results from a longitudinal cohort study.Women's health (London, England)Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe province of British Columbia is facing a family physician shortage despite consistent increases in the number of physicians per capita and ongoing reforms to address the shortage. We identify physicians' priorities for structural reform, describe the alignment of those priorities with BC's suite of reforms and compare responses between established physicians and those new to practice; we also assessed rates of burnout.
methodsAll family physicians credentialed within Vancouver Coastal Health in 2018 were invited to participate in a cross-sectional survey. Respondents were asked about their practice model and characteristics, demographics, level of burnout and reform priorities. We used χ
resultsOf the 1017 family physicians invited to participate, 525 (51.6%) responded. Of these, 399 (76.0%) indicated a need for fundamental change to how primary care is delivered; 244 (46.4%) would prefer to be a clinic employee rather than a small business owner. Other reform priorities included options to practise in a team (stated as very important by 69.6% of respondents), direct funding for team roles (66.7%), direct clinic funding (59.8%), part-time work options (64.7%), and ability to take planned vacations and parental leave (81.1%). The importance of individual reform priorities varied based on the participants' model of practice, location and years in practice. Of respondents, 108 (21.1%) had experienced a high level of burnout.
interpretationAlmost half of family physicians would prefer to be employees rather than small business owners and over 20% reported a high level of burnout. Practice models offering direct employment model have very limited availability and are not included in the current suite of reforms in BC, potentially pulling physicians away from community-based family medicine and into other models or specialties.
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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.