Evidence map›Paper›PMID 36376032›Full record

ArticleCanadian family physician Medecin de famille canadien2022

Family physician practice patterns during COVID-19 and future intentions: Cross-sectional survey in Ontario, Canada.

Tara Kiran, Ri Wang, Curtis Handford, Nadine Laraya, Azza Eissa, Pauline Pariser, Rebecca Brown, Cheryl Pedersen

Open access · diamondAbstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2022. 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
3.6field-weighted citation impact, top 7% of its field
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, 19 citations in OpenAlex.

  1. Trial
  2. Observational
  3. Article
  4. Review
  5. Article
  6. Grassroots development of interprofessional primary care teams: a qualitative study in Canadian family practices.The British journal of general practice : the journal of the Royal College of General Practitioners · 2025
    Article
  7. Article
  8. Public experiences and perspectives of primary care in Canada: results from a cross-sectional survey.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024
    Article
  9. Article
  10. Article
  11. Article
  12. Family medicine's stress test.Canadian family physician Medecin de famille canadien · 2022
    Article
  13. Article
  14. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 3 countries.

Tara KiranVice-Chair of Quality and Innovation in the Department of Family and Community Medicine (DFCM) at the University of Toronto in Ontario, Associate Professor in the Faculty of Medicine and the Institute of Health Policy, Management and Evaluation at the University of Toronto, Scientist in the MAP Centre for Urban Health Solutions at St Michael's Hospital in Toronto and a staff physician in the DFCM at St Michael's Hospital. tara.kiran@utoronto.ca.
Ri WangAnalyst at the MAP Centre for Urban Health Solutions in the Li Ka Shing Knowledge Institute at St Michael's Hospital.
Curtis HandfordFamily physician in the DFCM at St Michael's Hospital and Associate Professor in the DFCM at the University of Toronto.
Nadine LarayaCommunity Family Medicine Liaison at St Joseph's Health Centre, Unity Health Toronto, and Primary Care Working Group Chair for the West Toronto Ontario Health Team.
Azza EissaClinician Scholar in the DFCM at the University of Toronto.
Pauline PariserAssociate Professor in the DFCM at the University of Toronto and Associate Medical Director at the University Health Network in Toronto.
Rebecca BrownResearch Coordinator in the MAP Centre for Urban Health Solutions at St Michael's Hospital.
Cheryl PedersenResearch Project Manager in the MAP Centre for Urban Health Solutions at St Michael's Hospital.
St Michael’s Hospital · GBSt Joseph's Health Centre · CASt Michael's Hospital · GBSt Michael's Hospital · GBUniversity Clinic of Traumatology · ATUniversity Health Network · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the extent to which family physicians closed their doors altogether or for in-person visits during the pandemic, their future practice intentions, and related factors.

designCross-sectional survey.

settingSix geographic areas in Toronto, Ont, aligned with Ontario Health Team regions.

participantsFamily doctors practising office-based, comprehensive family medicine.

main outcome measuresPractice operations in January 2021, use of virtual care, and future plans.

resultsOf the 1016 (85.7%) individuals who responded to the survey, 99.7% (1001 of 1004) indicated their practices were open in January 2021, with 94.8% (928 of 979) seeing patients in person and 30.8% (264 of 856) providing in-person care to patients reporting COVID-19 symptoms. Respondents estimated spending 58.2% of clinical care time on telephone visits, 5.8% on video appointments, and 7.5% on e-mail or secure messaging. Among respondents, 17.5% (77 of 439) were planning to close their existing practices in the next 5 years. There were higher proportions of physicians who worked alone in clinics among those who did not see patients in person (27.6% no vs 12.4% yes,

conclusionMost family physicians in Toronto were open to in-person care in January 2021, but almost one-fifth were considering closing their practices in the next 5 years. Policy makers need to prepare for a growing family physician shortage and better understand factors that support recruitment and retention.

Indexed as

COVID-19Practice Patterns, Physicians'Cross-Sectional StudiesHumansIntentionOntario

Identifiers

PMID36376032
PMCPMC9833162
OpenAlexW4309367579

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.