Evidence map›Paper›PMID 36515048›Full record

ArticleCanadian family physician Medecin de famille canadien2022

Focused practice in family medicine: Quantitative study.

Melad Marbeen, Thomas R Freeman, Amanda L Terry

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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.1field-weighted citation impact, top 19% 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

8 citing papers in PubMed, 4 citations in OpenAlex.

  1. Overview of Quantitative Research.Family medicine · 2026
    Review
  2. Article
  3. Article
  4. Article
  5. Article
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  7. Article
  8. Health care crisis in Canada: What is the matter?Canadian family physician Medecin de famille canadien · 2022
    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

3 authors at 2 institutions in 2 countries.

Melad MarbeenAdjunct Professor in the Department of Family Medicine at Western University in London, Ont. mmarbeen@uwo.ca.
Thomas R FreemanProfessor Emeritus in the Department of Family Medicine in the Centre for Studies in Family Medicine of the Schulich School of Medicine and Dentistry at Western University.
Amanda L TerryAssociate Professor in the Department of Family Medicine, Department of Epidemiology and Biostatistics, and the Schulich Interfaculty Program in Public Health at Western University, and is Director of the Centre for Studies in Family Medicine and Director of Research in the Department of Family Medicine at Western University.
The Family Center · USWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine factors associated with having a focused practice among a sample of family medicine graduates in Canada and to assess the characteristics of FPs with focused practices and the range of services provided by these FPs in relation to the full scope of office-based care.

designSecondary analyses of cross-sectional data from the 2013-2014 Western Family Medicine Resident Follow-Up Survey.

settingWestern University in London, Ont.

participantsWestern University family medicine residency graduates who completed the program between 1985 and 2012.

main outcome measuresPhysician and practice characteristics and the clinical services that survey participants provide.

resultsCompletion of postgraduate third-year (PGY3) training was associated with having a focused practice. Focused practice FPs were more likely to be remunerated by fee-for-service, alternative payment plans, or alternative funding plans compared with non-focused practice FPs, who were more likely to participate in group payment models. Focused practice FPs appeared to be a heterogeneous group who were distinguished by being either an office-based focused practice FP (OBFFP) or a non-office-based focused practice FP (NOBFFP). Office-based focused practice FPs were less likely than NOBFFPs to have completed PGY3 training and more likely to work under a fee-for-service or group payment model. Further, the OBFFP group offered a greater variety of primary care services than the NOBFFP group, but offered less variety than non-focused practice FPs.

conclusionCompletion of PGY3 training and payment through certain remuneration models were both associated with focused practice. Important differences exist between OBFFPs and NOBFFPs. The overall service provision of focused practice FPs was centred on specialized areas, especially among those practising in non-office-based settings. Novel findings from this study provide insights for family medicine education, work force planning, and policy making in the Canadian health system.

Indexed as

Family PracticeInternship and ResidencyCanadaCross-Sectional StudiesHumansPhysicians, FamilyWorkforce

Identifiers

PMID36515048
PMCPMC9796987
OpenAlexW4311417423

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.