Evidence map›Paper›PMID 36973051›Full record

ArticleAnnals of family medicine

Declining Comprehensiveness of Services Delivered by Canadian Family Physicians Is Not Driven by Early-Career Physicians.

M Ruth Lavergne, David Rudoler, Sandra Peterson, David Stock, Carole Taylor, Andrew S Wilton, Sabrina T Wong, Ian Scott, Kimberlyn M McGrail, Rita McCracken and 10 more

Open access · diamondAbstract read
In one paragraph

Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
8.3field-weighted citation impact, top 2% 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

19 citing papers in PubMed, 19 citations in OpenAlex.

  1. Article
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  5. Review
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  10. Will blended family physician payment models revive primary care in Canada?Canadian family physician Medecin de famille canadien · 2025
    Article
  11. Article
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  16. Review
  17. Article
  18. Ending the generational blame game: Let us move forward with needed primary care change.Canadian family physician Medecin de famille canadien · 2023
    Article
  19. 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

20 authors at 10 institutions in 1 country.

M Ruth LavergneDalhousie University, Department of Family Medicine, Halifax, Nova Scotia, Canada (M. R. L., F. B.) ruth.lavergne@dal.ca.
David RudolerOntario Tech University, Faculty of Health Sciences, Oshawa, Ontario, Canada (D. R.).
Sandra PetersonThe University of British Columbia, Centre for Health Services and Policy Research, Vancouver, British Columbia, Canada (S. P., S. T. W., K. M. M.).
David StockDalhousie University, Department of Community Health and Epidemiology, Halifax, Nova Scotia, Canada (D. S., A. M.).
Carole TaylorUniversity of Manitoba, Manitoba Centre for Health Policy, Winnipeg, Manitoba, Canada (C. T.).
Andrew S WiltonInstitute for Clinical Evaluative Sciences, Toronto, Ontario, Canada (A. S. W., R. H. G.).
Sabrina T WongThe University of British Columbia, Centre for Health Services and Policy Research, Vancouver, British Columbia, Canada (S. P., S. T. W., K. M. M.).
Ian ScottThe University of British Columbia, Department of Family Practice, Vancouver, British Columbia, Canada (I. S., R. M.).
Kimberlyn M McGrailThe University of British Columbia, Centre for Health Services and Policy Research, Vancouver, British Columbia, Canada (S. P., S. T. W., K. M. M.).
Rita McCrackenThe University of British Columbia, Department of Family Practice, Vancouver, British Columbia, Canada (I. S., R. M.).
Emily G MarshallNova Scotia Health Authority, Halifax, Nova Scotia, Canada (E. G. M., A. M.).
Adrian MacKenzieDalhousie University, Department of Community Health and Epidemiology, Halifax, Nova Scotia, Canada (D. S., A. M.).
Alan KatzUniversity of Manitoba, Department of Family Medicine, Winnipeg, Manitoba, Canada (A.K.).
Margaret JamiesonUniversity of Toronto, Institute of Health Policy Management and Evaluation, Toronto, Ontario, Canada (M. J., R. H. G.).
Lindsay HeddenSimon Fraser University, Faculty of Health Sciences, Burnaby, British Columbia, Canada (L. H., L. J. G.).
Agnes GrudniewiczUniversity of Ottawa, Telfer School of Management, Ottawa, Ontario, Canada (A. G.).
Laurie J GoldsmithSimon Fraser University, Faculty of Health Sciences, Burnaby, British Columbia, Canada (L. H., L. J. G.).
Richard H GlazierInstitute for Clinical Evaluative Sciences, Toronto, Ontario, Canada (A. S. W., R. H. G.).
Fred BurgeDalhousie University, Department of Family Medicine, Halifax, Nova Scotia, Canada (M. R. L., F. B.).
Doug BlackieRoyal Roads University, School of Leadership Studies, Victoria, British Columbia, Canada (D. B.).
University of British Columbia · CADalhousie University · CAInstitute for Clinical Evaluative Sciences · CASimon Fraser University · CAUniversity of Manitoba · CANova Scotia Health Authority · CAOntario Tech University · CARoyal Roads University · CAUniversity of Ottawa · CAUniversity of Toronto · CA

Funding

CIHR 155965
6 · The paper itself

Abstract

We describe changes in the comprehensiveness of services delivered by family physicians in 4 Canadian provinces (British Columbia, Manitoba, Ontario, Nova Scotia) during the periods 1999-2000 and 2017-2018 and explore if changes differ by years in practice. We measured comprehensiveness using province-wide billing data across 7 settings (home, long-term care, emergency department, hospital, obstetrics, surgical assistance, anesthesiology) and 7 service areas (pre/postnatal care, Papanicolaou [Pap] testing, mental health, substance use, cancer care, minor surgery, palliative home visits). Comprehensiveness declined in all provinces, with greater changes in number of service settings than service areas. Decreases were no greater among new-to-practice physicians.

Indexed as

Physicians, FamilyBritish ColumbiaFemaleHumansManitobaOntarioPregnancyCanadacohort effectcomprehensive health carefamily medicineprimary carescope of practice

Identifiers

PMID36973051
PMCPMC10042570
OpenAlexW4360991821

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.