ArticleCanadian family physician Medecin de famille canadien2023
Changes in comprehensiveness of services delivered by Canadian family physicians: Analysis of population-based linked data in 4 provinces.
Article in Canadian family physician Medecin de famille canadien, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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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.
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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.
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Who cites it
12 citing papers in PubMed.
- Factors influencing the match between patient needs and primary care services: Patient and healthcare provider perspectives from two Canadian provinces.Journal of health services research & policy · 2026Article
- Aligning the policy-created gardens of Canadian primary health care: Toward a new access landscape.Canadian family physician Medecin de famille canadien · 2026Article
- What will we lose if antepartum, intrapartum, and postpartum care becomes a focused practice?Canadian family physician Medecin de famille canadien · 2026Article
- To stay or leave: an integrative review of factors, personas, and recommendations for retaining family physicians in Canada.BMC primary care · 2025Review
- Aligning family medicine residency learning outcomes with societal needs: a nominal group study.BMC medical education · 2025Article
- Primary care physician characteristics associated with becoming opioid agonist treatment prescribers in British Columbia: a retrospective case-control study.Harm reduction journal · 2025Article
- Informing family physician payment reform in Canada: protocol for a cross-provincial, multimethod study.BMJ open · 2025Article
- Family Physicians in Focused Practice in Ontario, Canada: A Population-Level Study of Trends From 1993/1994 Through 2021/2022.Annals of family medicine · 2025Article
- Addressing healthcare needs in an inaugural family medicine clinic in a core city in Japan: Mixed-methods research.Journal of general and family medicine · 2025Article
- Changing primary care capacity in Canada: protocol for a cross-provincial mixed methods study.BMJ open · 2025Article
- Response to Lavergne et al.Canadian family physician Medecin de famille canadien · 2023Article
- Should family medicine residents in Canada do a third year of training?Canadian family physician Medecin de famille canadien · 2023Article
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20 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo describe changes in the comprehensiveness of services delivered by family physicians across service settings and service areas in 4 Canadian provinces, to identify which settings and areas have changed the most, and to compare the magnitude of changes by physician characteristics.
designDescriptive analysis of province-wide, population-based billing data linked to population and physician registries.
settingBritish Columbia, Manitoba, Ontario, and Nova Scotia.
participantsFamily physicians registered to practise in the 1999-2000 and 2017-2018 fiscal years.
main outcome measuresComprehensiveness was measured across 7 service settings (home care, long-term care, emergency departments, hospitals, obstetric care, surgical assistance, anesthesiology) and in 7 service areas consistent with office-based practice (prenatal and postnatal care, Papanicolaou testing, mental health, substance use, cancer care, minor surgery, palliative home visits). The proportion of physicians with activity in each setting and area are reported and the average number of service settings and areas by physician characteristics is described (years in practice, sex, urban or rural practice setting, and location of medical degree training).
resultsDeclines in comprehensiveness were observed across all provinces studied. Declines were greater for comprehensiveness of settings than for areas consistent with office-based practice. Changes were observed across all physician characteristics. On average across provinces, declines in the number of service settings and service areas were highest among physicians in practice 20 years or longer, male physicians, and physicians practising in urban areas.
conclusionDeclining comprehensiveness was observed across all physician characteristics, pointing to changes in the practice and policy contexts in which all family physicians work.
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