ArticleHealthcare policy = Politiques de sante2023
Productivity Decline or Administrative Avalanche? Examining Factors That Shape Changing Workloads in Primary Care.
Article in Healthcare policy = Politiques de sante, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Family physician perspectives on managing indirect patient care activities in the electronic inbox: a systematic mixed studies review.Family practice · 2025Pooled it
- Ontario family physician perspectives on whether and how to charge patients for uninsured services: Qualitative study.Canadian family physician Medecin de famille canadien · 2026Article
- A Patient Panel Assignment Strategy to Balance Provider Workload in Family Medicine.Healthcare (Basel, Switzerland) · 2026Article
- Theories and theoretical frameworks used in general practice career choice research: a scoping review.BMC primary care · 2026Article
- More Indirect Patient Care Activities per Visit: 11-Year Analysis of Family Physician Electronic Health Records in Canada.Annals of family medicine · 2026Article
- No Band-Aids for papercuts: understanding and addressing challenges of administrative workload in primary care in Canada.Family practice · 2025Article
- Informing family physician payment reform in Canada: protocol for a cross-provincial, multimethod study.BMJ open · 2025Article
- Trends colliding: Aging comprehensive family physicians and the growing complexity of their patients.Canadian family physician Medecin de famille canadien · 2025Article
- Burden of administrative responsibilities in primary care: Qualitative study.Canadian family physician Medecin de famille canadien · 2025Article
- Stepwise considerations when using artificial intelligence tools for administrative tasks in primary care.Canadian family physician Medecin de famille canadien · 2025Article
- Assessing patient experiences with a Virtual Triage and Assessment Centre (VTAC): a mixed-methods study using an online survey and semi-structured interviews in Renfrew County, Ontario.BMC primary care · 2025Article
- Understanding and addressing changing administrative workload in primary care in Canada: protocol for a mixed-method study.BMJ open · 2023Article
- Reversing the Stigma around Canada's Poor-Performing Healthcare Systems.Healthcare policy = Politiques de sante · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: In Canada, family physicians (FPs) per capita have increased but so have access challenges. We explored changes in population characteristics, service delivery and FP practice that may help understand these trends. Methods: We used linked administrative data in British Columbia to describe changes in patient ages and comorbidities, hospitalizations and receipt of services that may require FP coordination, review and/or follow-up: prescriptions dispensed, laboratory tests, diagnostic imaging (radiology and ultrasound), specialist visits and emergency department visits. We estimate the number of FPs delivering community-based comprehensive care and report changes in service volume per community-based FP visit. Results: Between 1999/2000 and 2017/2018, people experienced fewer days in hospital, but the number of treated comorbidities, day surgeries and other services requiring FP coordination increased over and above the expected levels attributed to population aging. While the total number of FPs per capita have increased, numbers in community-based care have not and visits per physician have fallen. Increases in services that may involve FP coordination per community-based FP visit ranged from 32.2% for diagnostic radiology to 122.1% for lab tests. Conclusion: Findings suggest substantially increased coordination workload per FP visit. Ongoing impacts of population aging and changing service delivery on primary care workload require further examination.
Indexed as
Identifiers
What OpenQuestion holds
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.