Evidence map›Paper›PMID 37884968›Full record

ArticleHuman resources for health2023

Factors influencing practice choices of early-career family physicians in Canada: a qualitative interview study.

Agnes Grudniewicz, Ellen Randall, M Ruth Lavergne, Emily Gard Marshall, Lori Jones, David Rudoler, Kathleen Horrey, Maria Mathews, Madeleine McKay, Goldis Mitra and 4 more

Open access · goldAbstract read
In one paragraph

Article in Human resources for health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
5.7field-weighted citation impact, top 4% 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

15 citing papers in PubMed, 13 citations in OpenAlex.

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  9. Do compensation models affect family physician job satisfaction? Scoping review.Canadian family physician Medecin de famille canadien · 2025
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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

14 authors at 6 institutions in 1 country.

Agnes GrudniewiczTelfer School of Management, University of Ottawa, 55 Laurier Avenue East, Ottawa, ON, K1N 6N5, Canada. grudniewicz@telfer.uottawa.ca.ORCID 0000-0003-2960-8178
Ellen RandallTelfer School of Management, University of Ottawa, 55 Laurier Avenue East, Ottawa, ON, K1N 6N5, Canada.ORCID 0000-0002-0609-0591
M Ruth LavergneDepartment of Family Medicine, Dalhousie University, 402-1465 Brenton St., Halifax, NS, B3J 3T4, Canada.ORCID 0000-0002-4205-4600
Emily Gard MarshallDepartment of Family Medicine, Dalhousie University, 402-1465 Brenton St., Halifax, NS, B3J 3T4, Canada.ORCID 0000-0001-8327-0329
Lori JonesTelfer School of Management, University of Ottawa, 55 Laurier Avenue East, Ottawa, ON, K1N 6N5, Canada.ORCID 0000-0002-1668-4246
David RudolerFaculty of Health Sciences, Ontario Tech University, 2000 Simcoe Street N, Oshawa, ON, L1G 0C5, Canada.ORCID 0000-0002-7564-5829
Kathleen HorreyDepartment of Family Medicine, Dalhousie University, 402-1465 Brenton St., Halifax, NS, B3J 3T4, Canada.ORCID 0000-0002-0892-9848
Maria MathewsDepartment of Family Medicine, Schulich School of Medicine and Dentistry, Western Centre for Public Health and Family Medicine, Western University, 1465 Richmond St, Second Floor, London, ON, N6G 2M1, Canada.ORCID 0000-0002-5174-104X
Madeleine McKayDepartment of Family Medicine, Dalhousie University, 402-1465 Brenton St., Halifax, NS, B3J 3T4, Canada.
Goldis MitraDepartment of Family Practice, Faculty of Medicine, University of British Columbia, 5950 University Blvd #310, Vancouver, BC, V6T 1Z3, Canada.
Ian ScottDepartment of Family Practice, Faculty of Medicine, University of British Columbia, 5950 University Blvd #310, Vancouver, BC, V6T 1Z3, Canada.ORCID 0000-0003-0396-0966
David SnaddenUniversity of British Columbia Northern Medical Program, Prince George, BC, Canada.ORCID 0000-0002-4818-1184
Sabrina T WongCentre for Health Services and Policy Research, University of British Columbia, Vancouver, BC, Canada.ORCID 0000-0002-9619-9012
Laurie J GoldsmithFaculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada.ORCID 0000-0002-3495-2814
Dalhousie University · CAUniversity of British Columbia · CAUniversity of Ottawa · CAGolder Associates (Canada) · CAOntario Shores Centre for Mental Health Sciences · CAWestern University · CA

Funding

CIHR R-PJT-155965
6 · The paper itself

Abstract

backgroundComprehensiveness of primary care has been declining, and much of the blame has been placed on early-career family physicians and their practice choices. To better understand early-career family physicians' practice choices in Canada, we sought to identify the factors that most influence their decisions about how to practice.

methodsWe conducted a qualitative study using framework analysis. Family physicians in their first 10 years of practice were recruited from three Canadian provinces: British Columbia, Ontario, and Nova Scotia. Interview data were coded inductively and then charted onto a matrix in which each participant's data were summarized by code.

resultsOf the 63 participants that were interviewed, 24 worked solely in community-based practice, 7 worked solely in focused practice, and 32 worked in both settings. We identified four practice characteristics that were influenced (scope of practice, practice type and model, location of practice, and practice schedule and work volume) and three categories of influential factors (training, professional, and personal).

conclusionsThis study demonstrates the complex set of factors that influence practice choices by early-career physicians, some of which may be modifiable by policymakers (e.g., policies and regulations) while others are less so (e.g., family responsibilities). Participants described individual influences from family considerations to payment models to meeting community needs. These findings have implications for both educators and policymakers who seek to support and expand comprehensive care.

Indexed as

Family PracticePhysicians, FamilyBritish ColumbiaCanadaCareer ChoiceHumansQualitative ResearchFamily medicinePractice characteristicsPractice patternsPrimary careQualitative research

Identifiers

PMID37884968
PMCPMC10605974
OpenAlexW4387957479

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.