Evidence map›Paper›PMID 39271212›Full record

ArticleCanadian family physician Medecin de famille canadien2024

Characteristics of family physicians with additional training or focused practices in caring for older adults: Population-based retrospective cohort study.

Rebecca H Correia, Chris Frank, David Kirkwood, Henry Y H Siu, Aaron Jones, Meredith Vanstone, M Ruth Lavergne, Steve Slade, Glenda Babe, Andrew P Costa

Abstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Geriatric competency should be embedded throughout the primary care system.Canadian family physician Medecin de famille canadien · 2026
    Article
  2. Article
  3. Response.Canadian family physician Medecin de famille canadien
    Article
  4. Rural generalists and quality of care.Canadian family physician Medecin de famille canadien
    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

10 authors.

Rebecca H CorreiaDoctoral candidate in the Department of Health Research Methods, Evidence, and Impact at McMaster University in Hamilton, Ont, at the time of the study and is now a postdoctoral fellow at Dalhousie University in Halifax, NS.
Chris FrankFamily physician focusing on care of the elderly and palliative care and Professor in the Department of Medicine at Queen's University in Kingston, Ont.
David KirkwoodAnalytic epidemiologist with ICES McMaster in Hamilton, Ont.
Henry Y H SiuCare of the elderly family physician and Associate Professor in the Department of Family Medicine at McMaster University.
Aaron JonesAssistant Professor in the Department of Health Research Methods, Evidence, and Impact at McMaster University and Site Director of ICES McMaster.
Meredith VanstoneAssociate Professor in the Department of Family Medicine at McMaster University.
M Ruth LavergneAssociate Professor in the Department of Family Medicine at Dalhousie University.
Steve SladeDirector of Research at the College of Family Physicians of Canada in Mississauga, Ont.
Glenda BabeAnalytic epidemiologist with ICES McMaster at the time of the study and is now Senior Manager, Outcomes Research, at Boehringer Ingelheim in Burlington, Ont.
Andrew P CostaAssociate Professor in the Department of Health Research Methods, Evidence, and Impact at McMaster University.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo identify FPs with additional training and focused practice activities relevant to the needs of older patients within health administrative data and to describe their medical practices and service provision in community-based primary care settings.

designRetrospective cohort study.

settingOntario.

participantsFamily physicians with Certificates of Added Competence in care of the elderly from the College of Family Physicians of Canada or focused practice billing designations in care of the elderly.

main outcome measuresEvidence of additional training or certification in care of the elderly or practice activities relevant to the care of older adults.

resultsOf 14,123 FPs, 242 had evidence of additional scope to better support older adults. These FPs mainly practised in team-based care models, tended to provide comprehensive care, and billed for core primary care services. In an unadjusted analysis, factors statistically significantly associated with greater likelihood of having additional training or focused practices relevant to the care of older patients included physician demographic characteristics (eg, female sex, having completed medical school in Canada, residential instability at the community level), primary care practice model (ie, focused practice type), primary care activities (eg, more likely to provide consultations, practise in long-term care, refer patients to psychiatry and geriatrics, bill for complex house call assessments, bill for home care applications, and bill for long-term care health report forms), and patient characteristics (ie, older average age of patients).

conclusionThe FP workforce with additional training or focused practices in caring for older patients represents a small but specialized group of providers who contribute a portion of the total primary care activities for older adults. Health human resource planning should consider the contributions of all FPs who care for older adults, and enhancing geriatric competence across the family medicine workforce should be emphasized.

Indexed as

Physicians, FamilyPrimary Health CareAdultAgedClinical CompetenceFamily PracticeFemaleHealth Services for the AgedHumansMaleMiddle AgedOntarioPractice Patterns, Physicians'Retrospective Studies

Identifiers

PMID39271212
PMCPMC11407588

What OpenQuestion holds

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Registered trials

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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.