Evidence map›Paper›PMID 40983541›Full record

ArticleAnnals of family medicine2025

Changes in Family Physicians Over Time in Alberta, Canada: A 16-Year Population-Based Cohort Study.

Braden J Manns, Terrence McDonald, Kerry McBrien, Aaron Johnston, Lee Green, Flora Au, Marcello Tonelli

Abstract read
In one paragraph

Article in Annals of family medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Braden J MannsDepartment of Community Health Sciences, Cumming School of Medicine, University of Calgary, Alberta, Canada bjmanns@ucalgary.ca.
Terrence McDonaldDepartment of Community Health Sciences, Cumming School of Medicine, University of Calgary, Alberta, Canada.
Kerry McBrienDepartment of Community Health Sciences, Cumming School of Medicine, University of Calgary, Alberta, Canada.
Aaron JohnstonDepartment of Family Medicine, Cumming School of Medicine, University of Calgary, Alberta, Canada.
Lee GreenDepartment of Family Medicine, Faculty of Medicine and Dentistry, University of Alberta, Alberta, Canada.
Flora AuDepartment of Community Health Sciences, Cumming School of Medicine, University of Calgary, Alberta, Canada.
Marcello TonelliDepartment of Community Health Sciences, Cumming School of Medicine, University of Calgary, Alberta, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMost studies evaluating access to primary care have focused on changes in family physicians (FPs), with less exploration of patient differences over time. We examined both physicians and patients, including changes over time in the age and medical complexity of people seeing FPs.

methodsWe conducted a population-based cohort study using administrative health data, including physician claims and hospital data, examining patients cared for by FPs providing comprehensive primary care from 2004 to 2020 in Alberta, Canada. We assessed changes in FPs and used validated algorithms to examine changes in comorbidity among adults cared for by those physicians.

resultsThere were notable changes in FPs over time including more physicians who were women (46.7% in 2020 vs 39% in 2004;

conclusionsFrom 2004 to 2020, there were substantial changes in the characteristics and practices of FPs. In addition, there were notable trends in the characteristics of their patients, including an increasing proportion of older adults, often with more complex comorbidities.

Indexed as

Family PracticePhysicians, FamilyPractice Patterns, Physicians'Primary Health CareAdultAgedAged, 80 and overAlbertaCohort StudiesComorbidityFemaleHumansMaleMiddle Agedchronic diseasephysician workforceprimary care physicians

Identifiers

PMID40983541
PMCPMC12459692

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.