Evidence map›Paper›PMID 41587835›Full record

ArticleAnnals of family medicine2026

Why Are Family Physicians Leaving Comprehensive Care? A Qualitative Study on Retention in Ontario.

Colleen Grady, Han Han, Wei-Hsi Pang

Abstract read
In one paragraph

Article in Annals of family medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

3 authors.

Colleen GradyCentre for Studies in Primary Care, Queen's University, Kingston, Ontario, Canada Colleen.grady@queensu.ca.
Han HanCentre for Studies in Primary Care, Queen's University, Kingston, Ontario, Canada.
Wei-Hsi PangDepartment of Family Medicine, Queen's University, Kingston, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeA failure to retain family physicians already in practice is contributing to the current crisis for patients who are unable to access primary care. In this study we explored the reasons why Ontario family physicians left comprehensive care practice to identify what types of policies are critically needed for retention.

methodsThis qualitative study involved semistructured interviews, conducted in July-August 2024, with family physicians who left comprehensive care practice within the past 8 years. Virtual interviews were audio recorded, transcribed with double coding used for analysis and to identify categories from data. We sought participant validation of findings to enhance credibility and obtain feedback.

resultsTwelve participants were included: 4 family physicians each in early, mid-, and late career stages. Policy areas viewed as critical for retaining family physicians include financial, systemic, administrative burden, and support for family medicine. Participants described their experiences and decisions to leave comprehensive practice with 113 specific priorities identified, which, if addressed, are seen to be able to limit attrition from family medicine.

conclusionPatients seeking access to primary care will continue to be thwarted because family physicians' careers are increasingly being shortened with early exits. Retention of practicing family physicians requires immediate attention from government, with the primary challenge related to financial stability of practices in Ontario. Although there are numerous system challenges in health care, addressing those that add burden to family physicians would lessen burnout and provide much needed supports to professionals who do not choose to leave careers lightly.

Indexed as

Family PracticePhysicians, FamilyPrimary Health CareAccess to Primary CareAdultAttitude of Health PersonnelFemaleHumansInterviews as TopicMaleMiddle AgedOntarioQualitative Researchcomprehensive carefamily physicianhealth policyphysician workforceretention

Identifiers

PMID41587835
PMCPMC12834583

What OpenQuestion holds

Textmetadata
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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.