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Research ArticleResearch Brief

Family Physicians Stopping Practice During the COVID-19 Pandemic in Ontario, Canada

Tara Kiran, Michael E. Green, C. Fangyun Wu, Alexander Kopp, Lidija Latifovic, Eliot Frymire, Rahim Moineddin and Richard H. Glazier
The Annals of Family Medicine September 2022, 20 (5) 460-463; DOI: https://doi.org/10.1370/afm.2865
Tara Kiran
1Department of Family and Community Medicine, St Michael’s Hospital, University of Toronto, Toronto, Ontario, Canada
2MAP Centre for Urban Health Solutions, St Michael’s Hospital, Toronto, Ontario, Canada
3ICES Central, Toronto, Ontario, Canada
4Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada
MD, MSc
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  • For correspondence: tara.kiran@utoronto.ca
Michael E. Green
5Department of Family Medicine, Queen’s University, Kingston, Ontario, Canada
6Health Services and Policy Research Institute, Queens University, Kingston, Ontario, Canada
7ICES Queens, Kingston, Ontario, Canada
MD, MPH
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C. Fangyun Wu
3ICES Central, Toronto, Ontario, Canada
MSc, MAcc
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Alexander Kopp
3ICES Central, Toronto, Ontario, Canada
BA
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Lidija Latifovic
2MAP Centre for Urban Health Solutions, St Michael’s Hospital, Toronto, Ontario, Canada
8Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
MSc
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Eliot Frymire
6Health Services and Policy Research Institute, Queens University, Kingston, Ontario, Canada
7ICES Queens, Kingston, Ontario, Canada
MA
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Rahim Moineddin
1Department of Family and Community Medicine, St Michael’s Hospital, University of Toronto, Toronto, Ontario, Canada
3ICES Central, Toronto, Ontario, Canada
PhD
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Richard H. Glazier
1Department of Family and Community Medicine, St Michael’s Hospital, University of Toronto, Toronto, Ontario, Canada
2MAP Centre for Urban Health Solutions, St Michael’s Hospital, Toronto, Ontario, Canada
3ICES Central, Toronto, Ontario, Canada
4Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada
8Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
MD, MPH
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  • RE: Family Physicians Stopping Practice During the COVID-19 Pandemic in Ontario, Canada
    Jennifer L Popovics, Amelia L Daw and Lorraine S Wallace
    Published on: 28 February 2023
  • Published on: (28 February 2023)
    Page navigation anchor for RE: Family Physicians Stopping Practice During the COVID-19 Pandemic in Ontario, Canada
    RE: Family Physicians Stopping Practice During the COVID-19 Pandemic in Ontario, Canada
    • Jennifer L Popovics, Undergraduate, The Ohio State University
    • Other Contributors:
      • Amelia L Daw, Undergraduate
      • Lorraine S Wallace, Associate Professor—College of Medicine

    As undergraduates who are studying global primary care delivery, we are particularly interested in your research into how the COVID-19 pandemic impacted the exit of practicing physicians in Ontario. COVID-19 impacted access to healthcare throughout the world. Therefore, studies such as yours provide great insight into how the pandemic impacted patients and physicians over time.

    In reviewing your findings, we noted that about twice as many physicians stopped working in 2020 compared to previous years. The average age of these physicians was relatively high, so you concluded that retirement was a likely cause. Regardless of cause, this still had a substantial impact by potentially detaching around 170,000 patients throughout Ontario. Does your team plan to conduct additional research to determine more clearly why twice as many physicians retired during the pandemic than usual. Furthermore, we would like to know if any physicians returned to practice once they received the COVID-19 vaccine, or after COVID-19 cases began to decline in the province. Additionally, we would like to see what this research would look like repeated for 2021-2022. Was 2020 unique regarding early retirement for physicians, or did the trend continue in the following years?

    The results of your study showed that physicians aged 75 years and older had fewer primary care visits than younger physicians. Are we correct in assuming that the reason many physicians >= 75 years saw less patie...

    Show More

    As undergraduates who are studying global primary care delivery, we are particularly interested in your research into how the COVID-19 pandemic impacted the exit of practicing physicians in Ontario. COVID-19 impacted access to healthcare throughout the world. Therefore, studies such as yours provide great insight into how the pandemic impacted patients and physicians over time.

    In reviewing your findings, we noted that about twice as many physicians stopped working in 2020 compared to previous years. The average age of these physicians was relatively high, so you concluded that retirement was a likely cause. Regardless of cause, this still had a substantial impact by potentially detaching around 170,000 patients throughout Ontario. Does your team plan to conduct additional research to determine more clearly why twice as many physicians retired during the pandemic than usual. Furthermore, we would like to know if any physicians returned to practice once they received the COVID-19 vaccine, or after COVID-19 cases began to decline in the province. Additionally, we would like to see what this research would look like repeated for 2021-2022. Was 2020 unique regarding early retirement for physicians, or did the trend continue in the following years?

    The results of your study showed that physicians aged 75 years and older had fewer primary care visits than younger physicians. Are we correct in assuming that the reason many physicians >= 75 years saw less patients was because they were at a greater risk for death from COVID-19 compared to younger physicians?

    Show Less
    Competing Interests: None declared.
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The Annals of Family Medicine: 20 (5)
The Annals of Family Medicine: 20 (5)
Vol. 20, Issue 5
September/October 2022
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Family Physicians Stopping Practice During the COVID-19 Pandemic in Ontario, Canada
Tara Kiran, Michael E. Green, C. Fangyun Wu, Alexander Kopp, Lidija Latifovic, Eliot Frymire, Rahim Moineddin, Richard H. Glazier
The Annals of Family Medicine Sep 2022, 20 (5) 460-463; DOI: 10.1370/afm.2865

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Family Physicians Stopping Practice During the COVID-19 Pandemic in Ontario, Canada
Tara Kiran, Michael E. Green, C. Fangyun Wu, Alexander Kopp, Lidija Latifovic, Eliot Frymire, Rahim Moineddin, Richard H. Glazier
The Annals of Family Medicine Sep 2022, 20 (5) 460-463; DOI: 10.1370/afm.2865
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  • Primary care in the COVID-19 pandemic and beyond: Lessons from Ontario
  • Characteristics of walk-in clinic physicians and patients in Ontario: Cross-sectional study
  • Characteristics of family physicians with additional training or focused practices in caring for older adults: Population-based retrospective cohort study
  • Public experiences and perspectives of primary care in Canada: results from a cross-sectional survey
  • Describing primary care patterns before and during the COVID-19 pandemic across Canada: a quasi-experimental pre-post design cohort study using national practice-based research network data
  • Characteristics of primary care practices by proportion of patients unvaccinated against SARS-CoV-2: a cross-sectional cohort study
  • Soins primaires pour tous: Le Canada peut sinspirer de pays semblables ayant un niveau eleve de continuite relationnelle entre patientele et centres de soins primaires
  • Characteristics of Walk-In Clinic Physicians and Patients in Ontario, Canada: A Cross-Sectional Study
  • Characteristics of patients attached to near-retirement family physicians: a population-based serial cross-sectional study in Ontario, Canada
  • Primary care for all: lessons for Canada from peer countries with high primary care attachment
  • Trends in attachment to a primary care provider in Ontario, 2008-2018: an interrupted time-series analysis
  • Should family medicine residents in Canada do a third year of training?
  • Factors influencing practice choices of early-career family physicians in Canada: A qualitative interview study
  • Trends in patient attachment to an aging primary care workforce: a population-based serial cross-sectional study in Ontario, Canada
  • Evaluation of the implementation of single points of access for unattached patients in primary care and their effects: a study protocol
  • Garder la porte dentree ouverte : assurer lacces aux soins primaires a toute la population canadienne
  • Keeping the front door open: ensuring access to primary care for all in Canada
  • Health care crisis in Canada: What is the matter?
  • Family medicines stress test
  • Family physician practice patterns during COVID-19 and future intentions: Cross-sectional survey in Ontario, Canada
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Keywords

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  • COVID-19
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  • health services, general practitioners
  • family physicians

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