Article Figures & Data
Figures
- Figure 1.
Number of family physicians per 1,000 who were actively practicing from January to March in a given year but who had 0 primary care visits between April and September of that year, 2010-2020. Observed numbers and fitted regression line with 95% CIs.
Tables
- Table 1.
Characteristics of All Family Physicians in Ontario, Canada Active in 2019 and Comparison of Characteristics Between Those With No Outpatient Visits During the First 6 Months of the COVID-19 Pandemic (March-September 2020) and Those With Any Visits
Characteristic All Family
Physicians
Active in 2019Family Physicians With
Any Outpatient Visits From
March to September 2020Family physicians With
No Outpatient Visits
March to September 2020P Value Physician age group, y n = 12,247 (%) n = 11,862 (%) n = 385 (%) ≤44 4,320 (35.3) 4,188 (35.3) 132 (34.3) <0.001 45-64 5,746 (46.9) 5,644 (47.6) 102 (26.5) 65-74 1,718 (14.0) 1,618 (13.6) 100 (26.0) ≥75 454 (3.7) 404 (3.4) 50 (13.0) Missing 9 (0.1) 8 (0.1) 1 (0.3) Physician age, y Mean ± SD 51 ± 13 51 ± 13 56 ± 16 <0.001 Physician sex Female 5,861 (47.9) 5,674 (47.8) 187 (48.6) 0.775 Male 6,386 (52.1) 6,188 (52.2) 198 (51.4) Model of care PEM: Non-team capitation 3,114 (25.4) 3,052 (25.7) 62 (16.1) <0.001 PEM: Enhanced fee-for-service 2,854 (23.3) 2,769 (23.3) 85 (22.1) PEM: Team-based capitation 2,893 (23.6) 2,825 (23.8) 68 (17.7) Non-PEM: Straight fee-for-service 3,099 (25.3) 2,954 (24.9) 145 (37.7) Missing 287 (2.3) 262 (2.2) 25 (6.5) Rurality (RIO) Big cities (0) 5,971 (48.8) 5,773 (48.7) 198 (51.4) 0.399 Smaller cities (1 – 9) 3,338 (27.3) 3,245 (27.4) 93 (24.2) Small towns (10 – 39) 1,817 (14.8) 1,756 (14.8) 61 (15.8) Rural (≥40) 1,111 (9.1) 1,079 (9.1) 32 (8.3) Missing 10 (0.1) 9 (0.1) 1 (0.3) Physician panel size group <100 1,847 (15.1) 1,761 (14.8) 86 (22.3) <0.001 100-499 1,378 (11.3) 1,310 (11.0) 68 (17.7) 500-999 2,369 (19.3) 2,287 (19.3) 82 (21.3) 1,000-1,499 2,980 (24.3) 2,917 (24.6) 63 (16.4) 1,500-1,999 1,899 (15.5) 1,858 (15.7) 41 (10.6) ≥2,000 1,487 (12.1) 1,467 (12.4) 20 (5.2) Missing 287 (2.3) 262 (2.2) 25 (6.5) Physician panel size Mean ± SD 1,097 ± 829 1,106 ± 829 788 ± 741 <0.001 Median (IQR) 1,059 (417-1,580) 1,069 (437-1,588) 673 (114-1,259) <0.001 Days with ≥1 billing, no. March – Sept 2019 Mean ± SD 100 ± 35 101 ± 35 73 ± 35 <0.001 March – Sept 2020 Mean ± SD 109 ± 42 109 ± 42 0 ± 0 Total visits, no. March – Sept 2019 Mean ± SD 2,061 ± 1,795 2,087 ± 1,803 1,266 ± 1,281 <0.001 March – Sept 2020 Mean ± SD 1,703 ± 1,674 1,758 ± 1,672 0 ± 0 <0.001 Percent of virtual visits March – Sept 2019 2.0 2.0 0.07 <0.001 March – Sept 2020 66.0 66.0 PEM = patient enrollment model; RIO = Rurality Index of Ontario.
Notes: The total number of billing days for the study period including weekends and holidays was 203 days (29 weeks). Rurality categorized using the Rurality Index of Ontario. See Kralj B. Measuring Rurality — RIO2008 BASIC: Methodology and Results. Ontario Medical Association; 2009. Accessed Sep 22, 2020. https://content.oma.org//wp-content/uploads/2008rio-fulltechnicalpaper.pdf
SUPPLEMENTAL DATA IN PDF FILE BELOW
Supplemental Figure 1. Primary care visits December 31, 2019 to September 29, 2020 compared to the same period in 2019 stratified by type of visit (office, virtual, home).
Supplemental Figure 2. Histogram of the number of physicians by the ration of total visits during the first 6 months of the COVID-19 pandemic (March to September 2020) to total visits during the same time period in 2019.
Supplemental Figure 3. Variation within and between patient enrollment models in the ratio of total visits during the first 6 months of the COVID-19 pandemic (March to September 2020) tot total visits during the same time period in 2019.
Supplemental Figure 4. Percentage of all family physicians within a sub-region who had no patient visits between March 11, 2020 and September 29, 2020.
Supplemental Figure 5. Percentage of family physicians who were actively practicing from January to March but who had primary care visits between April and September in the given year, 2010-2020.
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