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Research ArticleResearch Briefs

Declining Comprehensiveness of Services Delivered by Canadian Family Physicians Is Not Driven by Early-Career Physicians

M. Ruth Lavergne, David Rudoler, Sandra Peterson, David Stock, Carole Taylor, Andrew S. Wilton, Sabrina T. Wong, Ian Scott, Kimberlyn M. McGrail, Rita McCracken, Emily G. Marshall, Adrian MacKenzie, Alan Katz, Margaret Jamieson, Lindsay Hedden, Agnes Grudniewicz, Laurie J. Goldsmith, Richard H. Glazier, Fred Burge and Doug Blackie
The Annals of Family Medicine March 2023, 21 (2) 151-156; DOI: https://doi.org/10.1370/afm.2945
M. Ruth Lavergne
Dalhousie University, Department of Family Medicine, Halifax, Nova Scotia, Canada (M. R. L., F. B.)
Canada Research Chairs Program, Tier II Primary Care, Ottawa, Ontario, Canada (M. R. L.)
MSc, PhD
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  • For correspondence: ruth.lavergne@dal.ca
David Rudoler
Ontario Tech University, Faculty of Health Sciences, Oshawa, Ontario, Canada (D. R.)
Ontario Shores Centre for Mental Health Sciences, Whitby, Ontario, Canada (D. R.)
MPPAL, PhD
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Sandra Peterson
The University of British Columbia, Centre for Health Services and Policy Research, Vancouver, British Columbia, Canada (S. P., S. T. W., K. M. M.)
MSc
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David Stock
Dalhousie University, Department of Community Health and Epidemiology, Halifax, Nova Scotia, Canada (D. S., A. M.)
MSc, PhD
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Carole Taylor
University of Manitoba, Manitoba Centre for Health Policy, Winnipeg, Manitoba, Canada (C. T.)
MSc
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Andrew S. Wilton
Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada (A. S. W., R. H. G.)
MSc
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Sabrina T. Wong
The University of British Columbia, Centre for Health Services and Policy Research, Vancouver, British Columbia, Canada (S. P., S. T. W., K. M. M.)
National Institute of Nursing Research, Division of Intramural Research (this work was completed while at the University of British Columbia, School of Nursing, Vancouver, British Columbia, Canada) (S. T. W.)
RN, PhD
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Ian Scott
The University of British Columbia, Department of Family Practice, Vancouver, British Columbia, Canada (I. S., R. M.)
The University of British Columbia, Centre for Health Education Scholarship, Vancouver, British Columbia, Canada (I. S.)
MSc, MD
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Kimberlyn M. McGrail
The University of British Columbia, Centre for Health Services and Policy Research, Vancouver, British Columbia, Canada (S. P., S. T. W., K. M. M.)
MPH, PhD
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Rita McCracken
The University of British Columbia, Department of Family Practice, Vancouver, British Columbia, Canada (I. S., R. M.)
MD, PhD
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Emily G. Marshall
Nova Scotia Health Authority, Halifax, Nova Scotia, Canada (E. G. M., A. M.)
Dalhousie University, Primary Care Research Unit, Department of Family Medicine, Halifax, Nova Scotia, Canada (E. G. M.)
MSc, PhD
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Adrian MacKenzie
Dalhousie University, Department of Community Health and Epidemiology, Halifax, Nova Scotia, Canada (D. S., A. M.)
Nova Scotia Health Authority, Halifax, Nova Scotia, Canada (E. G. M., A. M.)
PhD
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Alan Katz
University of Manitoba, Department of Family Medicine, Winnipeg, Manitoba, Canada (A.K.)
University of Manitoba, Department of Community Health Sciences, Winnipeg, Manitoba, Canada (A. K.)
MBChB, MSc
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Margaret Jamieson
University of Toronto, Institute of Health Policy Management and Evaluation, Toronto, Ontario, Canada (M. J., R. H. G.)
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Lindsay Hedden
Simon Fraser University, Faculty of Health Sciences, Burnaby, British Columbia, Canada (L. H., L. J. G.)
MSc, PhD
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Agnes Grudniewicz
University of Ottawa, Telfer School of Management, Ottawa, Ontario, Canada (A. G.)
PhD
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Laurie J. Goldsmith
Simon Fraser University, Faculty of Health Sciences, Burnaby, British Columbia, Canada (L. H., L. J. G.)
1GoldQual Consulting, Ontario, Canada (L. J. G.)
MSc, PhD
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Richard H. Glazier
Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada (A. S. W., R. H. G.)
University of Toronto, Institute of Health Policy Management and Evaluation, Toronto, Ontario, Canada (M. J., R. H. G.)
St Michael’s Hospital, Toronto, Ontario, Canada (R. H. G.)
University of Toronto, Department of Family and Community Medicine, Toronto, Ontario, Canada (R. H. G.)
MPH, MD
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Fred Burge
Dalhousie University, Department of Family Medicine, Halifax, Nova Scotia, Canada (M. R. L., F. B.)
MSc, MD
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Doug Blackie
Royal Roads University, School of Leadership Studies, Victoria, British Columbia, Canada (D. B.)
Doug Blackie Consulting, Inc, Edmonton, Alberta, Canada (D. B.).
MPA
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Article Information

vol. 21 no. 2 151-156
DOI 
https://doi.org/10.1370/afm.2945
PubMed 
36973051

Published By 
The Annals of Family Medicine
Print ISSN 
1544-1709
Online ISSN 
1544-1717
History 
  • Received for publication April 7, 2022
  • Revision received October 24, 2022
  • Accepted for publication October 27, 2022
  • Published online March 27, 2023.

Copyright & Usage 
© 2023 Annals of Family Medicine, Inc.

Author Information

  1. M. Ruth Lavergne, MSc, PhD⇑,
  2. David Rudoler, MPPAL, PhD,
  3. Sandra Peterson, MSc,
  4. David Stock, MSc, PhD,
  5. Carole Taylor, MSc,
  6. Andrew S. Wilton, MSc,
  7. Sabrina T. Wong, RN, PhD,
  8. Ian Scott, MSc, MD,
  9. Kimberlyn M. McGrail, MPH, PhD,
  10. Rita McCracken, MD, PhD,
  11. Emily G. Marshall, MSc, PhD,
  12. Adrian MacKenzie, PhD,
  13. Alan Katz, MBChB, MSc,
  14. Margaret Jamieson,
  15. Lindsay Hedden, MSc, PhD,
  16. Agnes Grudniewicz, PhD,
  17. Laurie J. Goldsmith, MSc, PhD,
  18. Richard H. Glazier, MPH, MD,
  19. Fred Burge, MSc, MD and
  20. Doug Blackie, MPA
  1. Dalhousie University, Department of Family Medicine, Halifax, Nova Scotia, Canada (M. R. L., F. B.)
  2. Canada Research Chairs Program, Tier II Primary Care, Ottawa, Ontario, Canada (M. R. L.)
  3. Ontario Tech University, Faculty of Health Sciences, Oshawa, Ontario, Canada (D. R.)
  4. Ontario Shores Centre for Mental Health Sciences, Whitby, Ontario, Canada (D. R.)
  5. The University of British Columbia, Centre for Health Services and Policy Research, Vancouver, British Columbia, Canada (S. P., S. T. W., K. M. M.)
  6. Dalhousie University, Department of Community Health and Epidemiology, Halifax, Nova Scotia, Canada (D. S., A. M.)
  7. University of Manitoba, Manitoba Centre for Health Policy, Winnipeg, Manitoba, Canada (C. T.)
  8. Institute for Clinical Evaluative Sciences, Toronto, Ontario, Canada (A. S. W., R. H. G.)
  9. National Institute of Nursing Research, Division of Intramural Research (this work was completed while at the University of British Columbia, School of Nursing, Vancouver, British Columbia, Canada) (S. T. W.)
  10. The University of British Columbia, Department of Family Practice, Vancouver, British Columbia, Canada (I. S., R. M.)
  11. The University of British Columbia, Centre for Health Education Scholarship, Vancouver, British Columbia, Canada (I. S.)
  12. Nova Scotia Health Authority, Halifax, Nova Scotia, Canada (E. G. M., A. M.)
  13. Dalhousie University, Primary Care Research Unit, Department of Family Medicine, Halifax, Nova Scotia, Canada (E. G. M.)
  14. University of Manitoba, Department of Family Medicine, Winnipeg, Manitoba, Canada (A.K.)
  15. University of Manitoba, Department of Community Health Sciences, Winnipeg, Manitoba, Canada (A. K.)
  16. University of Toronto, Institute of Health Policy Management and Evaluation, Toronto, Ontario, Canada (M. J., R. H. G.)
  17. Simon Fraser University, Faculty of Health Sciences, Burnaby, British Columbia, Canada (L. H., L. J. G.)
  18. University of Ottawa, Telfer School of Management, Ottawa, Ontario, Canada (A. G.)
  19. 1GoldQual Consulting, Ontario, Canada (L. J. G.)
  20. St Michael’s Hospital, Toronto, Ontario, Canada (R. H. G.)
  21. University of Toronto, Department of Family and Community Medicine, Toronto, Ontario, Canada (R. H. G.)
  22. Royal Roads University, School of Leadership Studies, Victoria, British Columbia, Canada (D. B.)
  23. Doug Blackie Consulting, Inc, Edmonton, Alberta, Canada (D. B.).
  1. CORRESPONDING AUTHOR: M. Ruth Lavergne Department of Family Medicine, Dalhousie University 402-1465 Brenton St Halifax, NS, B3J 3T4 ruth.lavergne{at}dal.ca

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Declining Comprehensiveness of Services Delivered by Canadian Family Physicians Is Not Driven by Early-Career Physicians
M. Ruth Lavergne, David Rudoler, Sandra Peterson, David Stock, Carole Taylor, Andrew S. Wilton, Sabrina T. Wong, Ian Scott, Kimberlyn M. McGrail, Rita McCracken, Emily G. Marshall, Adrian MacKenzie, Alan Katz, Margaret Jamieson, Lindsay Hedden, Agnes Grudniewicz, Laurie J. Goldsmith, Richard H. Glazier, Fred Burge, Doug Blackie
The Annals of Family Medicine Mar 2023, 21 (2) 151-156; DOI: 10.1370/afm.2945

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Declining Comprehensiveness of Services Delivered by Canadian Family Physicians Is Not Driven by Early-Career Physicians
M. Ruth Lavergne, David Rudoler, Sandra Peterson, David Stock, Carole Taylor, Andrew S. Wilton, Sabrina T. Wong, Ian Scott, Kimberlyn M. McGrail, Rita McCracken, Emily G. Marshall, Adrian MacKenzie, Alan Katz, Margaret Jamieson, Lindsay Hedden, Agnes Grudniewicz, Laurie J. Goldsmith, Richard H. Glazier, Fred Burge, Doug Blackie
The Annals of Family Medicine Mar 2023, 21 (2) 151-156; DOI: 10.1370/afm.2945
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