RT Journal Article
SR Electronic
T1 Declining Comprehensiveness of Services Delivered by Canadian Family Physicians Is Not Driven by Early-Career Physicians
JF The Annals of Family Medicine
JO Ann Fam Med
FD American Academy of Family Physicians
SP 151
OP 156
DO 10.1370/afm.2945
VO 21
IS 2
A1 M. Ruth Lavergne
A1 David Rudoler
A1 Sandra Peterson
A1 David Stock
A1 Carole Taylor
A1 Andrew S. Wilton
A1 Sabrina T. Wong
A1 Ian Scott
A1 Kimberlyn M. McGrail
A1 Rita McCracken
A1 Emily G. Marshall
A1 Adrian MacKenzie
A1 Alan Katz
A1 Margaret Jamieson
A1 Lindsay Hedden
A1 Agnes Grudniewicz
A1 Laurie J. Goldsmith
A1 Richard H. Glazier
A1 Fred Burge
A1 Doug Blackie
YR 2023
UL http://www.annfammed.org/content/21/2/151.abstract
AB We describe changes in the comprehensiveness of services delivered by family physicians in 4 Canadian provinces (British Columbia, Manitoba, Ontario, Nova Scotia) during the periods 1999-2000 and 2017-2018 and explore if changes differ by years in practice. We measured comprehensiveness using province-wide billing data across 7 settings (home, long-term care, emergency department, hospital, obstetrics, surgical assistance, anesthesiology) and 7 service areas (pre/postnatal care, Papanicolaou [Pap] testing, mental health, substance use, cancer care, minor surgery, palliative home visits). Comprehensiveness declined in all provinces, with greater changes in number of service settings than service areas. Decreases were no greater among new-to-practice physicians.