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 Lavergne, M. Ruth
A1 Rudoler, David
A1 Peterson, Sandra
A1 Stock, David
A1 Taylor, Carole
A1 Wilton, Andrew S.
A1 Wong, Sabrina T.
A1 Scott, Ian
A1 McGrail, Kimberlyn M.
A1 McCracken, Rita
A1 Marshall, Emily G.
A1 MacKenzie, Adrian
A1 Katz, Alan
A1 Jamieson, Margaret
A1 Hedden, Lindsay
A1 Grudniewicz, Agnes
A1 Goldsmith, Laurie J.
A1 Glazier, Richard H.
A1 Burge, Fred
A1 Blackie, Doug
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.