{"id":13162,"date":"2023-03-26T00:00:00","date_gmt":"2023-03-26T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/publications\/journal-articles\/a-cross-sectional-study-of-community-level-physician-retention-and-diabetes-management-in-rural-ontario\/"},"modified":"2023-09-20T13:06:26","modified_gmt":"2023-09-20T17:06:26","slug":"a-cross-sectional-study-of-community-level-physician-retention-and-diabetes-management-in-rural-ontario","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/a-cross-sectional-study-of-community-level-physician-retention-and-diabetes-management-in-rural-ontario\/","title":{"rendered":"A cross-sectional study of community-level physician retention and diabetes management in rural Ontario"},"content":{"rendered":"<p><strong>Objective<\/strong> \u2014 To examine the impact of community-level physician retention on the quality of diabetes care in rural Ontario.<\/p>\n<p><strong>Methods<\/strong> \u2014 Using administrative data, we compared diabetes quality of care. We defined retention as the proportion of physicians in a community from one year to the next. We grouped retention level by tertile and added a category for communities with no physician.<\/p>\n<p><strong>Results<\/strong> \u2014 Residents of high retention communities were more likely to have HbA1C (1.10;95%CI:1.06-1.14) and LDL testing (1.17;95%CI:1.13-1.22), but less likely to have UACR testing (0.86;95%CI:0.83-0.89) or receive ACE\/ARBs (0.91;95%CI:0.86-0.95) or statins (0.91;95%CI:0.87-0.96) than low retention communities. Communities with no residing physician had care that was equivalent to or better than high-retention communities.<\/p>\n<p><strong>Discussion<\/strong> \u2014 Community-level physician retention, based on a two-year time frame, was significantly related.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Objective \u2014 To examine the impact of community-level physician retention on the quality of diabetes care in rural Ontario. Methods \u2014 Using administrative data, we compared diabetes quality of care. We defined retention as the proportion of physicians in a community from one year to the next. We grouped retention level by tertile and added [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[50,62],"migration-helper-qa-sample-set":[],"class_list":["post-13162","journal_article","type-journal_article","status-publish","hentry","topic-endocrinology","topic-health-services-research"],"acf":{"citation":"Mathews M, Richard L, Lam M, Gozdyra P, Green M. <em>Can J Diabetes<\/em>. 2023; 47(5):405-12.E405. Epub 2023 Mar 26.","source_url":"https:\/\/www.canadianjournalofdiabetes.com\/article\/S1499-2671(23)00059-X\/fulltext","ices_scientist":[1248,16836],"site":[6739],"research_program":[6747],"news_release":"","journal_article":"","atlas":"","research_report":"","infographic":"","video":"","downloads":null,"links":null,"sitecore_item_id":"5C9C3BF6-5E8F-406C-8598-40B28E942BB2","sitecore_item_name":"A-cross-sectional-study-of-community-level-physician-retention-and-diabetes-management","sitecore_field_values":"{\r\n  \"Title\": \"A cross-sectional study of community-level physician retention and diabetes management in rural Ontario\",\r\n  \"Short title\": \"A cross-sectional study of\",\r\n  \"Summary\": \"The study objective was to examine the impact of community-level physician retention on the quality of diabetes care in rural Ontario.\",\r\n  \"Citation\": \"<p>Mathews M, Richard L, Lam M, Gozdyra P, Green M. <em>Can J Diabetes<\/em>. 2023; Mar 26 {Epub ahead of print]. DOI: <a href=\"https:\/\/doi.org\/10.1016\/j.jcjd.2023.03.004\" title=\"opens external link\">https:\/\/doi.org\/10.1016\/j.jcjd.2023.03.004<\/a><\/p>\",\r\n  \"Abstract\": \"<p><strong>Objective<\/strong> &mdash; To examine the impact of community-level physician retention on the quality of diabetes care in rural Ontario.<\/p>n<p><strong>Methods<\/strong> &mdash; Using administrative data, we compared diabetes quality of care. We defined retention as the proportion of physicians in a community from one year to the next. We grouped retention level by tertile and added a category for communities with no physician.<\/p>n<p><strong>Results<\/strong> &mdash; Residents of high retention communities were more likely to have HbA1C (1.10;95%CI:1.06-1.14) and LDL testing (1.17;95%CI:1.13-1.22), but less likely to have UACR testing (0.86;95%CI:0.83-0.89) or receive ACE\/ARBs (0.91;95%CI:0.86-0.95) or statins (0.91;95%CI:0.87-0.96) than low retention communities. Communities with no residing physician had care that was equivalent to or better than high-retention communities.<\/p>n<p><strong>Discussion<\/strong> &mdash; Community-level physician retention, based on a two-year time frame, was significantly related.<\/p>n<p><a href=\"https:\/\/www.canadianjournalofdiabetes.com\/article\/S1499-2671(23)00059-X\/fulltext\" title=\"opens external link\">View full text<\/a><\/p>\",\r\n  \"ICES Scientists\": \"{19583995-D497-4F90-9A00-BA1C02575EA6}\",\r\n  \"Posted Date\": \"20230326T000000\",\r\n  \"Show on Publications Landing Page\": \"1\"\r\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2023\/March\/A-cross-sectional-study-of-community-level-physician-retention-and-diabetes-management"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | A cross-sectional study of community-level physician retention and diabetes management in rural Ontario<\/title>\n<meta name=\"description\" content=\"Objective \u2014 To examine the impact of community-level physician retention on the quality of diabetes care in rural Ontario. 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