{"id":13196,"date":"2023-03-27T00:00:00","date_gmt":"2023-03-27T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/publications\/journal-articles\/declining-comprehensiveness-of-services-delivered-by-canadian-family-physicians-is-not-driven-by-early-career-physicians\/"},"modified":"2023-07-21T15:39:20","modified_gmt":"2023-07-21T19:39:20","slug":"declining-comprehensiveness-of-services-delivered-by-canadian-family-physicians-is-not-driven-by-early-career-physicians","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/declining-comprehensiveness-of-services-delivered-by-canadian-family-physicians-is-not-driven-by-early-career-physicians\/","title":{"rendered":"Declining comprehensiveness of services delivered by Canadian family physicians is not driven by early-career physicians"},"content":{"rendered":"

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.<\/p>\n","protected":false},"excerpt":{"rendered":"

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 […]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[62,28],"migration-helper-qa-sample-set":[],"class_list":["post-13196","journal_article","type-journal_article","status-publish","hentry","topic-health-services-research","topic-primary-care"],"acf":{"citation":"Lavergne MR, Rudoler D, Peterson S, Stock D, Taylor C, Wilton AS, Wong ST, Scott I, McGrail KM, McCracken R, Marshall EG, MacKenzie A, Katz A, Jamieson M, Hedden L, Grudniewicz A, Goldsmith LJ, Glazier RH, Burge F, Blackie D. Ann Fam Med<\/em>. 2023; 21(2):151-6. Epub 2023 Mar 27.","source_url":"https:\/\/www.annfammed.org\/content\/21\/2\/151","ices_scientist":[1332,1250],"site":[6733],"research_program":[6747],"news_release":"","journal_article":"","atlas":"","research_report":"","infographic":"","video":"","downloads":null,"links":null,"sitecore_item_id":"B2222A37-A191-46BB-8B9C-7FBC11FC7722","sitecore_item_name":"Declining-comprehensiveness-of-services-delivered-by-Canadian-family-physicians","sitecore_field_values":"{\r\n \"Title\": \"Declining comprehensiveness of services delivered by Canadian family physicians is not driven by early-career physicians\",\r\n \"Short title\": \"Declining comprehensiveness of services\",\r\n \"Summary\": \"This study describes changes in the comprehensiveness of services delivered by family physicians in 4 Canadian provinces during the periods 1999-2000 and 2017-2018.\",\r\n \"Citation\": \"

Lavergne MR, Rudoler D, Peterson S, Stock D, Taylor C, Wilton AS, Wong ST, Scott I, McGrail KM, McCracken R, Marshall EG, MacKenzie A, Katz A, Jamieson M, Hedden L, Grudniewicz A, Goldsmith LJ, Glazier RH, Burge F, Blackie D. Ann Fam Med<\/em>. 2023; 21(2):151-6. Epub 2023 Mar 27. DOI: https:\/\/doi.org\/10.1370\/afm.2945<\/a><\/p>\",\r\n \"Abstract\": \"

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.<\/p>n

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