{"id":17097,"date":"2023-12-12T10:57:54","date_gmt":"2023-12-12T15:57:54","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=journal_article&#038;p=17097"},"modified":"2023-12-12T10:57:54","modified_gmt":"2023-12-12T15:57:54","slug":"characteristics-of-patients-attached-to-near-retirement-family-physicians","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/characteristics-of-patients-attached-to-near-retirement-family-physicians\/","title":{"rendered":"Characteristics of patients attached to near-retirement family physicians: a population-based serial cross-sectional study in Ontario, Canada"},"content":{"rendered":"<div id=\"sec-1\" class=\"subsection\">\n<p id=\"p-2\"><strong>Objectives<\/strong> \u2014 Population ageing is a global phenomenon. Resultant healthcare workforce shortages are anticipated. To ensure access to comprehensive primary care, which correlates with improved health outcomes, equity and costs, data to inform workforce planning are urgently needed. We examined the medical and social characteristics of patients attached to near-retirement comprehensive primary care physicians over time and explored the early-career and mid-career workforce\u2019s capacity to absorb these patients.<\/p>\n<\/div>\n<div id=\"sec-2\" class=\"subsection\">\n<p id=\"p-3\"><strong>Design<\/strong> \u2014 A serial cross-sectional population-based analysis using health administrative data.<\/p>\n<\/div>\n<div id=\"sec-3\" class=\"subsection\">\n<p id=\"p-4\"><strong>Setting<\/strong> \u2014 Ontario, Canada, where most comprehensive primary care is delivered by family physicians (FPs) under universal insurance.<\/p>\n<\/div>\n<div id=\"sec-4\" class=\"subsection\">\n<p id=\"p-5\"><strong>Participants<\/strong> \u2014 All insured Ontario residents at three time points: 2008 (12 936 360), 2013 (13 447 365) and 2019 (14 388 566) and all Ontario physicians who billed primary care services (2008: 11 566; 2013: 12 693; 2019: 15 054).<\/p>\n<\/div>\n<div id=\"sec-5\" class=\"subsection\">\n<p id=\"p-6\"><strong>Outcome measures<\/strong> \u2014 The number, proportion and health and social characteristics of patients attached to near-retirement age comprehensive FPs over time; the number, proportion and characteristics of near-retirement age comprehensive FPs over time. Secondary outcome measures: The characteristics of patients and their early-career and mid-career comprehensive FPs.<\/p>\n<\/div>\n<div id=\"sec-6\" class=\"subsection\">\n<p id=\"p-7\"><strong>Results<\/strong> \u2014 Patient attachment to comprehensive FPs increased over time. The overall FP workforce grew, but the proportion practicing comprehensiveness declined (2008: 77.2%, 2019: 70.7%). Over time, an increasing proportion of the comprehensive FP workforce was near retirement age. Correspondingly, an increasing proportion of patients were attached to near-retirement physicians. By 2019, 13.9% of comprehensive FPs were 65 years or older, corresponding to 1\u2009695\u2009126 (14.8%) patients. Mean patient age increased, and all physicians served markedly increasing numbers of medically and socially complex patients.<\/p>\n<\/div>\n<div id=\"sec-7\" class=\"subsection\">\n<p id=\"p-8\"><strong>Conclusions<\/strong> \u2014 The primary care sector faces capacity challenges as both patients and physicians age and fewer physicians practice comprehensiveness. Nearly 15% (1.7 million) of Ontarians may lose their comprehensive FP to retirement between 2019 and 2025. To serve a growing, increasingly complex population, innovative solutions are needed.<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Objectives \u2014 Population ageing is a global phenomenon. Resultant healthcare workforce shortages are anticipated. To ensure access to comprehensive primary care, which correlates with improved health outcomes, equity and costs, data to inform workforce planning are urgently needed. We examined the medical and social characteristics of patients attached to near-retirement comprehensive primary care physicians over [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[62,28],"migration-helper-qa-sample-set":[],"class_list":["post-17097","journal_article","type-journal_article","status-publish","hentry","topic-health-services-research","topic-primary-care"],"acf":{"citation":"Premji K, Green ME, Glazier RH, Khan S, Shultz SE, Mathews M, Nastos S, Frymire E, Ryan BL. <em>BMJ Open<\/em>. 2023; 13:e074120. Epub 2023 Dec 7.","source_url":"https:\/\/doi.org\/10.1136\/bmjopen-2023-074120","ices_scientist":[1248,1250,16836,1335],"site":[6736],"research_program":[6747],"news_release":"","journal_article":"","atlas":"","research_report":"","infographic":"","video":"","downloads":null,"links":null,"sitecore_item_id":"","sitecore_item_name":"","sitecore_field_values":"","previous_url":""},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Characteristics of patients attached to near-retirement family physicians: a population-based serial cross-sectional study in Ontario, Canada<\/title>\n<meta name=\"description\" content=\"Objectives \u2014 Population ageing is a global phenomenon. Resultant healthcare workforce shortages are anticipated. 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