{"id":1725,"date":"2022-12-12T00:00:00","date_gmt":"2022-12-12T05:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/journal-articles\/changes-over-time-in-patient-visits-and-continuity-of-care-among-graduating-cohorts-of-family-physicians-in-4-canadian-provinces\/"},"modified":"2023-07-19T09:49:29","modified_gmt":"2023-07-19T13:49:29","slug":"changes-over-time-in-patient-visits-and-continuity-of-care-among-graduating-cohorts-of-family-physicians-in-4-canadian-provinces","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/changes-over-time-in-patient-visits-and-continuity-of-care-among-graduating-cohorts-of-family-physicians-in-4-canadian-provinces\/","title":{"rendered":"Changes over time in patient visits and continuity of care among graduating cohorts of family physicians in 4 Canadian provinces"},"content":{"rendered":"<p><strong>Background<\/strong> \u2014 Lack of patient access to family physicians in Canada is a concern. The role of recent physician graduates in this problem of supply of primary care services has not been established. We sought to establish whether career stage or graduation cohort were related to family physician practice volume and continuity of care over time.<\/p>\n<p><strong>Methods<\/strong> \u2014 We conducted a retrospective cohort study of family physician practice from 1997\/98 to 2017\/18. We collected administrative health and physician claims data in British Columbia, Manitoba, Ontario and Nova Scotia. We included all physicians who registered with their respective provincial regulatory colleges as having a medical specialty of family practice or who had billed the provincial health insurance system for patient care as family physicians, or both. We used regression models to isolate the effects of 3-year categories of years in practice (at all career stages), time period and cohort on patient contacts and physician-level continuity of care.<\/p>\n<p><strong>Results<\/strong> \u2014 Between 1997\/98 and 2017\/18, the median number of patient contacts per provider per year fell by between 515 and 1736 contacts in the 4 provinces examined. Median contacts peaked at 27\u201329 years in practice in all provinces, and median physician-level continuity of care increased until 30 or more years in practice. We found no association between graduation cohort and patient contacts or physician-level continuity of care.<\/p>\n<p><strong>Interpretation<\/strong> \u2014 Recent cohorts of family physicians practise similarly to their predecessors in terms of practice volumes and continuity of care. Because family physicians of all career stages showed declining patient contacts, we suggest that system-wide solutions to recent challenges in the accessibility of primary care in Canada are needed.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Background \u2014 Lack of patient access to family physicians in Canada is a concern. The role of recent physician graduates in this problem of supply of primary care services has not been established. We sought to establish whether career stage or graduation cohort were related to family physician practice volume and continuity of care over [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[62],"migration-helper-qa-sample-set":[],"class_list":["post-1725","journal_article","type-journal_article","status-publish","hentry","topic-health-services-research"],"acf":{"citation":"Rudoler D, Peterson S, Stock D, Taylor C, Wilton D, Blackie D, Burge F, Glazier RH, Goldsmith L, Grudniewicz A, Hedden L, Jamieson M, Katz A, MacKenzie A, Marshall E, McCracken R, McGrail K, Scott I, Wong ST, Lavergne R. <em>CMAJ<\/em>. 2022; 194(48):E1639-46. Epub 2022 Dec 12.","source_url":"https:\/\/www.cmaj.ca\/content\/194\/48\/E1639","ices_scientist":[1250,1332],"site":[6733],"research_program":[6747],"news_release":"","journal_article":"","atlas":"","research_report":"","infographic":[9279],"video":"","downloads":null,"links":null,"sitecore_item_id":"356BC750-DEDF-4676-8540-234F59079408","sitecore_item_name":"Changes-over-time-in-patient-visits-and-continuity-of-care-among-graduating-cohorts","sitecore_field_values":"{\r\n  \"Title\": \"Changes over time in patient visits and continuity of care among graduating cohorts of family physicians in 4 Canadian provinces\",\r\n  \"Short title\": \"Changes over time in patient visits\",\r\n  \"Summary\": \"This study sought to establish whether career stage or graduation cohort were related to family physician practice volume and continuity of care over time.\",\r\n  \"Citation\": \"<p>Rudoler D, Peterson S, Stock D, Taylor C, Wilton D, Blackie D, Burge F, Glazier RH, Goldsmith L, Grudniewicz A, Hedden L, Jamieson M, Katz A, MacKenzie A, Marshall E, McCracken R, McGrail K, Scott I, Wong ST, Lavergne R. <em>CMAJ<\/em>. 2022; 194(48):E1639-46. Epub 2022 Dec 12. DOI: <a href=\"https:\/\/doi.org\/10.1503\/cmaj.220439\" title=\"opens external link\">https:\/\/doi.org\/10.1503\/cmaj.220439<\/a><\/p>\",\r\n  \"Abstract\": \"<p><strong>Background<\/strong> &mdash; Lack of patient access to family physicians in Canada is a concern. The role of recent physician graduates in this problem of supply of primary care services has not been established. We sought to establish whether career stage or graduation cohort were related to family physician practice volume and continuity of care over time.<\/p>n<p><strong>Methods<\/strong> &mdash; We conducted a retrospective cohort study of family physician practice from 1997\/98 to 2017\/18. We collected administrative health and physician claims data in British Columbia, Manitoba, Ontario and Nova Scotia. We included all physicians who registered with their respective provincial regulatory colleges as having a medical specialty of family practice or who had billed the provincial health insurance system for patient care as family physicians, or both. We used regression models to isolate the effects of 3-year categories of years in practice (at all career stages), time period and cohort on patient contacts and physician-level continuity of care.<\/p>n<p><strong>Results<\/strong> &mdash; Between 1997\/98 and 2017\/18, the median number of patient contacts per provider per year fell by between 515 and 1736 contacts in the 4 provinces examined. Median contacts peaked at 27&ndash;29 years in practice in all provinces, and median physician-level continuity of care increased until 30 or more years in practice. We found no association between graduation cohort and patient contacts or physician-level continuity of care.<\/p>n<p><strong>Interpretation<\/strong> &mdash; Recent cohorts of family physicians practise similarly to their predecessors in terms of practice volumes and continuity of care. Because family physicians of all career stages showed declining patient contacts, we suggest that system-wide solutions to recent challenges in the accessibility of primary care in Canada are needed.<\/p>n<p><a href=\"https:\/\/www.cmaj.ca\/content\/194\/48\/E1639\" title=\"opens external link\">View full text<\/a><\/p>\",\r\n  \"ICES Scientists\": \"{2C81C93C-B401-432B-8741-83841744D4CA}|{73BFBB45-3F05-4D4E-9723-4DB2A213A27A}\",\r\n  \"Posted Date\": \"20221212T000000\",\r\n  \"Show on Publications Landing Page\": \"1\",\r\n  \"In The News\": \"{5AEF19E5-1DA9-4848-8AB8-72AC032F736C}\"\r\n}","previous_url":"https:\/\/www.ices.on.ca\/Publications\/Journal-Articles\/2022\/December\/Changes-over-time-in-patient-visits-and-continuity-of-care-among-graduating-cohorts"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Changes over time in patient visits and continuity of care among graduating cohorts of family physicians in 4 Canadian provinces<\/title>\n<meta name=\"description\" content=\"Background \u2014 Lack of patient access to family physicians in Canada is a concern. The role of recent physician graduates in this problem of supply of\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/changes-over-time-in-patient-visits-and-continuity-of-care-among-graduating-cohorts-of-family-physicians-in-4-canadian-provinces\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ICES | Changes over time in patient visits and continuity of care among graduating cohorts of family physicians in 4 Canadian provinces\" \/>\n<meta property=\"og:description\" content=\"Background \u2014 Lack of patient access to family physicians in Canada is a concern. The role of recent physician graduates in this problem of supply of\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/changes-over-time-in-patient-visits-and-continuity-of-care-among-graduating-cohorts-of-family-physicians-in-4-canadian-provinces\/\" \/>\n<meta property=\"og:site_name\" content=\"ICES\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/ICESOntario\/\" \/>\n<meta property=\"article:modified_time\" content=\"2023-07-19T13:49:29+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2024\/11\/ic-es-data-discovery-better-health-logo.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"675\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/changes-over-time-in-patient-visits-and-continuity-of-care-among-graduating-cohorts-of-family-physicians-in-4-canadian-provinces\\\/\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/changes-over-time-in-patient-visits-and-continuity-of-care-among-graduating-cohorts-of-family-physicians-in-4-canadian-provinces\\\/\",\"name\":\"ICES | Changes over time in patient visits and continuity of care among graduating cohorts of family physicians in 4 Canadian provinces\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#website\"},\"datePublished\":\"2022-12-12T05:00:00+00:00\",\"dateModified\":\"2023-07-19T13:49:29+00:00\",\"description\":\"Background \u2014 Lack of patient access to family physicians in Canada is a concern. The role of recent physician graduates in this problem of supply of\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/changes-over-time-in-patient-visits-and-continuity-of-care-among-graduating-cohorts-of-family-physicians-in-4-canadian-provinces\\\/#breadcrumb\"},\"inLanguage\":\"fr-FR\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/changes-over-time-in-patient-visits-and-continuity-of-care-among-graduating-cohorts-of-family-physicians-in-4-canadian-provinces\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/changes-over-time-in-patient-visits-and-continuity-of-care-among-graduating-cohorts-of-family-physicians-in-4-canadian-provinces\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Journal Articles\",\"item\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/publications\\\/journal-articles\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Changes over time in patient visits and continuity of care among graduating cohorts of family physicians in 4 Canadian provinces\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#website\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/\",\"name\":\"ICES\",\"description\":\"POPULATION-BASED HEALTH RESEARCH THAT MAKES A DIFFERENCE\",\"publisher\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#organization\"},\"alternateName\":\"Institute for Clinical Evaluative Sciences\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"fr-FR\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#organization\",\"name\":\"ICES\",\"alternateName\":\"Institute for Clinical Evaluative Sciences\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"fr-FR\",\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/www.ices.on.ca\\\/wp-content\\\/uploads\\\/2023\\\/04\\\/ices-logo.png\",\"contentUrl\":\"https:\\\/\\\/www.ices.on.ca\\\/wp-content\\\/uploads\\\/2023\\\/04\\\/ices-logo.png\",\"width\":\"676\",\"height\":\"618\",\"caption\":\"ICES\"},\"image\":{\"@id\":\"https:\\\/\\\/www.ices.on.ca\\\/fr\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/ICESOntario\\\/\",\"https:\\\/\\\/www.linkedin.com\\\/company\\\/ices-research-institute\\\/\"]}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"ICES | Changes over time in patient visits and continuity of care among graduating cohorts of family physicians in 4 Canadian provinces","description":"Background \u2014 Lack of patient access to family physicians in Canada is a concern. The role of recent physician graduates in this problem of supply of","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/changes-over-time-in-patient-visits-and-continuity-of-care-among-graduating-cohorts-of-family-physicians-in-4-canadian-provinces\/","og_locale":"fr_FR","og_type":"article","og_title":"ICES | Changes over time in patient visits and continuity of care among graduating cohorts of family physicians in 4 Canadian provinces","og_description":"Background \u2014 Lack of patient access to family physicians in Canada is a concern. The role of recent physician graduates in this problem of supply of","og_url":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/changes-over-time-in-patient-visits-and-continuity-of-care-among-graduating-cohorts-of-family-physicians-in-4-canadian-provinces\/","og_site_name":"ICES","article_publisher":"https:\/\/www.facebook.com\/ICESOntario\/","article_modified_time":"2023-07-19T13:49:29+00:00","og_image":[{"width":1200,"height":675,"url":"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2024\/11\/ic-es-data-discovery-better-health-logo.jpg","type":"image\/jpeg"}],"twitter_card":"summary_large_image","schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/changes-over-time-in-patient-visits-and-continuity-of-care-among-graduating-cohorts-of-family-physicians-in-4-canadian-provinces\/","url":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/changes-over-time-in-patient-visits-and-continuity-of-care-among-graduating-cohorts-of-family-physicians-in-4-canadian-provinces\/","name":"ICES | Changes over time in patient visits and continuity of care among graduating cohorts of family physicians in 4 Canadian provinces","isPartOf":{"@id":"https:\/\/www.ices.on.ca\/fr\/#website"},"datePublished":"2022-12-12T05:00:00+00:00","dateModified":"2023-07-19T13:49:29+00:00","description":"Background \u2014 Lack of patient access to family physicians in Canada is a concern. The role of recent physician graduates in this problem of supply of","breadcrumb":{"@id":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/changes-over-time-in-patient-visits-and-continuity-of-care-among-graduating-cohorts-of-family-physicians-in-4-canadian-provinces\/#breadcrumb"},"inLanguage":"fr-FR","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/changes-over-time-in-patient-visits-and-continuity-of-care-among-graduating-cohorts-of-family-physicians-in-4-canadian-provinces\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/changes-over-time-in-patient-visits-and-continuity-of-care-among-graduating-cohorts-of-family-physicians-in-4-canadian-provinces\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.ices.on.ca\/fr\/"},{"@type":"ListItem","position":2,"name":"Journal Articles","item":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/"},{"@type":"ListItem","position":3,"name":"Changes over time in patient visits and continuity of care among graduating cohorts of family physicians in 4 Canadian provinces"}]},{"@type":"WebSite","@id":"https:\/\/www.ices.on.ca\/fr\/#website","url":"https:\/\/www.ices.on.ca\/fr\/","name":"ICES","description":"POPULATION-BASED HEALTH RESEARCH THAT MAKES A DIFFERENCE","publisher":{"@id":"https:\/\/www.ices.on.ca\/fr\/#organization"},"alternateName":"Institute for Clinical Evaluative Sciences","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.ices.on.ca\/fr\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"fr-FR"},{"@type":"Organization","@id":"https:\/\/www.ices.on.ca\/fr\/#organization","name":"ICES","alternateName":"Institute for Clinical Evaluative Sciences","url":"https:\/\/www.ices.on.ca\/fr\/","logo":{"@type":"ImageObject","inLanguage":"fr-FR","@id":"https:\/\/www.ices.on.ca\/fr\/#\/schema\/logo\/image\/","url":"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2023\/04\/ices-logo.png","contentUrl":"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2023\/04\/ices-logo.png","width":"676","height":"618","caption":"ICES"},"image":{"@id":"https:\/\/www.ices.on.ca\/fr\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/ICESOntario\/","https:\/\/www.linkedin.com\/company\/ices-research-institute\/"]}]}},"_links":{"self":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/journal_article\/1725","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/journal_article"}],"about":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/types\/journal_article"}],"acf:post":[{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/infographic\/9279"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/research_program\/6747"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/site\/6733"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/ices_scientist\/1332"},{"embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/ices_scientist\/1250"}],"wp:attachment":[{"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/media?parent=1725"}],"wp:term":[{"taxonomy":"migration-helper-automated","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/migration-helper-automated?post=1725"},{"taxonomy":"migration-manual","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/migration-manual?post=1725"},{"taxonomy":"topic","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/topic?post=1725"},{"taxonomy":"migration-helper-qa-sample-set","embeddable":true,"href":"https:\/\/www.ices.on.ca\/fr\/wp-json\/wp\/v2\/migration-helper-qa-sample-set?post=1725"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}