{"id":21884,"date":"2025-05-27T09:54:08","date_gmt":"2025-05-27T13:54:08","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=journal_article&#038;p=21884"},"modified":"2025-05-30T16:26:48","modified_gmt":"2025-05-30T20:26:48","slug":"family-physicians-in-focused-practice-in-ontario-canada","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/family-physicians-in-focused-practice-in-ontario-canada\/","title":{"rendered":"Family physicians in focused practice in Ontario, Canada: a population-level study of trends from 1993\/1994 through 2021\/2022"},"content":{"rendered":"<p><strong>Purpose<\/strong> \u2014 An adequate supply of family physicians who deliver comprehensive care is critical for addressing evolving population health needs, fostering health equity, and ensuring a cost-effective health system. Little is known about current trends of family physicians choosing focused practice and concurrent changes in comprehensive family physician numbers relative to population growth.<\/p>\n<p><strong>Methods<\/strong> \u2014 We conducted a repeated cross-sectional population-based study using administrative data to understand sex-stratified trends in focused practice from 1993\/1994 through 2021\/2022 in Ontario, Canada, accounting for population growth. For each fiscal year, we identified all active family physicians and classified them by practice type, leveraging a previously published algorithm on comprehensiveness.<\/p>\n<p><strong>Results<\/strong> \u2014 The proportion of family physicians in focused practice increased from 7.7% (856\/11,103) in 1993\/1994 to 19.2% (3,351\/17,413) in 2021\/2022. The 3 most prevalent focused practice types at the end of the study period were emergency (37.0%), hospitalist (26.5%), and addiction (8.3%) medicine. A greater proportion of focused practice physicians were male (60.1%) vs female (39.9%) in 2021\/2022. Over the study period, the number of family physicians increased from 104 to 118 per 100,000; however, the number of comprehensive family physicians decreased from 71 to 64 per 100,000. Of the additional 6,310 family physicians who entered the workforce, 39.5% (2,495\/6,310) were in focused practice.<\/p>\n<p><strong>Conclusions<\/strong> \u2014 Over the study period, there was a decrease in the percentage of comprehensive family physicians and a substantial increase in family physicians pursuing focused practice, particularly in emergency and hospitalist medicine. Research and policy work is needed to understand and address the complex factors driving these trends.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Purpose \u2014 An adequate supply of family physicians who deliver comprehensive care is critical for addressing evolving population health needs, fostering health equity, and ensuring a cost-effective health system. Little is known about current trends of family physicians choosing focused practice and concurrent changes in comprehensive family physician numbers relative to population growth. Methods \u2014 [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[28],"migration-helper-qa-sample-set":[],"class_list":["post-21884","journal_article","type-journal_article","status-publish","hentry","topic-primary-care"],"acf":{"citation":"Ansari H, Glazier RH, Schultz SE, Green ME, Premji K, Frymire E, Daneshvarfard M, Jaakkimainen L, Kiran T. <em>Ann Fam Med<\/em>. 2025; 23(3):181-190.","source_url":"https:\/\/doi.org\/10.1370\/afm.240377","ices_scientist":[1250,1248,1283,1145],"site":[6736],"research_program":[6747,6745],"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 v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Family physicians in focused practice 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