{"id":23220,"date":"2025-12-12T09:51:20","date_gmt":"2025-12-12T14:51:20","guid":{"rendered":"https:\/\/www.ices.on.ca\/?post_type=journal_article&p=23220"},"modified":"2026-02-03T09:57:05","modified_gmt":"2026-02-03T14:57:05","slug":"who-chooses-to-engage-understanding-the-characteristics-of-physicians-who-voluntarily-engage-with-an-audit-and-feedback-intervention","status":"publish","type":"journal_article","link":"https:\/\/www.ices.on.ca\/fr\/publications\/journal-articles\/who-chooses-to-engage-understanding-the-characteristics-of-physicians-who-voluntarily-engage-with-an-audit-and-feedback-intervention\/","title":{"rendered":"Who chooses to engage? Understanding the characteristics of physicians who voluntarily engage with an audit and feedback intervention: a retrospective cohort study"},"content":{"rendered":"

Background<\/strong> \u2014 Voluntary clinician engagement in audit and feedback (A&F) initiatives is often suboptimal. We compared a range of characteristics between physicians who voluntarily engaged and those who did not.<\/p>\n

Methods<\/strong> \u2014 We conducted a retrospective cohort study using administrative databases and a survey. The cohort included Ontario primary care physicians practising between April 2017 and March 2020. The A&F group voluntarily enrolled in an A&F intervention; control physicians did not enrol. We compared demographic, practice and patient characteristics between groups. Four validated questionnaires measured beliefs about feedback and improvement. Logistic regression modelled adjusted odds of A&F engagement.<\/p>\n

Results<\/strong> \u2014 Of 10\u2009654 active primary care physicians in Ontario, 1400 voluntarily engaged in A&F compared with 9254 controls. Physicians had higher odds of engaging with A&F if they had a larger roster size (OR (95% CI) 2.75 (2.15 to 3.51), p<0.001) and worked in home care (1.75 (1.55 to 1.97), p<0.001), and lower odds of engaging if they had higher continuity of care (0.66 (0.49 to 0.90), p=0.008), practised for more years (0.53 (0.44 to 0.62), p<0.001) and enrolled in a fee-for-service model (0.74 (0.65 to 0.85), p<0.001). Physicians engaged with A&F had fewer racialised or immigrant patients (25% vs 30% in marginalisation quintile 5, standardised mean difference=0.10), while other demographic characteristics were similar. Among the survey respondents (36 A&F physicians and 90 controls), higher principal support (2.28 (1.29 to 4.48), p=0.008), lower perceived need for change (discrepancy) (0.39 (0.20 to 0.70), p=0.003) and lower engagement in QI (0.43 (0.18 to 0.88), p=0.032) predicted A&F engagement.<\/p>\n

Conclusion<\/strong> \u2014 To expand A&F\u2019s reach and impact, future efforts should (1) tailor outreach to physicians with larger, more diverse practice populations, (2) seek to understand why physicians with higher perceived need for change engage less, (3) understand which physicians are most likely to benefit and (4) co-design how to make A&F more relevant and actionable for those serving marginalised communities.<\/p>\n","protected":false},"excerpt":{"rendered":"

Background \u2014 Voluntary clinician engagement in audit and feedback (A&F) initiatives is often suboptimal. We compared a range of characteristics between physicians who voluntarily engaged and those who did not. Methods \u2014 We conducted a retrospective cohort study using administrative databases and a survey. The cohort included Ontario primary care physicians practising between April 2017 […]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[60,28],"migration-helper-qa-sample-set":[],"class_list":["post-23220","journal_article","type-journal_article","status-publish","hentry","topic-policy-and-program-evaluation","topic-primary-care"],"acf":{"citation":"Chu C, Ivers N, Terpou B, Tadrous M, Gungor C, Rouleau G, Desveaux L. BMJ Qual Saf<\/em>. 2025; Dec 12 [Epub ahead of print].","source_url":"https:\/\/doi.org\/10.1136\/bmjqs-2025-019490","ices_scientist":[1273,1108],"site":[6735],"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":"\nICES | Who chooses to engage? Understanding the characteristics of physicians who voluntarily engage with an audit and feedback intervention: a retrospective cohort study<\/title>\n<meta name=\"description\" content=\"Background \u2014 Voluntary clinician engagement in audit and feedback (A&F) initiatives is often suboptimal. 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