{"id":7406,"date":"2022-09-26T00:00:00","date_gmt":"2022-09-26T04:00:00","guid":{"rendered":"https:\/\/icesontario.wpengine.com\/news-releases\/number-of-family-doctors-stopping-practice-in-ontario-doubled-early-in-pandemic-study-shows\/"},"modified":"2023-06-14T18:13:33","modified_gmt":"2023-06-14T22:13:33","slug":"number-of-family-doctors-stopping-practice-in-ontario-doubled-early-in-pandemic-study-shows","status":"publish","type":"news_release","link":"https:\/\/www.ices.on.ca\/fr\/news-releases\/number-of-family-doctors-stopping-practice-in-ontario-doubled-early-in-pandemic-study-shows\/","title":{"rendered":"Number of family doctors stopping practice in Ontario doubled early in pandemic, study shows"},"content":{"rendered":"<p>The number of Ontario&#x2019;s family physicians who stopped working doubled during the first six months of the COVID-19 pandemic compared to previous years &#x2013; accounting for more than 170,000 patients losing access to a primary care provider &#x2013; according to a new study.<\/p>\n<p>The research, led by Unity Health Toronto and <strong>ICES<\/strong> and published in <em>Annals of Family Medicine<\/em>, showed nearly three per cent of Ontario&#x2019;s practicing family physicians stopped working during the first six months of the pandemic.<\/p>\n<p>The study comes as the healthcare system in Ontario grapples with unprecedented pressures, including staffing shortages and a surge of patients seeking emergency care.<\/p>\n<div>\n<div class=\"download-section alignwide infographic-download\" id=\"block_78afea9f1c3c16f976bbf6add61061a6\" data-style=\"deep-blue\">\n\t<div class=\"download-section-content\">\n\t\t\t\t<h2>\n\t\t\tInfographic\t\t<\/h2>\n\t\t\n\t\t\t<\/div>\n\t<div class=\"download-section-buttons\">\n\t\t\t\t\t\t<a class=\"download-section-buttons-primary\" href=\"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2023\/03\/Kiran-FamilyPhysicians.png\" target=\"_blank\"\n\t\t\tdownload\t\t\taria-label=\"Download Infographic (opens in a new tab)\"\t\t>\n\t\t\tDownload Infographic\t\t\t<svg width=\"19\" height=\"19\" viewBox=\"0 0 19 19\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" role=\"presentation\">\n<path d=\"M2.78003 18.8301C2.14282 18.8301 1.59713 18.603 1.14297 18.1488C0.688813 17.6947 0.46212 17.1494 0.462893 16.5129V13.0372H2.78003V16.5129H16.6829V13.0372H19V16.5129C19 17.1502 18.7729 17.6958 18.3188 18.15C17.8646 18.6042 17.3193 18.8308 16.6829 18.8301H2.78003ZM9.73145 14.1958L3.9386 8.40295L5.5606 6.72303L8.57288 9.73531V0.292969H10.89V9.73531L13.9023 6.72303L15.5243 8.40295L9.73145 14.1958Z\" fill=\"#151D5D\"\/>\n<\/svg>\n\t\t<\/a>\n\t\t\n\t\t\t\t\t\t\t\t\t\t<button type=\"button\" class=\"download-section-buttons-secondary\" data-infographic-popup-open=\"block_78afea9f1c3c16f976bbf6add61061a6-infographic-popup\" aria-haspopup=\"dialog\">\n\t\t\t\tClick to View\t\t\t<\/button>\n\t\t\t\t\t\t<\/div>\n\n\t\t<div class=\"infographic-popup\" id=\"block_78afea9f1c3c16f976bbf6add61061a6-infographic-popup\" role=\"dialog\" aria-modal=\"true\" aria-label=\"Infographic\" hidden>\n\t\t<div class=\"infographic-popup-overlay\" data-infographic-popup-close><\/div>\n\t\t<div class=\"infographic-popup-container\">\n\t\t\t<button type=\"button\" class=\"infographic-popup-close\" data-infographic-popup-close aria-label=\"Close infographic\">&times;<\/button>\n\t\t\t<img decoding=\"async\" class=\"infographic-popup-image\" src=\"https:\/\/www.ices.on.ca\/wp-content\/uploads\/2023\/03\/Kiran-FamilyPhysicians.png\" alt=\"Infographic\">\n\t\t<\/div>\n\t<\/div>\n\t<\/div>\n<\/div>\n<p>&#x201c;Nearly 1.8 million Ontarians don&#x2019;t have a regular family physician. Our findings suggest things are only going to get worse, which is really concerning because family medicine is the front door to our health system,&#x201d; said <a href=\"\/ices-scientists\/tara-kiran\/\">Dr. Tara Kiran<\/a>, lead author of the study and a family physician at St. Michael&#x2019;s Hospital of Unity Health Toronto.<\/p>\n<p>\n&#x201c;The family doctor shortage is difficult for people personally, but also impacts other parts of the system. For example, when people don&#x2019;t have a family doctor, they are more likely to head to the emergency room,&#x201d; said Dr. Kiran, who is also a scientist at the MAP Centre for Urban Health Solutions at St. Michael&#x2019;s Hospital and an adjunct scientist at ICES.<\/p>\n<p>\nResearchers used data from ICES, a non-profit research institute, to calculate the ratio of total visits between March 11, 2020 and September 29, 2020 to total visits in the same period in 2019. The analysis included each family physician who had at least 50 billing days in 2019 and counted virtual appointments as well.<\/p>\n<p>\nIn a separate analysis of each year from 2010 to 2020, researchers examined the cohort of physicians practicing in the first quarter of the year and noted the number and percent who stopped practice &#x2013; indicated by having no billings &#x2013; between April 1 and September 30 of the same year.<\/p>\n<p>\nResearchers found each year between 2010 and 2019, an average of 1.6 per cent of family physicians who worked in the first quarter of the year stopped work between April and September. In contrast, three per cent stopped work in 2020.<\/p>\n<p>\nThough 385 family physicians out of 12,000 stopping practice is not a large figure, the researchers note that over half of the physicians who stopped working had patients formally enrolled on their roster, and estimated the physicians cared for more than 170,000 patients.<\/p>\n<p>\nThe family physicians who stopped working were more likely to be aged 75 or older, practice in a fee-for-service model, care for under 500 patients, and work less than other physicians in the previous year, the research showed. The findings suggest that many of the family doctors who stopped work early in the pandemic were approaching retirement and accelerated their plans at the start of the pandemic.<\/p>\n<p>\n&#x201c;The shortage of family physicians and other primary care providers is a complex Canada-wide problem related to aging of physicians and patients, increasing patient and system complexity, declining interest in family medicine among medical school graduates, and misdistribution of the workforce, especially affecting rural areas. These pre-existing factors have been exacerbated by the pandemic and call for fundamental changes in how we are organized, paid, supported, and deliver care,&#x201d; said <a href=\"\/ices-scientists\/rick-glazier\/\">Dr. Rick Glazier<\/a>, co-author of the study, family physician at St. Michael&#x2019;s Hospital, and a scientist at the MAP Centre for Urban Health Solutions at St. Michael&#x2019;s Hospital and a senior scientist at ICES.<\/p>\n<p>\nThe researchers are calling for a reevaluation of the payment model for family doctors, and taking steps towards a model that creates a more predictable income and provides doctors with flexibility to take more time to manage increasingly complex patients. Second, they suggest expanding team-based primary care to embed health professionals like social workers, pharmacists, and nurses into the practice. Researchers say the addition of these other health professionals can improve the quality of care, improve work satisfaction for physicians, and enable physicians to take care of a larger number of patients. The researchers also recommend developing a system for physician coverage during vacation, parental or personal leaves, and developing formal partnerships between hospitals and small family practices to support infection prevention and equipment procurement.&#xa0;<\/p>\n<p>\nResearch about primary care is also important to improving patient access. Dr. Kiran is leading an important project on the future of primary care. As part of the project, she is conducting a research survey to hear from people across Canada about their experiences and priorities. Study findings will be shared with policy-makers and used to shape a blueprint for the future of primary care in Canada. For more information and to take the survey, visit <a href=\"http:\/\/www.ourcare.ca\" title=\"opens external link\">www.ourcare.ca<\/a>.&#xa0;&#xa0;<\/p>\n<p><strong><br \/>\nAbout St. Michael&apos;s<\/strong>&#xa0;<br \/>\nSt. Michael&#x2019;s Hospital provides compassionate care to all who enter its doors. The hospital also provides outstanding medical education to future healthcare professionals in more than 27 academic disciplines. Critical care and trauma, heart disease, neurosurgery, diabetes, cancer care, care of the homeless and global health are among the Hospital&#x2019;s recognized areas of expertise. Through the Keenan Research Centre and the Li Ka Shing International Healthcare Education Centre, which make up the Li Ka Shing Knowledge Institute, research and education at St. Michael&#x2019;s Hospital are recognized and make an impact around the world. Founded in 1892, the hospital is fully affiliated with the University of Toronto.<\/p>\n<p><strong><br \/>\nAbout Unity Health Toronto<\/strong><br \/>\nUnity Health Toronto, comprised of St. Joseph&#x2019;s Health Centre, St. Michael&#x2019;s Hospital and Providence Healthcare, works to advance the health of everyone in our urban communities and beyond. Our health network serves patients, residents and clients across the full spectrum of care, spanning primary care, secondary community care, tertiary and quaternary care services to post-acute through rehabilitation, palliative care and long-term care, while investing in world-class research and education. For more information, visit <a href=\"http:\/\/www.unityhealth.to\" title=\"opens external link\">www.unityhealth.to<\/a>.<\/p>\n<div><div class=\"about-ices-shortcode\"><p><strong>ICES<\/strong> is an independent, non-profit research institute that uses population-based health information to produce knowledge on a broad range of healthcare issues. Our unbiased evidence provides measures of health system performance, a clearer understanding of the shifting healthcare needs of Ontarians, and a stimulus for discussion of practical solutions to optimize scarce resources. ICES knowledge is highly regarded in Canada and abroad, and is widely used by government, hospitals, planners, and practitioners to make decisions about care delivery and to develop policy. In October 2018, the institute formerly known as the Institute for Clinical Evaluative Sciences formally adopted the initialism ICES as its official name. For the latest ICES news, follow us on Twitter: <a href=\"https:\/\/twitter.com\/ICESOntario\" target=\"_blank\" rel=\"noopener\">@ICESOntario<\/a><\/p>\n<\/div><\/div>\n<h2>Media contact<\/h2>\n<p>Communications and Public Affairs, Unity Health Toronto<br \/>\n<a href=\"mailto:communications@unityhealth.to\" title=\"opens external link\">communications@unityhealth.to<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The number of Ontario&#x2019;s family physicians who stopped working doubled during the first six months of the COVID-19 pandemic compared to previous years &#x2013; accounting for more than 170,000 patients losing access to a primary care provider &#x2013; according to a new study. The research, led by Unity Health Toronto and ICES and published in [&hellip;]<\/p>\n","protected":false},"template":"","migration-helper-automated":[],"migration-manual":[],"topic":[62,28],"class_list":["post-7406","news_release","type-news_release","status-publish","hentry","topic-health-services-research","topic-primary-care"],"acf":{"infographic":[9270],"journal_article":[1933],"research_report":[],"atlas":[],"research_program":[6747],"site":[6733],"ices_scientist":[1250,1145],"announce_or_event":[],"video":[],"iitn_type":false,"iitn_title":"This rural family doctor would like to retire \u2014 he's 80","iitn_short_title":"","iitn_source_link_url":"https:\/\/www.cbc.ca\/news\/canada\/ottawa\/doctor-peter-bell-sharbot-lake-family-shortage-retirement-1.6672164","iitn_source_link_text":"CBC","sitecore_item_id":"7D38B4C4-0D11-4FA7-9A24-1FFE4BFFB32A","sitecore_item_name":"Number-of-family-doctors-stopping-practice-in-Ontario-doubled-early-in-pandemic","sitecore_field_values":"{\n  \"Content\": \"<p>The number of Ontario&rsquo;s family physicians who stopped working doubled during the first six months of the COVID-19 pandemic compared to previous years &ndash; accounting for more than 170,000 patients losing access to a primary care provider &ndash; according to a new study.<\/p>n<p>The research, led by Unity Health Toronto and <strong>ICES<\/strong> and published in <em>Annals of Family Medicine<\/em>, showed nearly three per cent of Ontario&rsquo;s practicing family physicians stopped working during the first six months of the pandemic.<\/p>n<p>The study comes as the healthcare system in Ontario grapples with unprecedented pressures, including staffing shortages and a surge of patients seeking emergency care.<\/p>n<p><a href=\"~\/media\/F3A02B30A784476BB10A4371379AFED5.ashx\" onclick=\"_gaq.push(['_trackEvent','Download', 'Kiran-FamilyPhysicians-Infographic-Sep2022', this.href]);\"><img height=\"331\" alt=\"Study finds that more family physicians stopped work during the pandemic than in previous periods\" width=\"350\" src=\"~\/media\/95231E0FEB214CC88AD99A3E756C132F.ashx\" \/><\/a><span class=\"grey\" style=\"font-size: 12px; font-weight: bold; display: block; color: #5b5656;\">Click image to enlarge<\/span><\/p>n<p>&ldquo;Nearly 1.8 million Ontarians don&rsquo;t have a regular family physician. Our findings suggest things are only going to get worse, which is really concerning because family medicine is the front door to our health system,&rdquo; said <a href=\"~\/link.aspx?_id=EEDD5AB80E9D4DBCB5C77B4472AEC20A&amp;_z=z\">Dr. Tara Kiran<\/a>, lead author of the study and a family physician at St. Michael&rsquo;s Hospital of Unity Health Toronto.<\/p>n<p>n&ldquo;The family doctor shortage is difficult for people personally, but also impacts other parts of the system. For example, when people don&rsquo;t have a family doctor, they are more likely to head to the emergency room,&rdquo; said Dr. Kiran, who is also a scientist at the MAP Centre for Urban Health Solutions at St. Michael&rsquo;s Hospital and an adjunct scientist at ICES.<\/p>n<p>nResearchers used data from ICES, a non-profit research institute, to calculate the ratio of total visits between March 11, 2020 and September 29, 2020 to total visits in the same period in 2019. The analysis included each family physician who had at least 50 billing days in 2019 and counted virtual appointments as well.<\/p>n<p>nIn a separate analysis of each year from 2010 to 2020, researchers examined the cohort of physicians practicing in the first quarter of the year and noted the number and percent who stopped practice &ndash; indicated by having no billings &ndash; between April 1 and September 30 of the same year.<\/p>n<p>nResearchers found each year between 2010 and 2019, an average of 1.6 per cent of family physicians who worked in the first quarter of the year stopped work between April and September. In contrast, three per cent stopped work in 2020.<\/p>n<p>nThough 385 family physicians out of 12,000 stopping practice is not a large figure, the researchers note that over half of the physicians who stopped working had patients formally enrolled on their roster, and estimated the physicians cared for more than 170,000 patients.<\/p>n<p>nThe family physicians who stopped working were more likely to be aged 75 or older, practice in a fee-for-service model, care for under 500 patients, and work less than other physicians in the previous year, the research showed. The findings suggest that many of the family doctors who stopped work early in the pandemic were approaching retirement and accelerated their plans at the start of the pandemic.<\/p>n<p>n&ldquo;The shortage of family physicians and other primary care providers is a complex Canada-wide problem related to aging of physicians and patients, increasing patient and system complexity, declining interest in family medicine among medical school graduates, and misdistribution of the workforce, especially affecting rural areas. These pre-existing factors have been exacerbated by the pandemic and call for fundamental changes in how we are organized, paid, supported, and deliver care,&rdquo; said <a href=\"~\/link.aspx?_id=2C81C93CB401432B874183841744D4CA&amp;_z=z\">Dr. Rick Glazier<\/a>, co-author of the study, family physician at St. Michael&rsquo;s Hospital, and a scientist at the MAP Centre for Urban Health Solutions at St. Michael&rsquo;s Hospital and a senior scientist at ICES.<\/p>n<p>nThe researchers are calling for a reevaluation of the payment model for family doctors, and taking steps towards a model that creates a more predictable income and provides doctors with flexibility to take more time to manage increasingly complex patients. Second, they suggest expanding team-based primary care to embed health professionals like social workers, pharmacists, and nurses into the practice. Researchers say the addition of these other health professionals can improve the quality of care, improve work satisfaction for physicians, and enable physicians to take care of a larger number of patients. The researchers also recommend developing a system for physician coverage during vacation, parental or personal leaves, and developing formal partnerships between hospitals and small family practices to support infection prevention and equipment procurement.&nbsp;<\/p>n<p>nResearch about primary care is also important to improving patient access. Dr. Kiran is leading an important project on the future of primary care. As part of the project, she is conducting a research survey to hear from people across Canada about their experiences and priorities. Study findings will be shared with policy-makers and used to shape a blueprint for the future of primary care in Canada. For more information and to take the survey, visit <a href=\"http:\/\/www.ourcare.ca\" title=\"opens external link\">www.ourcare.ca<\/a>.&nbsp;&nbsp;<\/p>n<p><strong>nAbout St. Michael's<\/strong>&nbsp;<br \/>nSt. Michael&rsquo;s Hospital provides compassionate care to all who enter its doors. The hospital also provides outstanding medical education to future healthcare professionals in more than 27 academic disciplines. Critical care and trauma, heart disease, neurosurgery, diabetes, cancer care, care of the homeless and global health are among the Hospital&rsquo;s recognized areas of expertise. Through the Keenan Research Centre and the Li Ka Shing International Healthcare Education Centre, which make up the Li Ka Shing Knowledge Institute, research and education at St. Michael&rsquo;s Hospital are recognized and make an impact around the world. Founded in 1892, the hospital is fully affiliated with the University of Toronto.<\/p>n<p><strong>nAbout Unity Health Toronto<\/strong><br \/>nUnity Health Toronto, comprised of St. Joseph&rsquo;s Health Centre, St. Michael&rsquo;s Hospital and Providence Healthcare, works to advance the health of everyone in our urban communities and beyond. Our health network serves patients, residents and clients across the full spectrum of care, spanning primary care, secondary community care, tertiary and quaternary care services to post-acute through rehabilitation, palliative care and long-term care, while investing in world-class research and education. For more information, visit <a href=\"http:\/\/www.unityhealth.to\" title=\"opens external link\">www.unityhealth.to<\/a>.<\/p>n<p><strong>About ICES<\/strong><br \/>n<em><span style=\"color: #002060;\">ICES is an independent, non-profit research institute that uses population-based health information to produce knowledge on a broad range of healthcare issues. Our unbiased evidence provides measures of health system performance, a clearer understanding of the shifting healthcare needs of Ontarians, and a stimulus for discussion of practical solutions to optimize scarce resources. ICES knowledge is highly regarded in Canada and abroad, and is widely used by government, hospitals, planners, and practitioners to make decisions about care delivery and to develop policy. In October 2018, the institute formerly known as the Institute for Clinical Evaluative Sciences formally adopted the initialism ICES as its official name. For the latest ICES news, follow us on Twitter:<\/span> <a href=\"https:\/\/twitter.com\/ICESOntario\">@ICESOntario<\/a><\/em><\/p>n<h2>Media contact<\/h2>n<p>Communications and Public Affairs, Unity Health Toronto<br \/>n<a href=\"mailto:communications@unityhealth.to\" title=\"opens external link\">communications@unityhealth.to<\/a><\/p>\",\n  \"Title\": \"Number of family doctors stopping practice in Ontario doubled early in pandemic, study shows\",\n  \"Short title\": \"Number of family doctors stopping\",\n  \"Teaser image\": \"<image mediaid=\"{A322F4BD-074D-4BD9-A21A-A9A358DE2CFF}\" alt=\"&quot;&quot;\" height=\"\" width=\"\" hspace=\"\" vspace=\"\" \/>\",\n  \"Summary\": \"The number of Ontario\u2019s family physicians who stopped working doubled during the first six months of the COVID-19 pandemic compared to previous years, according to a new study.\",\n  \"Location\": \"Toronto\",\n  \"In The News\": \"{EEA2B1FD-501C-4725-AA4F-08B31E90BABB}|{6B623E51-35CA-4A6F-9851-9B43BD81BA43}|{201302CE-3D7A-45A5-BC2F-79D889BB6F07}|{FAE859DF-31A8-463B-9D3D-F6853B3B9B78}|{DC85C389-3049-48A1-9D0D-674F65F0CD9A}\",\n  \"ICES Scientists\": \"{2C81C93C-B401-432B-8741-83841744D4CA}|{EEDD5AB8-0E9D-4DBC-B5C7-7B4472AEC20A}\",\n  \"ICES Locations\": \"{4FCAABBA-14A5-42E6-8F33-BC6C2F1D9908}\",\n  \"Research Programs\": \"{01CEA7E5-3297-4E7A-AFE4-FB1F9AD394CE}\",\n  \"Posted Date\": \"20220926T000000\",\n  \"Publication Link\": \"<link text=\"Abstract\" linktype=\"internal\" title=\"opens related abstract\" querystring=\"\" target=\"\" id=\"{A1C207C3-92DA-4EE1-8ADF-1F86ABAA3988}\" \/>\",\n  \"Related Link\": \"<link text=\"Infographic\" linktype=\"external\" url=\"~\/Publications\/Infographics?year=2022&amp;page=1#Kiran-FamilyPhysicians\" anchor=\"\" title=\"opens related infographic\" target=\"\" \/>\",\n  \"Related Link2\": \"<link text=\"ICES in the News | Toronto Star\" linktype=\"external\" url=\"https:\/\/www.thestar.com\/news\/gta\/2022\/09\/26\/pandemic-spurred-exodus-of-ontario-family-doctors-study-indicates.html\" anchor=\"\" title=\"opens external link\" target=\"\" \/>\"\n}","previous_url":"https:\/\/www.ices.on.ca\/Newsroom\/News-Releases\/2022\/Number-of-family-doctors-stopping-practice-in-Ontario-doubled-early-in-pandemic"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ICES | Number of family doctors stopping practice in Ontario doubled early in pandemic, study shows<\/title>\n<meta name=\"description\" content=\"The number of Ontario&#x2019;s family physicians who stopped working doubled during the first six months of the COVID-19 pandemic compared to previous\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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