Trends colliding: aging comprehensive family physicians and the growing complexity of their patients
Premji K, Glazier RH, Green ME, Khan S, Schultz S, Mathews M, Nastos S, Frymire E, Ryan BL. Can Fam Physician. 2025 Jun 16.
As the mental healthcare system shifts from an institutional to community-based model of care, a lack of focus on the second largest sector of care delivery has become evident. This report analyzes the evolving role of fee-for-service physicians, particularly of family physicians and psychiatrists, in the provision of mental healthcare.
The report compares data on mental healthcare from 1992/93 and 1997/98 and looks at regional spending patterns, the extent and nature of ‘shadow’ care, recipients of mental healthcare by general practitioner, psychiatrist or both, frequent users and types of services received, and changes over time.