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Trend in areas of practice of family physicians by career stage in Ontario, Canada from 2018 to 2022 [Health care services, delivery, and financing]

Annals of Family Medicine

CONTEXT: The percentage of family physicians (FPs) in Ontario who practice primary care has been decreasing over time as FPs are choosing to focus some or all of their practice in more specialized areas. POPULATION STUDIED: All family physicians in Ontario, who submitted a billing claim during the study period.

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Factors associated with patients' experience of access to their primary health care clinic: a multilevel analysis [Health care services, delivery, and financing]

Annals of Family Medicine

Between September 2022 and June 2023, online questionnaires were sent to patients attached to a family physician and to PHC professionals and administrative staff. A total of 122,397 patients and 999 family physicians, 107 nurse practitioners and 411 administrative staff nested into 104 clinics answered the survey.

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Practice organization characteristics are more impactful than intentions in practice scope of early-career family physicians [Health care services, delivery, and financing]

Annals of Family Medicine

Context: Family physician (FP) scope of practice (SOP) has declined, with fewer physicians providing basic primary care services and fewer bridging the clinic-hospital divide. Study Design and Analysis: A longitudinal cohort was surveyed through the American Board of Family Medicine (ABFM).

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Mapping Patient Access to Care and Quality of Care based on Distance from Family Physician [Health care services, delivery, and financing]

Annals of Family Medicine

Context: In Ontario, patients who move increasingly keep their family physician (FP) because no one in their new community is accepting new patients, creating long distances to seek primary care. Dataset: The cohort was identified using the April 2023 Primary Care Population Dataset (PCPOP), an ICES-derived database.

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Patient experiences using primary care wait lists in Canada: A qualitative study [Health care services, delivery, and financing]

Annals of Family Medicine

Patients without a regular primary care provider (a family physician or nurse practitioner) are considered "unattached,". million people aged 12 and older) were unattached to a regular primary care provider. In 2019, 14.5% of Canadians (approximately 4.6

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Impact of an Intensive Primary Care Service on Health Services Utilization in a High-Utilizer Patient Population [Health care services, delivery, and financing]

Annals of Family Medicine

Objective: To measure the impact on healthcare system utilization of an intensive primary care (IPC) service from 2019 through 2022. Intervention: A personal family physician and community health worker were assigned to each consenting patient. Setting: Safety net hospital/clinic system in Fort Worth, Texas.

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You Know DPC is working when…

Noreta Family Medicine

I’ve written blogs that discuss my perspective on why Direct Primary Care (DPC) is helpful to both patients and physicians in Columbia, SC (and beyond!). Many of our patients have shared how they often felt rushed at their previous primary care doctor’s office, leaving appointments with lingering concerns.