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Characterizing the services provided by family physicians in Ontario, Canada: A retrospective study using

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  • 1Clinical Sciences Division, NOSM University, Thunder Bay, Ontario, Canada.

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Summary
This summary is machine-generated.

Rural family physicians offer a wider range of services than urban doctors, impacting health human resource planning. Understanding physician service variation is key for workforce development.

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Area of Science:

  • Family Medicine
  • Health Services Research
  • Health Human Resources

Background:

  • Family physicians deliver the majority of primary care in Ontario, Canada.
  • Their practice scope extends beyond primary care to include emergency, hospital, and palliative services.
  • Understanding service variation is crucial for effective health human resource planning (HHRP).

Purpose of the Study:

  • To investigate the spectrum of services provided by family physicians in Ontario.
  • To evaluate variations in services based on geographic location (north/south, urban/rural) and career stage.
  • To inform health human resource planning, medical education, and clinical service planning.

Main Methods:

  • Utilized a provincial physician database and administrative physician billing data from 2017.
  • Defined 18 general services using billing codes.
  • Analyzed service variation by physician geographic location and years in practice.

Main Results:

  • In 2017, Ontario had 14,443 family physicians, with most in urban southern areas.
  • Rural physicians generally provided a broader range of services, including clinic medicine, mental health, emergency, palliative, and hospital care.
  • Physicians in urban southern Ontario and those later in their careers tended to offer a narrower service range.

Conclusions:

  • Significant variation exists in services provided by Ontario family physicians.
  • Rural and less experienced physicians offer a wider scope of practice.
  • Findings support tailored health human resource planning and medical education to meet diverse community needs.