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Related Experiment Videos

Closed and restricted practices

C A Woodward1, A P Williams, M Cohen

  • 1Department of Clinical Epidemiology and Biostatistics, Faculty of Health Sciences at McMaster University in Hamilton, Ont.

Canadian Family Physician Medecin De Famille Canadien
|September 26, 1997
PubMed
Summary
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Nearly one-third of recently certified Ontario family physicians closed their practices to new patients. Many also restricted services, indicating early career practice changes for family doctors.

Area of Science:

  • Family Medicine
  • General Practice
  • Physician Practice Patterns

Background:

  • The early career stage of physicians is critical for understanding practice sustainability.
  • Recent certification in family medicine may coincide with practice adjustments.

Purpose of the Study:

  • To assess the extent to which new Ontario family physicians close practices or restrict services.
  • To identify factors associated with practice closure or service restriction among early-career family physicians.

Main Methods:

  • A cross-sectional survey was conducted among Ontario family physicians certified between 1989 and 1991.
  • Data were collected via mail regarding practice closure and service restrictions.
  • The study achieved a 70% response rate from eligible physicians.

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Main Results:

  • Approximately 33% of surveyed physicians had closed their practices to new patients.
  • Practice closure correlated with years in practice, with metropolitan Toronto physicians less likely to close practices.
  • About 45% of respondents did not offer at least one of five key services, with restrictions noted by patient type, geography, and setting.

Conclusions:

  • Family physicians frequently restrict their practices within five years of certification.
  • These findings highlight early career challenges and practice adaptations in family medicine.
  • Understanding these patterns is crucial for healthcare planning and physician support.