ABSTRACTOBJECTIVETo ascertain which physician and practice characteristics are associated with self-reported provision of preventive care as recommended by the Canadian Task Force on Preventive Health Care.DESIGNCross-sectional analysis of data from a decennial survey.SETTINGSouthwestern Ontario.PARTICIPANTSA total of 731 family physicians in various practice settings.MAIN OUTCOME MEASURESNumber of patients to whom these physicians provided the recommended preventive services based on physicians' responses to various scenarios presented in the survey. The responses were scored, and the median score was used to dichotomize physicians into high- and low-scoring groups.RESULTSClose to two-thirds of the physicians (61%) were in the high-scoring group. Female family physicians, graduates of Canadian medical schools, and physicians whose practices were organized into family health teams, family health groups, family health networks, community health centres, or health services organizations were more likely to be in the high-scoring group. Physicians practising solo and international medical graduates were more likely to be in the low-scoring group.CONCLUSIONReorganizing delivery of primary care into group practice models might improve provision of preventive services. Licensing requirements for international medical graduates should ensure that these physicians are adequately trained to provide preventive services as recommended in the Canadian context. More research is needed before our results can be generalized beyond southwestern Ontario.
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Cites: CMAJ. 1998 Jan 27;158(2):185-939469139
Cites: Am J Public Health. 1983 Sep;73(9):1040-16881399
Cites: CMAJ. 1989 May 1;140(9):1035-432706590
Cites: Fam Med. 1992 Jan;24(1):58-611520350
Cites: Med Care. 1993 Mar;31(3):213-88450679
Cites: N Engl J Med. 1993 Aug 12;329(7):478-828332153
Cites: CMAJ. 1993 Dec 15;149(12):1795-8008261349
Cites: Can Fam Physician. 1996 Sep;42:1693-7008828872
Cites: Can Fam Physician. 1996 Dec;42:2370-98969856
Cites: J Gen Intern Med. 1997 Aug;12(8):472-79276652
Cites: Can Fam Physician. 1998 Oct;44:2143-99805169
Cites: Arch Intern Med. 2005 Feb 28;165(4):458-6315738378
Cites: Health Serv Res. 2005 Apr;40(2):389-40015762898
Cites: Can Fam Physician. 2007 Aug;53(8):1330-117872850