Recent studies suggest that comprehensiveness of primary care has declined steadily over the past decade. This study tracks the participation rates of general practitioners and family physicians in 6 nonoffice settings across Ontario and examines among which types of physicians this decline in comprehensiveness has occurred.
Billing (claims) records were used to determine the proportions of fee-for-service general practitioners and family physicians who provided emergency, inpatient, nursing home, house call, anesthesia or obstetrical services from 1989/90 to 1999/2000. "Office-only" physicians were those who worked in none of these nonoffice settings. The relation of various physician characteristics to comprehensiveness of care was tested with multivariate analysis for 1999/2000.
The proportion of "office-only" general practitioners and family physicians rose from 14% in 1989/90 to 24% in 1999/2000 (p
Notes
Cites: Fam Med. 1998 Jul-Aug;30(7):517-89669167
Cites: Can Fam Physician. 1997 Oct;43:1739-449356754
Cites: J Am Board Fam Pract. 1997 Sep-Oct;10(5):379-819297666
Cites: Hosp Case Manag. 1997 May;5(5):79-8110167257
Cites: Ann Intern Med. 1998 Aug 1;129(3):197-2039696727
Cites: Hosp Pract (1995). 1998 Aug 15;33(8):123-4, 1279717486
Cites: Am Fam Physician. 1998 Aug;58(2):339, 3429729175
Cites: Can Fam Physician. 1998 Oct;44:2107-129805165
Cites: J Gen Intern Med. 1998 Dec;13(12):836-89844081
Cites: CMAJ. 1998 Nov 3;159(9):1101-69835877
Cites: Can Fam Physician. 1998 Oct;44:2143-99805169
Cites: Can Fam Physician. 1998 Oct;44:2117-249805166
Cites: Med Care. 1990 Jan;28(1):87-922296218
Cites: Can Fam Physician. 2000 Mar;46:587-92, 595-710751998