Characteristics of walk-in clinic physicians and patients in Ontario: Cross-sectional study.


Journal

Canadian family physician Medecin de famille canadien
ISSN: 1715-5258
Titre abrégé: Can Fam Physician
Pays: Canada
ID NLM: 0120300

Informations de publication

Date de publication:
Oct 2024
Historique:
medline: 16 10 2024
pubmed: 16 10 2024
entrez: 15 10 2024
Statut: ppublish

Résumé

To describe family physicians who primarily practise in a walk-in clinic setting and compare them with family physicians who provide longitudinal care. A cross-sectional study that linked results from a 2019 physician survey to provincial administrative health care data in Ontario. The characteristics, practice patterns, and patients of physicians primarily working in a walk-in clinic setting were compared with those of family physicians providing longitudinal care. Ontario. Physicians who primarily worked in a walk-in clinic setting in 2019, as indicated by an annual physician survey. Physician demographic and practice characteristics, as well as their patients' demographic and health care utilization characteristics, were reported according to whether the physician was a walk-in clinic physician or a family physician who provided longitudinal care. Compared with the 9137 family physicians providing longitudinal care, the 597 physicians who self-identified as practising primarily in walk-in clinics were more frequently male (67% vs 49%) and more likely to speak a language other than English or French (43% vs 32%). Walk-in clinic physicians tended to have more encounters with patients who were younger (mean 37 vs 47 years), who had lower levels of prior health care utilization (15% vs 19% in highest band), who resided in large urban areas (87% vs 77%), and who lived in highly ethnically diverse neighbourhoods (45% vs 35%). Walk-in clinic physicians tended to have more encounters with unattached patients (33% vs 17%) and with patients attached to another physician outside their group (54% vs 18%). Physicians who primarily work in walk-in clinics saw many patients from historically underserved groups and many patients who were attached to another family physician.

Identifiants

pubmed: 39406418
pii: 70/10/e156
doi: 10.46747/cfp.7010e156
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e156-e168

Informations de copyright

Copyright © 2024 the College of Family Physicians of Canada.

Auteurs

Lauren Lapointe-Shaw (L)

Assistant Professor in the Department of Medicine at the University of Toronto in Ontario, and a staff general internal medicine physician at the University Health Network (UHN) in Toronto.

Christine Salahub (C)

Research associate at the UHN.

Peter C Austin (PC)

Senior Core Scientist at ICES in Toronto.

Li Bai (L)

Epidemiologist at ICES.

Sundeep Banwatt (S)

Clinical Director at CarePoint Health Integrated Care Centre in Mississauga, Ont.

Simon Berthelot (S)

Associate Professor in the Department of Family Medicine and Emergency Medicine at Université Laval.

R Sacha Bhatia (RS)

Senior Vice President of Population Health and Value Based Care at Ontario Health and a cardiologist at the UHN.

Cherryl Bird (C)

Patient partner at the UHN.

Laura Desveaux (L)

Scientific Lead and Learning Health System Program Lead at Trillium Health Partners in Toronto.

Tara Kiran (T)

Vice-Chair of Quality and Innovation in the Department of Family and Community Medicine at the University of Toronto in Ontario; Associate Professor in the Faculty of Medicine and the Institute of Health Policy, Management and Evaluation at the University of Toronto; Scientist in the MAP Centre for Urban Health Solutions at St Michael's Hospital in Toronto; and a staff physician in the Department of Family and Community Medicine at St Michael's Hospital, Unity Health Toronto.

Aisha Lofters (A)

Family physician, Chair in Implementation Science at Women's College Hospital in Toronto, and Associate Professor in the Department of Family and Community Medicine at the University of Toronto.

Malcolm Maclure (M)

Professor in the Faculty of Medicine at the University of British Columbia in Vancouver.

Danielle Martin (D)

Family physician and Professor and Chair in the Department of Family and Community Medicine at the University of Toronto.

Kerry A McBrien (KA)

Associate Professor in the Departments of Family Medicine and Community Health Sciences at the University of Calgary in Alberta.

Rita K McCracken (RK)

Assistant Professor in the Department of Family Practice at the University of British Columbia.

J Michael Paterson (JM)

Core Scientist at ICES Central.

Bahram Rahman (B)

Manager at the Ontario Ministry of Health in Toronto.

Jennifer Shuldiner (J)

Scientist at Women's College Hospital Research and Innovation Institute.

Mina Tadrous (M)

Associate Professor in the Leslie Dan Faculty of Pharmacy at the University of Toronto.

Braeden A Terpou (BA)

Research associate at Trillium Health Partners.

Niels Thakkar (N)

Manager of Analytics at the College of Nurses of Ontario.

Ruoxi Wang (R)

Research associate at Trillium Health Partners.

Noah M Ivers (NM)

Scientist in the Women's College Research Institute and Associate Professor in the Department of Family and Community Medicine at the University of Toronto.

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