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Can Fam Physician
Vol. 54, No. 11, November 2008, pp.1574 - 1575.e5
Copyright © 2008 by The College of Family Physicians of Canada
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Research

Who delivers preventive care as recommended?

Analysis of physician and practice characteristics

Amardeep Thind, MD PhD, John Feightner, MD MSc FCFP, Moira Stewart, PhD, Cathy Thorpe, MA and Andrea Burt, MA
Dr Thind is an Associate Professor in the Department of Family Medicine and the Department of Epidemiology and Biostatistics; Dr Feightner is a Professor in the Department of Family Medicine; Ms Thorpe is a Research Associate; Ms Burt is a Research Assistant; and Dr Stewart is a Professor and Canada Research Chair in the Department of Family Medicine; all in the Schulich School of Medicine & Dentistry at the University of Western Ontario in London

Correspondence: Dr Amardeep Thind, Centre for Studies in Family Medicine, University of Western Ontario, 245-100 Collip Circle, London, ON N6G 4X8; telephone 519 858-5028; fax 519 858-5029; e-mailathind2{at}uwo.ca

OBJECTIVE To 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.

DESIGN Cross-sectional analysis of data from a decennial survey.

SETTING Southwestern Ontario.

PARTICIPANTS A total of 731 family physicians in various practice settings.

MAIN OUTCOME MEASURES Number 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.

RESULTS Close 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.

CONCLUSION Reorganizing 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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Copyright © 2008 by The College of Family Physicians of Canada.