Article Figures & Data
Tables
INDEPENDENT VARIABLE N (%) MEAN SCOPE OF PRACTICE SCORE (SD) Physician-related variables Physician age,* y • < 35 745 (11.0) 8.8 (1.9) • 35 to 44 2308 (34.0) 8.7 (2.0) • 45 to 54 2502 (36.9) 8.7 (2.1) • 55 to 64 965 (14.2) 8.6 (2.2) • ≥ 65 269 (4.0) 7.6 (2.5) Years in medical practice† • 0 to 10 1679 (24.7) 8.9 (1.9) • 11 to 20 2452 (36.1) 8.7 (2.1) • 21 to 30 1986 (29.2) 8.6 (2.2) • 31 to 40 540 (8.0) 8.3 (2.3) • > 40 132 (1.9) 7.6 (2.4) Physician sex • Male 4472 (65.9) 8.8 (2.1) • Female 2317 (34.1) 8.3 (2.0) Additional postgraduate training after family medicine residency • Yes 2391 (35.2) 8.9 (2.1) • No 4398 (64.8) 8.5 (2.1) Physician payment type • Fee-for-service only 3051 (44.9) 8.3 (2.2) • Other 3738 (55.1) 8.9 (1.9) Availability of health care resources to main practice setting Referral to specialists‡ • 1 (poor) 503 (7.4) 8.7 (2.1) • 2 2051 (30.2) 8.8 (2.0) • 3 2607 (38.4) 8.7 (2.0) • 4 1252 (18.4) 8.4 (2.2) • 5 (excellent) 375 (5.5) 8.2 (2.4) Hospital beds§ • 1 (poor) 1720 (25.3) 8.7 (2.0) • 2 2421 (35.7) 8.6 (2.1) • 3 1738 (25.6) 8.5 (2.1) • 4 695 (10.2) 8.9 (2.1) • 5 (excellent) 215 (3.2) 9.3 (2.1) Practice organization No. of different types of allied health professionals in main practice setting|| • 0 to 2 5936 (87.4) 8.8 (2.1) • 3 to 5 791 (11.7) 8.0 (2.0) • ≥ 6 62 (0.9) 7.4 (2.1) Main practice setting • Private office or clinic 6101 (89.9) 8.7 (2.1) • Community clinic, CHC, CLSC 468 (6.9) 7.9 (2.2) • Academic family medicine teaching unit 220 (3.2) 8.9 (1.7) Practice type • Solo practice 1619 (23.9) 8.4 (2.2) • Family physician group practice 4512 (66.5) 8.8 (2.0) • Family physician–specialist group practice 658 (9.7) 7.9 (2.3) Geographic variables Population served¶ • Urban 4291 (63.2) 8.2 (2.1) • Semiurban 1363 (20.1) 9.2 (2.0) • Rural 1135 (16.7) 9.7 (1.6) Provinces# • Newfoundland and Labrador 114 (1.7) 9.0 (1.8) • Prince Edward Island 68 (1.0) 9.4 (1.6) • New Brunswick 135 (2.0) 9.7 (1.5) • Nova Scotia 248 (3.6) 9.4 (1.6) • Quebec 1450 (21.4) 7.2 (2.0) • Ontario 2550 (37.6) 8.6 (2.0) • Manitoba 209 (3.1) 8.8 (2.0) • Saskatchewan 209 (3.1) 10.1 (1.3) • Alberta 628 (9.3) 9.3 (1.9) • British Columbia 1178 (17.4) 9.7 (1.5) -
CHC—community health centre, CLSC—centre local de services communautaires.
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↵* Mean (SD) physician age was 46.2 (9.5) years.
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↵† Mean (SD) number of years in practice was 18.0 (9.6) years.
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↵‡ Availability of specialists for referral was scored on a 5-point Likert scale (with 1 being poor and 5 being excellent). Mean (SD) Likert score for availability of specialists was 2.9 (1.0).
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↵§ Access to hospital beds was scored on a 5-point Likert scale (with 1 being poor and 5 being excellent). Mean (SD) Likert score for access to hospital beds was 2.3 (1.1).
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↵|| The mean (SD) number of allied health professionals in the main practices settings was 1.1 (1.3).
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↵¶ This referred to the population primarily served by the respondent’s practice, as selected by the respondent. The original categories of inner city and urban-suburban were collapsed into urban; small town was collapsed into semiurban; and rural, geographically isolated, and remote were collapsed into rural.
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↵# Complete-case analysis excluded all respondents from the territories.
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- Table 2.
Results of univariable and multivariable analyses with complete case analysis: N = 6789.
INDEPENDENT VARIABLES (REFERENCE CATEGORY) UNADJUSTED β (UNSTANDARDIZED REGRESSION COEFFICIENT) STANDARD ERROR OF UNADJUSTED β UNADJUSTED R2 ADJUSTED β (UNSTANDARDIZED REGRESSION COEFFICIENT) STANDARD ERROR OF ADJUSTED β ADJUSTED R2(% OF TOTALR2EXPLAINED) Physician-related variables Physician age −0.24* 0.04 0.005* −0.16* 0.04 0.002 (0.6)* Years in medical practice† −0.25* 0.04 0.006* Male physician sex 8.55* 0.82 0.016* 6.20* 0.72 0.006 (1.7)* Additional postgraduate training after family medicine residency 6.97* 0.82 0.011* 3.22* 0.68 0.002 (0.6)* Payment via fee-for-service only −10.12* 0.78 0.024* −7.88* 0.68 0.016 (4.6)* Availability of health care resources to main practice setting Specialists −2.08* 0.40 0.004* −1.13* 0.35 0.001 (0.3)‡ Hospital beds 1.09* 0.37 0.001‡ 0.97‡ 0.36 0.001 (0.3)‡ Practice organization No. of different types of allied health professionals in main practice setting −2.84* 0.30 0.013* 1.33* 0.31 0.002 (0.6)* Main practice setting (private office) 0.010* 0.009 (2.6)* • Community clinic, CHC, CLSC −12.32* 1.55 −11.87* 1.50 • Academic family medicine teaching unit 2.24§ 2.22 8.97* 1.90 Practice type (solo practice) 0.019* 0.007 (2.0)* • Family physician group practice 6.58* 0.93 5.35* 0.81 • Family physician–specialist group practice −7.30* 1.49 1.95§ 1.32 Geographic variables 0.095* 0.110 (31.3)* Population served (urban) • Semiurban 16.43* 0.96 17.20* 0.86 • Rural 24.57* 1.03 23.96* 0.97 Provinces (Quebec) 0.195* 0.195 (55.6)* • Newfoundland and Labrador 28.75* 2.83 26.89* 2.59 • Prince Edward Island 35.07* 3.62 29.91* 3.28 • New Brunswick 39.73* 2.63 37.65* 2.40 • Nova Scotia 34.64* 2.00 34.54* 1.85 • Ontario 21.87* 0.96 27.31* 0.94 • Manitoba 26.33* 2.16 26.07* 1.97 • Saskatchewan 47.54* 2.16 48.29* 1.99 • Alberta 33.54* 1.39 35.52* 1.31 • British Columbia 40.00* 1.14 43.68* 1.14
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