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Research ArticleResearch

Providing continuity of care to a specific population

Attracting new family physicians

Andréanne Roy, Mylaine Breton and Julie Loslier
Canadian Family Physician May 2016; 62 (5) e256-e262;
Andréanne Roy
Medical resident in public health and preventive medicine at the University of Sherbrooke in Quebec.
MSc MD
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  • For correspondence: andreanne.roy{at}usherbrooke.ca
Mylaine Breton
Researcher at the Centre de recherche de l’Hôpital Charles-Le Moyne and Assistant Professor in the Department of Community Health Sciences at the University of Sherbrooke.
PhD
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Julie Loslier
Physician in the public health planning, assessment and research team of Direction de santé publique de la Montérégie, Associate Professor in the Department of Community Health Sciences at the University of Sherbrooke, and Director of the public health and preventive medicine residency program at the University of Sherbrooke.
MD MSc FRCPC
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    Figure 1.

    Conceptual framework

    Adapted from Borgès Da Silva10 and Chaudoir et al.14

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    Figure 2.

    Synthesis of factors that support or present barriers to providing continuity of care

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    Table 1.

    Comparison of respondents to all of the family physicians contacted

    CHARACTERISTICSFAMILY PHYSICIANS FROM MONTEREGIE WITH ≤ 10 Y OF WORK EXPERIENCE, N (%)*
    WORK FORCE ACCORDING TO DRMG DATABASE†SURVEY RESPONDENTS
    Sex‡
      • Women269 (74.3)99 (83.9)
      • Men93 (25.7)19 (16.1)
    Experience‡
      • 0–2 y123 (34.0)51 (43.2)
      • 3–5 y97 (26.8)39 (33.1)
      • 6–10 y142 (39.2)28 (23.7)
    Geographic context (according to practice region)§
      • Rural health and social services centre92 (25.4)32 (27.1)
      • Semiurban health and social services centre10 (2.8)2 (1.7)
      • Urban health and social services centre260 (71.8)84 (71.2)
    Total362 (100.0)118 (100.0)
    • DRMG—Département régional de médecine générale de la Montérégie.

    • ↵* Percentages rounded to 1 decimal place.

    • ↵† Data were only available for 362 physicians as of December 2013.

    • ↵‡ Results of χ2 analyses statistically significant at P < .05.

    • ↵§ Based on the taxonomy of Borgès Da Silva.10

    • View popup
    Table 2.

    Factors that support or present a barrier to providing continuity of care from the perspective of the survey respondents

    FACTORSSTRONG EFFECT ON PROVIDING CONTINUITY OF CARE, %
    Supporting factors
      • Long-term relationship with patients59.0
      • Interest in clinical activities related to providing continuity of care51.3
      • Population needs50.0
      • Caring for patients’ health issues45.3
      • Possibility of working in collaboration with nurses42.6
      • Interest in health promotion or prevention41.0
      • Possibility of working in collaboration with other physicians36.3
      • Validation of continuity of care by the general public30.2
      • Sense of competency in providing continuity of care27.6
      • High quality of life associated with providing continuity of care25.9
      • Experiences and interactions with physicians who provide continuity of care (positive or negative role models)23.3
      • Registration fees associated with continuity of care Barriers20.5
      • Administrative workload57.8
      • Negative experience providing follow-up care and continuity of care during family medicine residency33.3
      • Limited access to specialized and technical resources33.9
      • Specific medical activities26.5
      • Method of remuneration21.6
      • Validation of providing continuity of care by physicians18.4
      • Validation of providing continuity of care by faculties of medicine18.1
    • View popup
    Table 3.

    Main characteristics of the 10 interview participants

    CHARACTERISTICSFREQUENCY, N
    Sex
      • Men3
      • Women7
    Practice setting*
      • Local health community centre3
      • Family medicine group4
      • Family medicine unit5
      • Home care2
      • Private group practice2
      • Rehabilitation centre1
    Percentage of time spent providing continuity of care
      • 25%2
      • 50%1
      • 65%1
      • 75%5
      • 90%1
    Experience
      • 0 y2
      • 2 y2
      • 4 y1
      • 7 y2
      • 8 y1
      • 9 y1
      • 10 y1
    Type of specific medical activities*
      • Mixed (hospitalization and continuity of care for vulnerable populations)1
      • Hospitalization8
      • Emergency1
      • Obstetrics1
    • ↵* Categories are not mutually exclusive (respondents could select more than 1).

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Canadian Family Physician: 62 (5)
Canadian Family Physician
Vol. 62, Issue 5
1 May 2016
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Providing continuity of care to a specific population
Andréanne Roy, Mylaine Breton, Julie Loslier
Canadian Family Physician May 2016, 62 (5) e256-e262;

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Andréanne Roy, Mylaine Breton, Julie Loslier
Canadian Family Physician May 2016, 62 (5) e256-e262;
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