Article Figures & Data
Figures
- Figure 1.
Flowchart of family physician survey recruitment and survey formats used
- Figure 2.
Types of virtual care support that family physicians indicated were “very helpful” in providing primary care to patients (N=448)
Tables
- Table 1.
Demographic characteristics of family physicians who responded to the survey (N=1016)
CHARACTERISTIC VALUE Gender (n=1013),* n (%) • Female 623 (61.5) • Male 390 (38.5) Medical school graduation year (n=1013)* • Mean (SD) 1998 (14.2) • Median (IQR) 2001 (1986-2011) Medical school graduation year (categorical; n=1013), n (%) • Before 1970 24 (2.4) • 1970-1979 113 (11.2) • 1980-1989 177 (17.5) • 1990-1999 165 (16.3) • 2000-2020 534 (52.7) Practice remuneration model (n=755), n (%) • PEM: enhanced fee-for-service† 146 (19.3) • PEM: blended capitation without team‡ 204 (27.0) • PEM: family health team 308 (40.8) • Community health centre 46 (6.1) • Traditional fee-for-service 16 (2.1) • Other 35 (4.6) Office practice setting (n=811), n (%) • Group setting (2-5 physicians in clinic) 253 (31.2) • Group setting (>5 physicians in clinic) 429 (52.9) • Only physician in clinic 104 (12.8) • Works in multiple office settings 25 (3.1) Provides walk-in services only (n=778), n (%) • Yes 21 (2.7) • No 757 (97.3) Estimated panel size (n=435) • Mean (SD) 1215 (901) • Median (IQR) 1000 (775-1500) IQR—interquartile range, PEM—patient enrolment model.
↵* Gender and year of graduation information are from publicly available data from the College of Physicians and Surgeons of Ontario; other demographic variables are from respondent self-report.
↵† Enhanced fee-for-service includes the family health group and comprehensive care models.
↵‡ Blended capitation includes the family health organization and family health network models.
- Table 2.
Characteristics of family physicians who did and did not report seeing patients with COVID-19 symptoms in their clinic in January 2021 (N=856): Cell sizes <6 have been suppressed.
CHARACTERISTIC SAW PATIENTS WITH
COVID-19 SYMPTOMSDID NOT SEE PATIENTS WITH
COVID-19 SYMPTOMSP VALUE Gender (n=856),* n (%) • Female 172 (65.2) 350 (59.1)
.11• Male 92 (34.8) 242 (40.9) Medical school graduation year (n=856) • Mean (SD) 2000 (12.7) 1996 (14.4)
<.001• Median (IQR) 2003 (1992-2011) 1998 (1985-2010) Medical school graduation year (categorical; n=856), n (%) • Before 1970 <6 (<2.3) 12 (2.0)
<.001• 1970-1979 15-25 (5.7-9.5) 81 (13.7) • 1980-1989 29 (11.0) 129 (21.8) • 1990-1999 51 (19.3) 92 (15.5) • 2000-2020 159 (60.2) 278 (47.0) Practice remuneration model (n=712), n (%) • PEM: enhanced fee-for-service† 21 (8.8) 118 (24.9)
<.001• PEM: blended capitation without team‡ 22 (9.2) 169 (35.7) • PEM: family health team 166 (69.5) 129 (27.3) • Community health centre 21 (8.8) 25 (5.3) • Traditional fee-for-service <6 (<2.5) 10 (2.1) • Other <6 (<2.5) 22 (4.6) Office practice setting (n=765), n (%) • Group setting (2-5 physicians in clinic) 20-35 (8.2-14.3) 214 (41.2)
<.001• Group setting (>5 physicians in clinic) 196 (80.0) 212 (40.8) • Only physician in clinic 16 (6.5) 81 (15.6) • Works in multiple office settings <6 (<2.4) 13 (2.5) Provides walk-in services only (n=732), n (%) • Yes <6 (<2.8) 16 (3.1)
.52• No 195-210 (92.0-99.1) 504 (96.9) Estimated panel size (n=414) • Mean (SD) 921 (671) 1328 (969)
<.001• Median (IQR) 800 (500-1100) 1100 (850-1550) IQR—interquartile range, PEM—patient enrolment model.
↵* Gender and year of graduation information are from publicly available data from the College of Physicians and Surgeons of Ontario; other demographic variables are from respondent self-report.
↵† Enhanced fee-for-service includes the family health group and comprehensive care models.
↵‡ Blended capitation includes the family health organization and family health network models.
- Table 3.
Estimated time spent by family physicians doing in-person and virtual care (N=450): Responses based on the question “Think about all of the time you spent providing clinical care to patients in your office during January 2021. What portion of your time did you spend doing the following? (Please respond so that the total equals 100%).”
INTERACTION TYPE MEAN (SD) PROPORTION, % MINIMUM PROPORTION OF TIME, % MAXIMUM PROPORTION OF TIME, % In-person visits* 27.2 (20.6) 0 100 Scheduled telephone assessments 58.2 (22.7) 0 100 Scheduled video assessments 5.8 (11.5) 0 95 One-way e-mail or secure messaging platform 2.9 (5.0) 0 28 Two-way e-mail or secure messaging platform 4.6 (7.8) 0 50 ↵* Including time spent on infection prevention and control before or after visit.
- Table 4.
Characteristics of family physicians who did and did not report they were thinking of closing their practices in the next 5 years (N=439): Cell sizes <6 have been suppressed.
CHARACTERISTIC THINKING OF CLOSING THEIR PRACTICE IN THE NEXT 1 TO 5 YEARS NOT THINKING OF OR NOT SURE OF CLOSING THEIR PRACTICE IN THE NEXT 1 TO 5 YEARS P VALUE Gender (n=439),* n (%) • Female 32 (41.6) 222 (61.3)
<.01• Male 45 (58.4) 140 (38.7) Medical school graduation year (n=439) • Mean (SD) 1980 (8.8) 1998 (13.3)
<.001• Median (IQR) 1979 (1975-1985) 1999 (1987-2009) Medical school graduation year (categorical; n=439), n (%) • Before 1970 <6 (<7.8) <6 (<1.7)
<.001• 1970-1979 36 (46.7) 30-40 (8.3-11.0) • 1980-1989 26 (33.8) 72 (19.9) • 1990-1999 6 (7.8) 69 (19.1) • 2000-2020 <6 (<7.8) 180 (49.7) Practice remuneration model (n=433), n (%) • PEM: enhanced fee-for-service† 25 (32.9) 76 (21.3)
.34• PEM: blended capitation without team‡ 28 (36.8) 137 (38.4) • PEM: family health team 17 (22.4) 100 (28.0) • Community health centre <5 (<6.6) 12 (3.4) • Traditional fee-for-service <5 (<6.6) 13 (3.6) • Other <5 (<6.6) 19 (5.3) Office practice setting (n=436), n (%) • Group setting (2-5 physicians in clinic) 29 (38.2) 130 (36.1)
<.01• Group setting (>5 physicians in clinic) 20-25 (26.3-32.9) 169 (46.9) • Only physician in clinic 22 (28.9) 50 (13.9) • Works in multiple office settings <6 (<7.9) 11 (3.1) Provides walk-in services only (n=435), n (%) • Yes 6 (7.9) 8 (2.2)
<.05• No 70 (92.1) 351 (97.8) Estimated panel size (n=423) • Mean (SD) 1361 (809) 1195 (927)
<.05• Median (IQR) 1200 (887-1600) 1000 (750-1500) IQR—interquartile range, PEM—patient enrolment model.
↵* Gender and year of graduation information are from publicly available data from the College of Physicians and Surgeons of Ontario; other demographic variables are from respondent self-report.
↵† Enhanced fee-for-service includes the family health group and comprehensive care models.
↵‡ Blended capitation includes the family health organization and family health network models.
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