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Family Physicians Stopping Practice During the COVID-19 Pandemic in Ontario, Canada.
Kiran, Tara; Green, Michael E; Wu, C Fangyun; Kopp, Alexander; Latifovic, Lidija; Frymire, Eliot; Moineddin, Rahim; Glazier, Richard H.
  • Kiran T; Department of Family and Community Medicine, St Michael's Hospital, University of Toronto, Toronto, Ontario, Canada tara.kiran@utoronto.ca.
  • Green ME; MAP Centre for Urban Health Solutions, St Michael's Hospital, Toronto, Ontario, Canada.
  • Wu CF; ICES Central, Toronto, Ontario, Canada.
  • Kopp A; Institute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.
  • Latifovic L; Department of Family Medicine, Queen's University, Kingston, Ontario, Canada.
  • Frymire E; Health Services and Policy Research Institute, Queens University, Kingston, Ontario, Canada.
  • Moineddin R; ICES Queens, Kingston, Ontario, Canada.
  • Glazier RH; ICES Central, Toronto, Ontario, Canada.
Ann Fam Med ; 20(5): 460-463, 2022.
Article in English | MEDLINE | ID: covidwho-2054244
ABSTRACT
We conducted 2 analyses using administrative data to understand whether more family physicians in Ontario, Canada stopped working during the COVID-19 pandemic compared with previous years. First, we found 3.1% of physicians working in 2019 (n = 385/12,247) reported no billings in the first 6 months of the pandemic; compared with other family physicians, a higher portion were aged 75 years or older (13.0% vs 3.4%, P <0.001), had fee-for-service reimbursement (37.7% vs 24.9%, P <0.001), and had a panel size under 500 patients (40.0% vs 25.8%, P <0.001). Second, a fitted regression line found the absolute increase in the percentage of family physicians stopping work was 0.03% per year from 2010 to 2019 (P = 0.042) but 1.2% between 2019 to 2020 (P <0.001). More research is needed to understand the impact of physicians stopping work on primary care attachment and access to care.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Physicians, Family / COVID-19 Type of study: Observational study Limits: Humans Country/Region as subject: North America Language: English Journal: Ann Fam Med Journal subject: Family Practice Year: 2022 Document Type: Article Affiliation country: Afm.2865

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Physicians, Family / COVID-19 Type of study: Observational study Limits: Humans Country/Region as subject: North America Language: English Journal: Ann Fam Med Journal subject: Family Practice Year: 2022 Document Type: Article Affiliation country: Afm.2865