Who delivers preventive care as recommended?: Analysis of physician and practice characteristics.
ABSTRACTOBJECTIVETo 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.DESIGNCross-sectional analysis of data from a decennial survey.SETTINGSouthwestern Ontario.PARTICIPANTSA total of 731 family physicians in various practice settings.MAIN OUTCOME MEASURESNumber 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.RESULTSClose 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.CONCLUSIONReorganizing 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.
Thind
Amardeep
A
Centre for Studies in Family Medicine, University of Western Ontario, 245-100 Collip Circle, London, ON. athind2@uwo.ca
Feightner
John
J
Stewart
Moira
M
Thorpe
Cathy
C
Burt
Andrea
A
D000367:Age Factors; D000368:Aged; D002648:Child; D003430:Cross-Sectional Studies; D005194:Family Practice / Q000458:organization & administration*; D005260:Female; D019983:Guideline Adherence; D019538:Health Care Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D009864:Ontario; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians' / Q000458:organization & administration*; D011314:Preventive Health Services / Q000458:organization & administration*; D012737:Sex Factors