Practice patterns among early-career primary care (ECPC) physicians and workforce planning implications: protocol for a mixed methods study
Introduction Canadians report persistent problems accessing primary care despite an increasing per-capita supply of primary care physicians (PCPs). There is speculation that PCPs, especially those early in their careers, may now be working less and/or choosing to practice in focused clinical areas r...
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BMJ Publishing Group
2019-09-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/9/9/e030477.full |
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| author | Richard J Gibson Tara Sampalli Tara Kiran Richard H Glazier Agnes Grudniewicz Kimberlyn McGrail David Snadden Ian Scott M Ruth Lavergne Laurie J Goldsmith David Rudoler Emily Gard Marshall Megan Ahuja Doug Blackie Fred Burge Steve Hawrylyshyn Lindsay Hedden Jacalynne Hernandez-Lee Kathleen Horrey Mike Joyce Adrian MacKenzie Maria Mathews Rita McCracken Madeleine McKay Charmaine McPherson Goldis Mitra Gail Tomblin Murphy Sabrina T Wong |
| author_facet | Richard J Gibson Tara Sampalli Tara Kiran Richard H Glazier Agnes Grudniewicz Kimberlyn McGrail David Snadden Ian Scott M Ruth Lavergne Laurie J Goldsmith David Rudoler Emily Gard Marshall Megan Ahuja Doug Blackie Fred Burge Steve Hawrylyshyn Lindsay Hedden Jacalynne Hernandez-Lee Kathleen Horrey Mike Joyce Adrian MacKenzie Maria Mathews Rita McCracken Madeleine McKay Charmaine McPherson Goldis Mitra Gail Tomblin Murphy Sabrina T Wong |
| author_sort | Richard J Gibson |
| collection | DOAJ |
| description | Introduction Canadians report persistent problems accessing primary care despite an increasing per-capita supply of primary care physicians (PCPs). There is speculation that PCPs, especially those early in their careers, may now be working less and/or choosing to practice in focused clinical areas rather than comprehensive family medicine, but little evidence to support or refute this. The goal of this study is to inform primary care planning by: (1) identifying values and preferences shaping the practice intentions and choices of family medicine residents and early career PCPs, (2) comparing practice patterns of early-career and established PCPs to determine if changes over time reflect cohort effects (attributes unique to the most recent cohort of PCPs) or period effects (changes over time across all PCPs) and (3) integrating findings to understand the dynamics among practice intentions, practice choices and practice patterns and to identify policy implications.Methods and analysis We plan a mixed-methods study in the Canadian provinces of British Columbia, Ontario and Nova Scotia. We will conduct semi-structured in-depth interviews with family medicine residents and early-career PCPs and analyse survey data collected by the College of Family Physicians of Canada. We will also analyse linked administrative health data within each province. Mixed methods integration both within the study and as an end-of-study step will inform how practice intentions, choices and patterns are interrelated and inform policy recommendations.Ethics and dissemination This study was approved by the Simon Fraser University Research Ethics Board with harmonised approval from partner institutions. This study will produce a framework to understand practice choices, new measures for comparing practice patterns across jurisdictions and information necessary for planners to ensure adequate provider supply and patient access to primary care. |
| format | Article |
| id | doaj-art-13ee68fe37804cb4879f9879392199dd |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2019-09-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-13ee68fe37804cb4879f9879392199dd2025-02-11T14:25:15ZengBMJ Publishing GroupBMJ Open2044-60552019-09-019910.1136/bmjopen-2019-030477Practice patterns among early-career primary care (ECPC) physicians and workforce planning implications: protocol for a mixed methods studyRichard J Gibson0Tara Sampalli1Tara Kiran2Richard H Glazier3Agnes Grudniewicz4Kimberlyn McGrail5David Snadden6Ian Scott7M Ruth Lavergne8Laurie J Goldsmith9David Rudoler10Emily Gard Marshall11Megan Ahuja12Doug Blackie13Fred Burge14Steve Hawrylyshyn15Lindsay Hedden16Jacalynne Hernandez-Lee17Kathleen Horrey18Mike Joyce19Adrian MacKenzie20Maria Mathews21Rita McCracken22Madeleine McKay23Charmaine McPherson24Goldis Mitra25Gail Tomblin Murphy26Sabrina T Wong277 Nova Scotia Health Authority, Halifax, Nova Scotia, Canada6 Nova Scotia Health Authority, Halifax, Nova Scotia, Canada9 Department of Family and Community Medicine, St. Michael’s Hospital and University of Toronto, Toronto, Ontario, Canada9 Department of Family and Community Medicine, St. Michael’s Hospital and University of Toronto, Toronto, Ontario, CanadaUniversity of Ottawa Telfer School of Management, Ottawa, Ontario, Canada3 Centre for Health Services and Policy Research, The University of British Columbia, Vancouver, British Columbia, CanadaFamily Practice, The University of British Columbia Faculty of Medicine, Vancouver, British Columbia, Canada1 School of Clinical Medicine, University of Queensland, Brisbane, Queensland, Australia1 Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada1 Faculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, CanadaFaculty of Health Sciences, Ontario Tech University, Oshawa, Ontario, CanadaDepartment of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada5 Centre for Health Services and Policy Research, University of British Columbia, Vancouver, British Columbia, Canada6 School of Leadership Studies, Royal Roads University, Victoria, British Columbia, CanadaPrimary Care Research Unit, Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada10 First Five Years group, College of Family Physicians of Canada, Toronto, Ontario, CanadaFaculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia, Canada4 Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada4 Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada11 Nova Scotia Department of Health and Wellness, Halifax, Nova Scotia, Canada12 Department of Community Health and Epidemiology and WHO/PAHO Collaborating Centre on Health Workforce Planning and Research, Dalhousie University, Halifax, Nova Scotia, CanadaDepartment of Family Medicine, University of Western Ontario, London, Ontario, CanadaDepartment of Family Medicine, Providence Health Care, Vancouver, British Columbia, CanadaDoctors Nova Scotia, Dartmouth, Nova Scotia, CanadaIndependent Researcher, Halifax, Nova Scotia, Canada14 Department of Family Practice, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada12 Department of Community Health and Epidemiology and WHO/PAHO Collaborating Centre on Health Workforce Planning and Research, Dalhousie University, Halifax, Nova Scotia, Canada14 Centre for Health Services and Policy Research and School of Nursing, The University of British Columbia, Vancouver, British Columbia, CanadaIntroduction Canadians report persistent problems accessing primary care despite an increasing per-capita supply of primary care physicians (PCPs). There is speculation that PCPs, especially those early in their careers, may now be working less and/or choosing to practice in focused clinical areas rather than comprehensive family medicine, but little evidence to support or refute this. The goal of this study is to inform primary care planning by: (1) identifying values and preferences shaping the practice intentions and choices of family medicine residents and early career PCPs, (2) comparing practice patterns of early-career and established PCPs to determine if changes over time reflect cohort effects (attributes unique to the most recent cohort of PCPs) or period effects (changes over time across all PCPs) and (3) integrating findings to understand the dynamics among practice intentions, practice choices and practice patterns and to identify policy implications.Methods and analysis We plan a mixed-methods study in the Canadian provinces of British Columbia, Ontario and Nova Scotia. We will conduct semi-structured in-depth interviews with family medicine residents and early-career PCPs and analyse survey data collected by the College of Family Physicians of Canada. We will also analyse linked administrative health data within each province. Mixed methods integration both within the study and as an end-of-study step will inform how practice intentions, choices and patterns are interrelated and inform policy recommendations.Ethics and dissemination This study was approved by the Simon Fraser University Research Ethics Board with harmonised approval from partner institutions. This study will produce a framework to understand practice choices, new measures for comparing practice patterns across jurisdictions and information necessary for planners to ensure adequate provider supply and patient access to primary care.https://bmjopen.bmj.com/content/9/9/e030477.full |
| spellingShingle | Richard J Gibson Tara Sampalli Tara Kiran Richard H Glazier Agnes Grudniewicz Kimberlyn McGrail David Snadden Ian Scott M Ruth Lavergne Laurie J Goldsmith David Rudoler Emily Gard Marshall Megan Ahuja Doug Blackie Fred Burge Steve Hawrylyshyn Lindsay Hedden Jacalynne Hernandez-Lee Kathleen Horrey Mike Joyce Adrian MacKenzie Maria Mathews Rita McCracken Madeleine McKay Charmaine McPherson Goldis Mitra Gail Tomblin Murphy Sabrina T Wong Practice patterns among early-career primary care (ECPC) physicians and workforce planning implications: protocol for a mixed methods study BMJ Open |
| title | Practice patterns among early-career primary care (ECPC) physicians and workforce planning implications: protocol for a mixed methods study |
| title_full | Practice patterns among early-career primary care (ECPC) physicians and workforce planning implications: protocol for a mixed methods study |
| title_fullStr | Practice patterns among early-career primary care (ECPC) physicians and workforce planning implications: protocol for a mixed methods study |
| title_full_unstemmed | Practice patterns among early-career primary care (ECPC) physicians and workforce planning implications: protocol for a mixed methods study |
| title_short | Practice patterns among early-career primary care (ECPC) physicians and workforce planning implications: protocol for a mixed methods study |
| title_sort | practice patterns among early career primary care ecpc physicians and workforce planning implications protocol for a mixed methods study |
| url | https://bmjopen.bmj.com/content/9/9/e030477.full |
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