2.1 Introduction
An important first step in physician workforce planning is to establish
a broad profile of family physicians (FPs) in Canada. This includes the types
of practice that FPs are involved in, the settings in which they deliver patient
care, and the range of medical services they provide.
2.2 Who Are Canadas Family Physicians?
The first question of the survey was focussed on finding out how the respondents
would describe themselves as family physicians. The results are presented in
Table 1.
Table 1
Self-identified Types of Family Physicians
|
Type of Family Physician
|
%1
|
|
Family physicianGeneral practitioner
|
73.22
(n= 20,006)
|
|
Family physicianGeneral practitioner / Anaesthetist
|
2.9
(n=783)
|
|
Family physicianGeneral practitioner / Surgeon
|
1.4
(n=393)
|
|
Family physicianGeneral practitioner / Other
|
14.6
(n=3,995)
|
|
Emergency physician
|
4.1
(n=1,117)
|
|
Others
|
4.5
(n=1,227)
|
|
Based on N=27,3243
|
|
1Since more than one category
could be chosen, the percentages do not add up to 100%.
2This percentage is based
on those respondents who checked off this category only. Some respondents
checked off this category and another on the list. If those who checked off
this and another category are included, the percentage increases to 75.6%.
3Since disproportionate
sampling was used, all results are weighted to ensure equal representation.
All results are based on the total population of active family physicians
in Canada (N=27,324). Details about the methodology are available on the CFPC
website.
Slightly less than three-quarters of the respondents considered themselves
to be "Family physicians-General practitioners". The next most frequently
chosen category was "Family physician-General practitioner/Other".
Respondents who checked off this category were asked to specify what "Other"
category applied to them. Of the 14.6% who checked this option, 19.6% said they
were a "Family physician-General practitioner/Emergency physician".
This finding is of note, given that "Emergency physician" was one
of the closed-ended categories available on the list. Other respondents said
that they were also Obstetricians/Gynaecologists (14%), Occupation/Industrial
physicians (8%) and Psychotherapists (7%), in addition to being Family physicians
General practitioners.
2.3 Types of Family Medicine Practice
The respondents were asked to describe their family medicine practice. The
results are summarized in Table 2.
What has become immediately evident from this table is that the majority of
FPs were not in solo practice. Only slightly more than 30% were in solo practice,
but some of those in solo practice also checked off other categories, suggesting
that they were working in more than one type of practice. Further analysis shows
that male FPs (35.6%) were more likely than female FPs (22.4%) to be in solo
practice.
About 45% of FPs indicated that they were in group practice. On average, family
physician group practices had 5.4 FPs. Those group practices which included
both FPs and other physician specialists had a mean of 10.9 FPs. Multidisciplinary
practices, which included independent practitioners in other disciplines, had
a mean of 8.5 FPs.
Table 2
Proportions of Family Physicians in Various Types of Medical Practices
|
Type of Practice
|
%1
|
Mean Number of FPs in Group Practice (Standard Deviation)
|
|
Family physician group practice
|
44.6
(n=12,183)
|
5.4
(SD=4.5)
|
|
Solo practice
|
31.3
(n=8,547)
|
|
|
Specialized clinic
|
8.7
(n=2,370)
|
|
|
Multidisciplinary group practice (includes independent practitioners
other than physicians)
|
8.6
(n=2,353)
|
8.5
(SD=8.1)
|
|
Family physician / specialist group practice (includes other physician
/ dental specialists)
|
6.8
(n=1,863)
|
10.9
(SD=11.7)
|
|
Locum tenens
|
3.2
(n=866)
|
|
|
Others
|
13.8
(n=3,778)
|
|
Based on N=27,324
1 The combined
percentage may exceed 100% as some respondents checked off more than one
category.
2.4 Family Practice Settings
Another important piece of information in establishing a profile of FPs is the
practice settings of FPs. The information is presented in Table 3.
The medical practice of some FPs took place in more than one practice setting.
While half of all family physicians restricted their practice to only one type
of practice setting, 21.6% were involved in two settings and 28.7% were involved
in more than two settings.
Table 3
Proportions of Family Physicians in Various Practice Settings
|
Practice Setting
|
%1
|
|
Private office / Clinic
|
79.2
(n=21,632)
|
|
Hospital in-patient unit
|
26.3
(n=7,195)
|
|
Nursing home / Home for the aged
|
22.3
(n=6,101)
|
|
Emergency department
|
21.9
(n=5,991)
|
|
Community clinic / Community health centre / Centre local de services
communautaires
|
11.1
(n=3,022)
|
|
Free-standing walk-in clinic
|
10.0
(n=2,734)
|
|
Academic centre
|
6.5
(n=1,786)
|
|
Health Service Organization
|
2.3
(n=622)
|
|
Others
|
10.8
(n=2,956)
|
|
Based on N=27,324
|
|
1 The
combined percentage may exceed 100% as some respondents checked off
more than one category.
Although 79% of FPs were involved in private-office practice, only 49.1% of
them had this as their only practice setting. Regional variations were noted
and will be examined in more detail at a later date.
|