Table 1.
Characteristics of FPs in Ontario with and without additional training or focused practices in the care of older adults
CHARACTERISTIC | CAC-COE AND FSP-COE FPs(n=242) | FPs WITHOUT EVIDENCE OF ADDITIONAL TRAINING OR FOCUSED PRACTICES (n=13,881) | P VALUE* |
---|---|---|---|
Sex (female), n (%) | 145 (59.92) | 6754 (48.66) | <.001* |
Age (y), median (IQR) | 45 (16) | 49 (23) | <.001* |
Years in practice, median (IQR) | 17 (18) | 22 (24) | <.001* |
Based in rural location,† n (%) | 20 (8.26) | 1236 (8.90) | .73 |
Community size,‡ n (%) | |||
|
90 (37.19) | 6136 (44.20) | .19 |
|
49 (20.25) | 2499 (18.00) | |
|
60 (24.79) | 2802 (20.19) | |
|
23 (9.50) | 1208 (8.70) | |
|
20 (8.26) | 1236 (8.90) | |
ED in physician’s census subdivision, n (%) | 200 (82.64) | 10,723 (77.25) | .05* |
Location of medical school training, n (%) | |||
|
158 (65.29) | 7625 (54.93) | .004* |
|
27 (11.16) | 2340 (16.86) | |
|
57 (23.55) | 3916 (28.21) | |
Community-level marginalization score in primary practice location,§ median (IQR) | |||
|
0.04 (0.22) | 0.02 (0.21) | <.001* |
|
−0.12 (0.19) | −0.12 (0.43) | .45 |
|
−0.16 (0.46) | −0.16 (0.55) | .19 |
|
−0.07 (0.93) | −0.07 (1.22) | <.001* |
Full-time affiliation with a patient enrolment model, n (%) | 155 (64.05) | 9059 (65.26) | .69 |
Practice type, n (%) | |||
|
147 (60.74) | 9581 (69.02) | <.001* |
|
58 (23.97) | 2172 (15.65) | |
|
37 (15.29) | 2128 (15.33) | |
Type of patient enrolment model, n (%) | |||
|
20 (8.26) | 2861 (20.61) | <.001* |
|
43 (17.77) | 2888 (20.81) | |
|
82 (33.88) | 2823 (20.34) | |
|
87 (35.95) | 3957 (28.51) | |
|
10 (4.13) | 1352 (9.74) | |
More than 50% of payments attributed to fee-for-service, n (%) | 96 (39.67) | 6978 (50.27) | <.001* |
Total OHIP billings ($), median (IQR)‖ | 160,733 (142,935) | 159,789 (158,491) | .79 |
Billings attributed to core primary care services, n (%) | |||
|
166 (68.60) | 10,218 (73.61) | .10 |
|
53 (21.90) | 2315 (16.68) | |
|
23 (9.50) | 1348 (9.71) | |
Number of patient visits, median (IQR) | 2636 (2513) | 3005 (3019) | .06 |
Number of consultations, median (IQR) | 48 (128.50) | 2 (31) | <.001* |
Submitted billings for adults aged ≥65 (OHIP billing code), n (%) | |||
|
56 (23.14) | 0 (0) | <.001* |
|
108 (44.63) | 0 (0) | <.001* |
|
23 (9.50) | 0 (0) | <.001* |
|
20 (8.26) | 0 (0) | <.001* |
|
19 (7.85) | 0 (0) | <.001* |
|
121 (50.00) | 3232 (23.28) | <.001* |
|
135 (55.79) | 8364 (60.26) | .16 |
|
141 (58.26) | 5166 (37.22) | <.001* |
|
196 (80.99) | 7757 (55.88) | <.001* |
Most responsible physician in long-term care, n (%) | 91 (37.60) | 1409 (10.15) | <.001* |
Number of specialist referrals made, median (IQR) | |||
|
3 (10) | 1 (4) | <.001* |
|
25 (41) | 28 (45) | .23 |
|
6 (11) | 2 (7) | <.001* |
Patients with a health services encounter, median (IQR) | |||
|
860 (993) | 1273 (1249) | <.001* |
|
323 (285) | 299 (314) | .007* |
|
389 (776) | 704 (979) | <.001* |
|
377.50 (529) | 474 (939) | .002* |
Average age of patients (y), median (IQR) | |||
|
54 (28) | 44 (14) | <.001* |
|
55 (31) | 44 (13) | <.001* |
Percentage of patients cared for aged ≥65, median (IQR) | 39 (54) | 23 (19) | <.001* |
CAC-COE—Certificate of Added Competence in care of the elderly, ED—emergency department, FSP-COE—focused scope of practice in care of the elderly, IQR—interquartile range, OHIP—Ontario Health Insurance Plan.
Statistically significant difference.
Defined as <10,000 population in census metropolitan area.
Based on census metropolitan area size.
Based on Ontario Marginalization Index factor score; higher scores imply higher degrees of marginalization.
Gross billing amounts and payments according to the OHIP Schedule of Benefits.36 These amounts may not reflect net payments made or approved by the Ministry of Health.