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. 2024 Sep;70(9):559–569. doi: 10.46747/cfp.7009559

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 (%)
  • ≥1,500,000 residents

90 (37.19) 6136 (44.20) .19
  • 500,000 to 1,499,999 residents

49 (20.25) 2499 (18.00)
  • 100,000 to 499,999 residents

60 (24.79) 2802 (20.19)
  • 10,000 to 99,999 residents

23 (9.50) 1208 (8.70)
  • <10,000 residents

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 (%)
  • Canada

158 (65.29) 7625 (54.93) .004*
  • International

27 (11.16) 2340 (16.86)
  • Unknown

57 (23.55) 3916 (28.21)
Community-level marginalization score in primary practice location,§ median (IQR)
  • Residential instability

0.04 (0.22) 0.02 (0.21) <.001*
  • Material deprivation

−0.12 (0.19) −0.12 (0.43) .45
  • Economic dependency

−0.16 (0.46) −0.16 (0.55) .19
  • Ethnic diversity

−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 (%)
  • Comprehensive

147 (60.74) 9581 (69.02) <.001*
  • Focused

58 (23.97) 2172 (15.65)
  • Other or <44 days in practice

37 (15.29) 2128 (15.33)
Type of patient enrolment model, n (%)
  • Enhanced fee-for-service models (comprehensive care model or family health group)

20 (8.26) 2861 (20.61) <.001*
  • Blended capitation models (family health network or family health organization)

43 (17.77) 2888 (20.81)
  • Blended salary model (family health team)

82 (33.88) 2823 (20.34)
  • Other or no enrolment group

87 (35.95) 3957 (28.51)
  • Unknown

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 (%)
  • >50% of all billings

166 (68.60) 10,218 (73.61) .10
  • ≤50% of all billings

53 (21.90) 2315 (16.68)
  • Unknown

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 (%)
  • ≥1 care of the elderly focused practice assessment (A967)

56 (23.14) 0 (0) <.001*
  • ≥1 geriatric outpatient case conference (K703)

108 (44.63) 0 (0) <.001*
  • ≥1 geriatric telephone support (K077)

23 (9.50) 0 (0) <.001*
  • ≥1 geriatric home visit premium for first person seen (B988)

20 (8.26) 0 (0) <.001*
  • ≥1 geriatric home visit travel premium (B986)

19 (7.85) 0 (0) <.001*
  • ≥1 complex house call assessment (A900)

121 (50.00) 3232 (23.28) <.001*
  • ≥1 periodic health visit (K132)

135 (55.79) 8364 (60.26) .16
  • ≥1 home care application (K070)

141 (58.26) 5166 (37.22) <.001*
  • ≥1 completion of long-term care health report form (K038)

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)
  • Total referrals to geriatric medicine

3 (10) 1 (4) <.001*
  • Total referrals to psychiatry

25 (41) 28 (45) .23
  • Referrals to psychiatry for patients aged ≥65

6 (11) 2 (7) <.001*
Patients with a health services encounter, median (IQR)
  • Total (any age)

860 (993) 1273 (1249) <.001*
  • Total aged ≥65

323 (285) 299 (314) .007*
  • Rostered (any age)

389 (776) 704 (979) <.001*
  • Not rostered (any age)

377.50 (529) 474 (939) .002*
Average age of patients (y), median (IQR)
  • Rostered

54 (28) 44 (14) <.001*
  • Not rostered

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.