Table 2.
Practice and family profile of models and bivariate association with the continuity score
Practice characteristics |
Profile distribution |
Association with continuity across all models |
|
Standardized effect size |
|||
---|---|---|---|---|---|---|---|
CHC | FFS | FHN | HSO | Effect Size (%)1 | 95% CI3 | ES/SD | |
Practice type (n) |
35 |
35 |
35 |
32 |
|
|
|
Mean # FP and NP |
5.5 |
2.5 |
3.9 |
1.8 |
−0.94 |
(−1.2, -0.55) ** |
M |
Panel size1 (1000’s)†2,4 |
1.3 |
1.8 |
1.5 |
2 |
−0.33 |
(−0.12, 0.65) |
S |
Booking intervals (min)† |
25 |
13 |
14 |
14 |
−0.17 |
(−0.31, -0.038) * |
M |
Solo practice5‡ |
0 |
26 |
37 |
38 |
3.7 |
(5.7, 1.7) ** |
VL |
Presence of nurse(s) (%)† |
97 |
31 |
69 |
75 |
−2.7 |
(−4.6, -0.81) ** |
M |
Number of nurses6† |
2.7 |
0.6 |
2 |
1.1 |
−1.1 |
(−1.6, -0.50) ** |
VL |
# hours practice open out of (8am-4pm) |
12 |
8 |
7 |
5 |
−0.32 |
(−0.48, -0.16) ** |
L |
Open on weekends |
20 |
20 |
23 |
0 |
−5.3 |
(−7.6, -3.0) ** |
M |
Contextual factors |
|
|
|
|
|
|
|
Hospital (<10km) |
71.4 |
85.3 |
94.1 |
86.7 |
−0.74 |
(−3.1, 1.6) |
T |
Rurality index4 |
14 |
12.6 |
16.2 |
8 |
−0.0085 |
(−0.063, 0.046) |
T |
Family physician characteristics |
108 |
58 |
80 |
42 |
|
|
|
Average years since graduation† |
19 |
22 |
23 |
29 |
0.19 |
(0.082, 0.30) ** |
T |
Female FP (%)5‡ |
58 |
45 |
41 |
26 |
−3 |
(−5.2, -0.86) ** |
L |
Provider foreign trained (%)§ |
9.3 |
17.2 |
2.5 |
14.3 |
2.2 |
(−2.0, 6.4) |
T |
Provider has CFPC degree (%) |
79 |
85 |
78 |
68 |
−0.77 |
(−3.3, 1.7) |
T |
>24 hours on call/week (%) | 17.6 | 12.1 | 19 | 36.6 | 3.2 | (0.82, 0.55) ** | VL |
1 ES/SD: Effect Size / Standard deviation; S if ES/SD < 0.2; M if 0.2 < =ES/SD < 0.5; L if 0.5 < =ES/SD < 0.8; VL if ES/SD > =0.8; CI = Confidence Interval; FP = family physician; NP = Nurse Practitioner; CFPC = College of Family Physicians of Canada.
2 Symbols adjacent to the practice factor indicate that it is statistically different across the models: § p < 0.05, ‡ p < 0.01, † p < 0.001. These are generated by Chi-square statistic or by F-statistic (ANOVA), as appropriate.
3 Symbols adjacent to the confidence intervals indicate that the effect size is significantly associated with the continuity score: * p < 0.05, ** p < 0.01. These are generated by multi-level linear regression.
4 Average number of patients per full time equivalent family physician in the practice.
5 Reflects practices that host a single family physician only.
6Number of full time equivalent nurses and nursing assistants.
4 Refers to the Rurality Index of Ontario adopted by the Ontario Medical Association (https://www.oma.org/economics/data/RuralityRIO.pdf).
5 We only captured the socio-demographic characteristics of respondents. The percent of a female family physician in the practice reflects the percentage of female family physician respondents.