Table 3.
Characteristics of comprehensive community, mixed-practice and hospital-based generalists, fiscal year 2010/2011
| Physician group; no. (%) of physicians* | ||||
|---|---|---|---|---|
| Characteristic | Comprehensive community practitioners | Mixed-practice physicians | Part-time hospitalists | Full-time hospitalists |
| Total no. of physicians | 2478 | 512 | 126 | 211 |
| Age, yr, mean (SD) | 50.6 (11.2) | 46.0 (11.1) | 41.7 (9.2) | 45.7 (10.2) |
| Time in practice, yr, mean (SD) | 23.9 (11.8) | 19.4 (11.8) | 15.0 (9.7) | 18.5 (10.8) |
| Sex | ||||
| Male | 1670 (67.4) | 325 (63.5) | 76 (60.3) | 117 (55.5) |
| Female | 808 (32.6) | 187 (36.5) | 50 (39.7) | 94 (44.5) |
| Canadian medical graduate | ||||
| Yes | 2049 (82.7) | 363 (70.9) | 107 (84.9) | 147 (69.7) |
| No | 429 (17.3) | 149 (29.1) | 19 (15.1) | 64 (30.3) |
| Medical specialty | ||||
| General practice/family medicine | 2320 (93.6) | 280 (54.7) | 62 (49.2) | 145 (68.7) |
| General internal medicine | 158 (6.4) | 232 (45.3) | 64 (50.8) | 66 (31.3) |
| Census metropolitan area of practice, by population | ||||
| ≥ 1 250 000 | 639 (25.8) | 208 (40.6) | 42 (33.3) | 87 (41.2) |
| 500 000 to 1 249 999 | 240 (9.7) | 80 (15.6) | 33 (26.2) | 26 (12.3) |
| 100 000 to 499 999 | 529 (21.3) | 147 (28.7) | 39 (31.0) | 80 (37.9) |
| 9 000 to 99 999 | 471 (19.0) | 60 (11.7) | 11 (8.7) | 18 (8.5) |
| < 9 000 | 599 (24.2) | 17 (3.3) | < 5 (0.8)† | 0 (0.0) |
| Hospital size, no. of acute care beds | ||||
| ≥ 300 | 223 (9.0) | 121 (23.6) | 54 (42.9) | 58 (27.5) |
| 200–299 | 384 (15.5) | 123 (24.0) | 29 (23.0) | 63 (29.9) |
| 100–199 | 582 (23.5) | 170 (33.2) | 32 (25.4) | 61 (28.9) |
| 1–99 | 1287 (51.9) | 93 (18.2) | 11 (8.7) | 29 (13.7) |
| Unknown | < 5 (<0.1)† | 5 (1.0) | 0 (0.0) | 0 (0.0) |
| Hospital location, residents/km2 | ||||
| Urban (> 400) | 711 (28.7) | 223 (43.6) | 49 (38.9) | 91 (43.1) |
| Mixed-urban (100–400) | 474 (19.1) | 127 (24.8) | 42 (33.3) | 59 (28.0) |
| Mixed-rural (20–99) | 820 (33.1) | 117 (22.9) | 28 (22.2) | 45 (21.3) |
| Rural (< 20) | 471 (19.0) | 43 (8.4) | 7 (5.6) | 16 (7.6) |
| Unknown | < 5 (0.1)† | < 5 (0.4)† | 0 (0.0) | 0 (0.0) |
| Hospital type | ||||
| Academic teaching hospital | 406 (16.4) | 172 (33.6) | 72 (57.1) | 79 (37.4) |
| Community hospital | 2072 (83.6) | 340 (66.4) | 54 (42.9) | 132 (62.6) |
| Clinical workload | ||||
| Inpatient E&M claims billed, mean (SD) | 409 (451) | 2090 (1589) | 1261 (444) | 3649 (1962) |
| Unique hospital inpatients seen, mean (SD) | 109 (101) | 408 (309) | 304 (161) | 614 (291) |
| Calendar days billed for hospital care, mean (SD) | 120 (92) | 180 (80) | 115 (49) | 220 (49) |
| % inpatients with previous medical relationship with physician, mean (SD) | 51.5 (30.7) | 20.0 (18.1) | 11.3 (7.0) | 10.8 (7.3) |
| Distribution of practice, %, mean (SD) | ||||
| Inpatient care | 9.1 (7.9) | 54.2 (15.5) | 91.4 (5.9) | 91.5 (5.9) |
| Office-based care | 78.9 (17.4) | 36.5 (19.4) | 6.6 (5.5) | 5.8 (4.8) |
| Emergency care | 6.3 (11.2) | 5.8 (11.7) | 1.9 (3.5) | 1.3 (2.9) |
| Long-term institutional care | 4.7 (12.3) | 3.3 (9.8) | 0.2 (1.0) | 1.4 (3.3) |
| Home-based care | 0.9 (3.2) | 0.3 (2.0) | 0.0 (0.0) | 0.0 (0.1) |
E&M = evaluation and management.
*
Except where indicated otherwise.
†
Counts < 5 have been suppressed.