Canadian Family Physician最新文献

{"title":"Servant leadership.","authors":"Carrie Bernard","doi":"10.46747/cfp.7106437","DOIUrl":"10.46747/cfp.7106437","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 6","pages":"437"},"PeriodicalIF":2.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diving deep in the undergraduate medical education curriculum: Going beyond the tip of the iceberg for primary care solutions.","authors":"Maria Hubinette, Dawn Cooper, David J Price, Rita K McCracken","doi":"10.46747/cfp.7106e94","DOIUrl":"10.46747/cfp.7106e94","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 6","pages":"e94-e97"},"PeriodicalIF":2.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Increased proportion of family medicine residents did not want to be family physicians: An unrecognized crisis in primary care.","authors":"Daniel Myran, Maya Gibb, Kamila Premji, Clare Liddy, Claire Kendall","doi":"10.46747/cfp.7106383","DOIUrl":"10.46747/cfp.7106383","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 6","pages":"383-387"},"PeriodicalIF":2.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264504/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Responsible research: The voice of the patient adds value.","authors":"Brenda Andreas","doi":"10.46747/cfp.7106375","DOIUrl":"10.46747/cfp.7106375","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 6","pages":"375"},"PeriodicalIF":2.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264516/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Administrative burden in primary care: Critical review.","authors":"Oliver Storseth, Karen McNeil, Agnes Grudniewicz, Rebecca H Correia, François Gallant, Rachel Thelen, M Ruth Lavergne","doi":"10.46747/cfp.7106417","DOIUrl":"10.46747/cfp.7106417","url":null,"abstract":"<p><strong>Objective: </strong>Administrative burden contributes to the current primary care crisis. This critical review of the literature explores how primary care administrative burden is discussed, including how it is defined and what drivers and solutions have been identified.</p><p><strong>Data sources: </strong>A systematic search of MEDLINE and CINAHL electronic databases for peer-reviewed original research articles, literature reviews, and commentaries that discuss administrative burden in the context of primary care or primary health care.</p><p><strong>Study selection: </strong>Searches identified 321 articles in MEDLINE and 109 in CINAHL, resulting in a total of 351 articles after duplicates were removed. Based on title and abstract screening, 228 articles were retained for full-text screening; 136 were ultimately included in the analysis.</p><p><strong>Synthesis: </strong>Most articles focused on perspectives of physicians (72.8%), followed by those of other primary care clinicians (14.7%) and patients (12.5%). Few articles explicitly defined administrative burden (n=6), although most illustrated the concept with examples. One relevant definition of administrative burden distinguishes compliance, learning, and psychological costs. This definition was proposed in the context of people interacting with bureaucracies generally, but these categories are also relevant to primary care specifically. Primary care administrative burdens most often included compliance costs (forms and information management), but learning costs (finding information, navigating processes, and adapting to and implementing new technology) and psychological costs (stress and burnout) were also discussed in the literature. Identified drivers of administrative burden included health system requirements, technological tools available to do administrative work, and complexity of patients or patient populations. Technology and task shifting were discussed as both drivers of administrative burden and solutions to administrative workload.</p><p><strong>Conclusion: </strong>Examples of administrative burden in primary care underscore that this work often supports central functions of continuity and coordination of care. Attention often focuses on compliance costs, but learning costs (eg, finding information and learning new technology) and psychological costs must not be overlooked. That technology and task shifting can function as both drivers of and solutions to administrative burden highlights why this issue is challenging to address. Solutions should consider costs broadly and evaluate implications from multiple perspectives, including those of patients and caregivers.</p>","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 6","pages":"417-423"},"PeriodicalIF":2.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264525/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating Canada's primary care crisis: Living Lab approach to reduce administrative burden.","authors":"Meghan Gilfoyle, Sydney Pearce, Emily Ha, Altea Kthupi, Lauren Miceli, Alana Tibbles, Payal Agarwal, Onil Bhattacharyya","doi":"10.46747/cfp.7106e101","DOIUrl":"10.46747/cfp.7106e101","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 6","pages":"e101-e104"},"PeriodicalIF":2.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264529/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310856","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Public priorities for primary care in Canada: Report on insights and actionable recommendations from 5 provincial reference panels.","authors":"Tara Kiran, Rachel Thelen, Kirsten Szymanski, Maryam Daneshvarfard, Kanya L Rajendra, Jeanette Lim, Mirna Garabet, Lucie Mayer, Steven Black, Jordan D Waterbury, Alan Katz, Amanda Condon, M Ruth Lavergne, Katherine Stringer, Mylaine Breton, Neb Kovacina, Mandy Buss, Jasmin Kay, Peter MacLeod, Goldis Mitra","doi":"10.46747/cfp.7106396","DOIUrl":"10.46747/cfp.7106396","url":null,"abstract":"<p><strong>Objective: </strong>To present recommendations from 5 provincial reference panels conducted as part of the OurCare initiative, the largest-ever national effort to engage the public about the future of primary care in Canada.</p><p><strong>Composition of the committee: </strong>Each provincial reference panel included 30 to 36 members of the public who were randomly selected to represent the demographic characteristics of that province. Panels were held in Nova Scotia, Quebec, Ontario, Manitoba, and British Columbia.</p><p><strong>Methods: </strong>OurCare panelists spent up to 40 hours learning about primary care from experts in each province and deliberating to reach consensus on values, issues, and recommendations. Provincial advisory committees were composed of clinician leaders, policy-makers, and researchers. In each province, OurCare panelists collectively developed a report summarizing the results of their deliberations.</p><p><strong>Report: </strong>Panels in all 5 provinces identified 3 major challenges affecting primary care: a growing health workforce crisis, inequitable access to care, and fragmented services. Participants emphasized that everyone in Canada should have timely, equitable access to primary care, and called for a system that is prevention-focused, inclusive, patient-centred, and accountable. In all provinces, panelists recommended expanding team-based care, improving health professional retention and recruitment, ensuring patient access to health records, addressing the social determinants of health, and educating and empowering patients.</p><p><strong>Conclusion: </strong>Results from the reference panels provide actionable direction for health system leaders, policy-makers, family physicians, and others engaged in health system improvement.</p>","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 6","pages":"396-405"},"PeriodicalIF":2.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264530/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Top influences and concerns of residents selecting a career in family medicine: Call to action for educators.","authors":"Melissa Nutik, Mira Mitri, Risa Freeman, Stuart Murdoch, Milena Forte","doi":"10.46747/cfp.7106380","DOIUrl":"10.46747/cfp.7106380","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 6","pages":"380-382"},"PeriodicalIF":2.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264505/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310865","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Equipping family physicians to thrive: Scholarship as a core competency.","authors":"Helena Piccinini-Vallis, Douglas Archibald, Kris Aubrey-Bassler, Julie Bruneau, Isabelle Gaboury, Andrea Gruneir, Fiona Kouyoumdjian, Jean-Sébastien Paquette, Vivian R Ramsden, Peter Selby, Alexander G Singer, Amanda L Terry, Isabelle Vedel, Ginetta Salvalaggio","doi":"10.46747/cfp.7106e105","DOIUrl":"10.46747/cfp.7106e105","url":null,"abstract":"","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 6","pages":"e105-e107"},"PeriodicalIF":2.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264517/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Primary care reform in Alberta: Costs for family physicians and expanded roles of independent nurse practitioners.","authors":"Philip Jacobs, Neil R Bell","doi":"10.46747/cfp.7106e135","DOIUrl":"10.46747/cfp.7106e135","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the economic effects of policies created by the Alberta government to address the shortage of family physician (FP) services following the COVID-19 pandemic.</p><p><strong>Design: </strong>Starting with the government's statement of the shortage (between 600,000 and 700,000 persons with unmet primary care needs) and using current caseload measures, a measure of the number of FPs and nurse practitioners (NPs) needed to fill the gap was developed.</p><p><strong>Setting: </strong>Alberta.</p><p><strong>Participants: </strong>FPs and NPs.</p><p><strong>Main outcome measures: </strong>The cost of meeting unmet needs based on provincial payment data.</p><p><strong>Results: </strong>The government set 2 priorities to meet the shortage: to increase the number of FPs and to establish and implement a framework for NPs as independent primary care practitioners. Based on the defined shortage and excluding population growth, an estimated need was calculated: 715 additional FPs with 100% coverage, or 715 additional NPs covering 80% of the needed services (893 added NP-equivalents). The cost of each alternative was calculated as $245.9 million for FPs and $176.3 million for NPs. The time needed to achieve either of these alternatives is more than a decade.</p><p><strong>Conclusion: </strong>The time to address the current doctor shortage is substantial and needs to be factored into government primary care policies.</p>","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 6","pages":"e135-e139"},"PeriodicalIF":2.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}