Canadian Family Physician最新文献_第7页

Task sharing, community health workers, and Canada's primary care crisis. 任务分担、社区卫生工作者和加拿大初级保健危机。

IF 2.4 4区医学

Canadian Family Physician Pub Date : 2025-06-01 DOI: 10.46747/cfp.7106e98

Aaron M Orkin, Ivy F Oandasan

引用次数: 0

Will blended family physician payment models revive primary care in Canada? 混合家庭医生付费模式会在加拿大重振初级保健吗？

IF 2.4 4区医学

Canadian Family Physician Pub Date : 2025-06-01 DOI: 10.46747/cfp.7106377

Rita K McCracken, M Ruth Lavergne, Lindsay Hedden

引用次数: 0

Burden of administrative responsibilities in primary care: Qualitative study. 初级保健行政责任负担：质性研究。

IF 2.4 4区医学

Canadian Family Physician Pub Date : 2025-06-01 DOI: 10.46747/cfp.7106e148

Judith Belle Brown, Cathy Thorpe, Sharon Bal, Catherine George, Saadia Hameed Jan, Maria Mathews, Kamila Premji, Bridget L Ryan, Amanda L Terry

{"title":"Burden of administrative responsibilities in primary care: Qualitative study.","authors":"Judith Belle Brown, Cathy Thorpe, Sharon Bal, Catherine George, Saadia Hameed Jan, Maria Mathews, Kamila Premji, Bridget L Ryan, Amanda L Terry","doi":"10.46747/cfp.7106e148","DOIUrl":"10.46747/cfp.7106e148","url":null,"abstract":"Objective: To describe family physicians' experiences of administrative burden in practice.Design: Qualitative study using constructivist grounded theory.Setting: Ontario.Participants: Family physicians.Method: In-depth virtual interviews with family physicians practising in Ontario who completed postgraduate training between 2017 and 2022.Main findings: A total of 36 family physicians were interviewed. Without external prompting, all participants raised the issue of administrative burden, offering specific contextual factors contributing to their administrative burden. These included volume of paperwork, inbox management, and lack of compensation for the hours of administrative tasks performed. In addition to these contextual factors, 2 main themes were identified: the first revealed the impact of administrative burden on both the time available for patient care and physicians' well-being. This latter issue was exacerbated by deteriorating relationships with specialist colleagues, contributing to family physicians' administrative burden and burnout. A lack of exposure to the volume of administrative duties during training added to this issue. The second theme described participants' personal strategies (eg, creating flex time, setting boundaries) and system solutions (eg, need for compensation for administrative time, funding to increase clinic staff, and interventions by regulatory bodies) to address administrative burden.Conclusion: Administrative burden negatively impacts physician well-being and reduces time for direct patient care. These findings highlight 2 new sources contributing to administrative burden: deteriorating relationships between family physicians and specialist colleagues and a lack of exposure to managing administrative responsibilities during medical training. Study findings provide personal strategies and system solutions to guide practitioners, policy-makers, and educators.","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 6","pages":"e148-e153"},"PeriodicalIF":2.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310850","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}

引用次数: 0

Solving the family medicine crisis: Research, evidence, community engagement. 解决家庭医学危机：研究、证据、社区参与。

IF 2.4 4区医学

Canadian Family Physician Pub Date : 2025-06-01 DOI: 10.46747/cfp.7106368

Alan Katz, Nicholas Pimlott, Vivian R Ramsden, Steve Slade

引用次数: 0

Toward an identity and team-based practice rooted in transdisciplinarity: Addressing the family medicine crisis. 走向根植于跨学科的身份和团队实践：解决家庭医学危机。

IF 2.4 4区医学

Canadian Family Physician Pub Date : 2025-06-01 DOI: 10.46747/cfp.7106e108

Anish K Arora, Ruth E Vander Stelt

引用次数: 0

Do compensation models affect family physician job satisfaction? Scoping review. 薪酬模式会影响家庭医生的工作满意度吗？确定审核范围。

IF 2.4 4区医学

Canadian Family Physician Pub Date : 2025-06-01 DOI: 10.46747/cfp.7106e140

Patrick Kim, Devyani Premkumar, Jane Philpott, Sophy Chan-Nguyen, Colleen Grady

{"title":"Do compensation models affect family physician job satisfaction? Scoping review.","authors":"Patrick Kim, Devyani Premkumar, Jane Philpott, Sophy Chan-Nguyen, Colleen Grady","doi":"10.46747/cfp.7106e140","DOIUrl":"10.46747/cfp.7106e140","url":null,"abstract":"Objective: To explore how factors associated with various compensation models affect job satisfaction of family physicians.Data sources: Three databases were searched (Web of Science, Embase, and MEDLINE) with 3 keywords (MeSH headings) used: family physician, payment model, and job satisfaction.Study selection: To be included articles had to be peer reviewed, at least 50% of study participants had to be family physicians practising longitudinal or comprehensive care, and articles had to address career satisfaction in relation to compensation models. Twenty-seven studies were included.Synthesis: An extraction form was used to synthesize key details from each study, followed by thematic analysis. Four predominant job satisfaction factors were identified: workload or administrative burden, autonomy, income security, and justice or fairness of compensation. Five distinct models, representing both direct and indirect compensation, were identified in the literature most frequently: salaried, fee-for-service, capitation, loan repayment programs or incentives, and pay-for-performance. Each payment model had merits and drawbacks in relation to job satisfaction. Salaried physicians tended to experience less stress associated with administrative and management responsibilities; capitation models appeared to be associated with less workload stress; and fee-for-service models tended to be associated with a greater sense of autonomy. Income security, as provided by capitation and salaried models, was generally positively associated with job satisfaction.Conclusion: Use of blended models has the potential to address job satisfaction issues uncovered in this review and to maximize satisfaction among family physicians. Current changes and enhancements being made to compensation models in Canada present opportunities to further study their effects on family physician career satisfaction and attractiveness of the profession.","PeriodicalId":55288,"journal":{"name":"Canadian Family Physician","volume":"71 6","pages":"e140-e147"},"PeriodicalIF":2.4,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12264512/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144310852","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}

引用次数: 0

Solving wicked problems in Canadian family medicine. 解决加拿大家庭医疗中的棘手问题。

IF 2.4 4区医学

Canadian Family Physician Pub Date : 2025-06-01 DOI: 10.46747/cfp.7106373

Lee Green

引用次数: 0

Pride and learning in reverse. 骄傲与学识相反。

IF 2.4 4区医学

Canadian Family Physician Pub Date : 2025-05-01 DOI: 10.46747/cfp.7105294

Nicholas Pimlott

引用次数: 0

Testosterone supplementation for men. 男性睾酮补充剂。