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Vol 53:  march • mars 2007 Canadian Family PhysicianLe Médecin de famille canadien

577

Fast Facts

National Physician Survey

Care outside usual office hours T

he National Physician Survey (NPS) asked family phy-

sicians  what  arrangements  they  had  for  care  of  their  patients outside usual office hours. The questionnaire did  not  stipulate  whether  available  physicians  were  respon- dents themselves, other physicians associated with their  practices, or another physician altogether. Options on the  questionnaire  included  a  physician  available,  individual- ized  medical  telephone  advice,  instructions  to  go  to  the  emergency  department,  instructions  to  go  to  a  walk-in  clinic or after-hours clinic, instructions to call a housecall  service,  other,  and  no  direction.  A  physician  was  avail- able as follows:

•  for 53% of family physicians in Canada,*

•  for  a  greater  proportion  of  male  (57%)  than  female  (49%) practitioners (P < .0001),

•  for a greater proportion of family physicians who prac- tise  in  groups  (55%)  than  in  solo  practitioners  (48%)  (P < .0001), and

•  for  a  varying  proportion  of  family  physicians  based  upon  their  age,  the  primary  patient  population  they  served, and the province or territory where they prac- tised (Figures 1 to 3).

By  completing  your  2007  NPS  (sent  to  all  physicians  in Canada in January 2007—please check your mail and  e-mail),  you  will  provide  current  data  to  update  these  findings!    If  you  would  like  the  opportunity  to  develop  and write a future Fast Facts using the 2004 NPS results,  please  contact Sarah Scott,  National  Physician  Survey  and  Janus  Project  Coordinator  at  800  387-6197,  exten- sion 289, [email protected]. 

0 20 40 60

PHYSICIAN AGE CATEGORIES

47% 48% 55% 60% 56%

<35 35-44 45-54 55-64 65+

0 20 40 60 80

PRIMARY POPULATION SERVED

46% 54%

49% 56%

69%

Inner city Small town Rural Remote

0 20 40 60 80 100

PROVINCE OR TERRITORY OF PRACTICE

67% 64%

82%

59% 50%

32% 34%

60%

35%

54% 50%

BC Alta Sask Man Ont Que NB NS PEI Nfld Territories

Figure 1. Proportion of family physicians indicating that a physician was available to care for their patients

outside usual office hours, by physician age

Figure 2. Proportion of family physicians indicating that a physician was available to care for their patients

outside usual office hours, by primary patient population served

Figure 3. Proportion of family physicians indicating that a physician was available to care for their patients outside

usual office hours, by province or territory where physician practised

FAMILY PHYSICIANS (%)

FAMILY PHYSICIANS (%)

Urban or suburban

FAMILY PHYSICIANS (%)

*The analysis above is based  on the 62% of family physi- cian respondents (n = 6794)  who indicated that they  offered patient care and that  their main patient care set- ting was a private office or  clinic. Compared with fam- ily physicians who did not  indicate that a physician was  available to care for their  patients outside usual office  hours, those with a physician  available were less likely to  indicate that they also pro- vided instructions for their  patients to go to an emergen- cy department (47% vs 69%)  or that they provided instruc- tions for their patients to go  to a walk-in clinic or after- hours clinic (28% vs 48%).

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