• M Ruth Lavergne, David Rudoler, Sandra Peterson, David Stock, Carole Taylor, Andrew S Wilton, Sabrina T Wong, Ian Scott, Kimberlyn M McGrail, Rita McCracken, Emily G Marshall, Adrian MacKenzie, Alan Katz, Margaret Jamieson, Lindsay Hedden, Agnes Grudniewicz, Laurie J Goldsmith, Richard H Glazier, Fred Burge, and Doug Blackie.
• Dalhousie University, Department of Family Medicine, Halifax, Nova Scotia, Canada (M. R. L., F. B.) ruth.lavergne@dal.ca.
• Ann Fam Med. 2023 Mar 1; 21 (2): 151156151-156.

AbstractWe describe changes in the comprehensiveness of services delivered by family physicians in 4 Canadian provinces (British Columbia, Manitoba, Ontario, Nova Scotia) during the periods 1999-2000 and 2017-2018 and explore if changes differ by years in practice. We measured comprehensiveness using province-wide billing data across 7 settings (home, long-term care, emergency department, hospital, obstetrics, surgical assistance, anesthesiology) and 7 service areas (pre/postnatal care, Papanicolaou [Pap] testing, mental health, substance use, cancer care, minor surgery, palliative home visits). Comprehensiveness declined in all provinces, with greater changes in number of service settings than service areas. Decreases were no greater among new-to-practice physicians.© 2023 Annals of Family Medicine, Inc.

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