Promoting continuity of care: Enablers and barriers for new family physicians to work in regular family practice
Methods: A mixed-methods study was conducted, consisting of a self-administered questionnaire followed by in-depth interviews. A web-based survey was sent to all family physicians working in the Monteregie region of Quebec that had 10 or fewer years of working experience (n=370). In-depth follow-up interviews were then conducted with 10 respondents working in diverse family practice settings.
Results: The response rate was 32.2% (118/370). Enablers included the doctor-patient relationship, interest in clinical activities in family practice, positive role models, collaboration with a nurse, and access to technical and human resources. Barriers included administrative workloads, interest in hospital work, negative training experiences in regular family practice, and lack of support in the first years of practice.
Conclusion: The following strategies may attract newly licensed family physicians to regular family practice: 1) Improving training experiences in regular family practice, 2) reduce administrative workloads, 3) improve access to diagnostic and specialized resources, 4) support interprofessional collaboration in primary care, and 5) support mentorship in the first years of practice.
Learning Areas:Administration, management, leadership
Other professions or practice related to public health
List nine factors that influence newly licensed family physicians to take on a regular family practice (long term follow-up of a defined panel of patients) List five solutions that may attract newly licensed family physicians to regular family practice
Keyword(s): Health Care Reform, Health Care Access
Qualified on the content I am responsible for because: I am a medical resident in public health and preventive medicine and I worked on health services organization and primary care for my Master's project.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.