Nearly twice as many Ontario family physicians stopped work in early COVID-19 pandemic compared to previous years

Family physicians in Ontario, Canada, faced significant challenges in the early months of the COVID-19 pandemic, including reduced revenue, decreased retention of office staff, difficulty obtaining personal protective equipment, and decreased morale. Researchers conducted two analyses using billing claims data to better understand the number and characteristics of physicians who stopped work in the first six months of the pandemic and whether more family physicians in Ontario stopped working during the COVID-19 pandemic compared to pre-pandemic years. 

The researchers found that 3.1% of physicians working in 2019 (385 out of 12,247 doctors) reported no billings in the first six months of the pandemic. Compared with other family physicians, a higher portion were aged 75 or older; had fee-for-service reimbursement; had a patient panel size of under 500; and worked less than other physicians in the previous year. The rate at which family physicians stopped working rose from an average of 1.6% for the years between 2010 and 2019 to 3% who stopped working in 2020. 

Although the absolute number of physicians stopping work was small, the impact on patients and communities is substantial considering Canada, like the U.S., is experiencing a primary care physician shortage. If this trend holds true in other communities, the COVID-19 pandemic may have further exacerbated the primary care physician shortage.

Family Physicians Stopping Practice During the COVID-19 Pandemic in Ontario, Canada
Tara Kiran, MD, MSc, et al
Department of Family and Community Medicine, St. Michael’s Hospital, University of Toronto, Ontario, Canada

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Annals of Family Medicine is a peer-reviewed, indexed research journal that provides a cross-disciplinary forum for new, evidence-based information affecting the primary care disciplines. Launched in May 2003, Annals is sponsored by seven family medical organizations, including the American Academy of Family Physicians, the American Board of Family Medicine, the Society of Teachers of Family Medicine, the Association of Departments of Family Medicine, the Association of Family Medicine Residency Directors, the North American Primary Care Research Group, and The College of Family Physicians of Canada. Annals is published six times each year and contains original research from the clinical, biomedical, social and health services areas, as well as contributions on methodology and theory, selected reviews, essays and editorials. Complete editorial content and interactive discussion groups for each published article can be accessed free of charge on the journal’s website, www.AnnFamMed.org.