Date of Award

2007

Degree Type

Thesis

Degree Name

Master of Science

Program

Family Medicine

Supervisor

Dr. Moira Stewart

Second Advisor

Sarah Scott

Third Advisor

Dr. Amardeep Thind

Abstract

Objective: To provide an understanding of comprehensive care, describe the provision of comprehensive care in Canada by family physicians and general practitioners (FPs / GPs), and to identify factors associate with comprehensive care. Design: 1) Literature review on comprehensive care. 2) Secondary analyses of crosssectional data from the 2001 National Family Physician Workforce Survey (NFPWS) Results: Comprehensive care is the commitment to ongoing care for a defined population through a broad range of medical services meeting the majority of its health care needs across different care settings. Office-based Canadian FPs / GPs were more comprehensive than non-office-based ones and comprehensiveness varied across different regions. Province and rurality explained 86.9% of the variation in comprehensive care that was explained in multivariable modeling. Conclusions: Primary care reform needs to comprehend the reasons for regional variations in comprehensiveness to enhance the comprehensiveness of the Canadian primary care system.

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