Article Figures & Tables
Figures
- Figure 1:
Cohort selection process. Note: EMR = electronic medical record.
- Figure 2:
Change in weekly visit volume (total number of visits per 1000 patients in cohort), stratified by patient age, sex and neighbourhood characteristics (income, material deprivation and ethnic concentration). The shaded grey area indicates the 2020 pandemic period (Mar. 14 to June 30) and corresponding period in 2019. A reduction in visit volume is observed during the Christmas and New Year holiday period. Some clinics operate at reduced capacity or close during this period such that it is not unusual for visit volume to be substantially reduced.
Tables
- Table 1:
Characteristics of patients with and without a family physician visit between Jan. 1, 2019, and June 30, 2020
Characteristic No. (%) of patients* p value All patients
n = 372 272Patients with 1 or more visits
n = 276 144Patients without any visits
n = 96 128Age, yr, mean ± SD 43.07 ± 23.18 44.95 ± 23.38 37.66 ± 21.71 p < 0.001 Age groups, yr p < 0.001 ≤ 18 67 481 (18.1) 46 150 (16.7) 21 331 (22.2) 19–34 71 168 (19.1) 46 386 (16.8) 24 782 (25.8) 34–49 78 217 (21.0) 55 997 (20.3) 22 220 (23.1) 50–64 80 885 (21.7) 64 434 (23.3) 16 451 (17.1) ≥ 65 74 521 (20.0) 63 177 (22.9) 11 344 (11.8) Sex p < 0.001 Female 205 877 (55.3) 160 171 (58.0) 45 706 (47.6) Male 166 395 (44.7) 115 973 (42.0) 50 422 (52.5) Income quintiles p < 0.001 1 (lowest income) 68 948 (18.5) 49 622 (18.0) 19 326 (20.1) 2 58 900 (15.8) 43 892 (15.9) 15 008 (15.6) 3 61 686 (16.6) 46 214 (16.7) 15 472 (16.1) 4 72 723 (19.5) 54 506 (19.7) 18 217 (19.0) 5 (highest income) 100 665 (27.0) 76 048 (27.5) 24 617 (25.6) Missing 9350 (2.5) 5862 (2.1) 3488 (3.6) Material deprivation quintiles p < 0.001 1 (least deprived) 95 042 (25.5) 72 057 (26.1) 22 985 (23.9) 2 86 220 (23.2) 64 671 (23.4) 21 549 (22.4) 3 68 833 (18.5) 51 536 (18.6) 17 297 (18.0) 4 56 648 (15.2) 42 270 (15.3) 14 378 (15.0) 5 (most deprived) 55 117 (14.8) 39 054 (14.2) 16 063 (16.7) Missing 10 412 (2.8) 6556 (2.4) 3856 (4.0) Ethnic concentration quintiles p < 0.001 1 (least diverse) 35 638 (9.6) 26 918 (9.8) 8720 (9.1) 2 48 074 (12.9) 35 979 (13.0) 12 095 (12.6) 3 68 546 (18.4) 51 473 (18.6) 17 073 (17.8) 4 96 757 (26.0) 72 948 (26.4) 23 809 (24.8) 5 (most diverse) 112 845 (30.3) 82 270 (29.8) 30 575 (31.8) Missing 10 412 (2.8) 6556 (2.4) 3856 (4.0) Note: SD = standard deviation.
↵* Unless indicated otherwise.
- Table 2:
Year-over-year change in family physician visitor rate and visit volume from Mar. 14 to June 30 in 2019 and 2020
Variable Visitor rate per 1000 patients Visit volume per 1000 patients 2019 rate 2020 rate Difference (95% CI) Change, % 2019 volume 2020 volume Difference (95% CI) Change, % All patients 392 257 −135 (−137 to −134) −34.5 644 503 −140 (−145 to −136) −21.8 By patient sex Female 425 285 −140 (−142 to −137) −32.9 715 576 −139 (−146 to −133) −19.5 Male 352 222 −130 (−133 to −127) −37.0 555 414 −141 (−147 to −135) −25.5 By patient age, yr ≤ 18 301 169 −132 (−137 to −128) −44.0 459 292 −167 (−175 to −158) −36.3 19–34 305 214 −91 (−95 to −87) −29.7 495 422 −73 (−83 to −63) −14.7 34–49 352 239 −114 (−118 to −110) −32.3 568 470 −98 (−108 to −89) −17.3 50–64 434 288 −146 (−150 to −142) −33.6 703 560 −143 (−152 to −133) −20.3 ≥ 65 554 362 −192 (−196 to −188) −34.6 968 746 −222 (−234 to −211) −23.0 By income quintile 1 (lowest income) 404 270 −134 (−138 to −130) −33.2 715 569 −146 (−157 to −135) −20.4 2 405 268 −137 (−142 to −133) −33.9 682 538 −144 (−156 to −133) −21.2 3 396 260 −136 (−141 to −132) −34.4 644 506 −138 (−149 to −127) −21.4 4 385 249 −137 (−141 to −132) −35.4 617 471 −145 (−155 to −136) −23.6 5 (highest income) 387 250 −137 (−140 to −133) −35.3 601 468 −133 (−141 to −125) −22.1 Missing 317 212 −106 (−117 to −95) −33.3 544 415 −128 (−156 to −101) −23.6 By material deprivation quintile 1 (least deprived) 395 258 −137 (−141 to −133) −34.6 631 504 −127 (−135 to −118) −20.1 2 387 250 −137 (−141 to −133) −35.5 613 474 −139 (−148 to −130) −22.6 3 394 257 −137 (−141 to −132) −34.7 637 489 −149 (−159 to −139) −23.4 4 405 266 −139 (−144 to −134) −34.3 683 527 −156 (−168 to −145) −22.9 5 (most deprived) 395 265 −130 (−135 to −125) −32.9 697 560 −138 (−150 to −125) −19.7 Missing 321 212 −108 (−119 to −98) −33.8 558 411 −147 (−172 to −121) −26.3 By ethnic concentration quintile 1 (least diverse) 401 269 −132 (−138 to −126) −32.9 649 503 −146 (−158 to −130) −22.5 2 387 256 −131 (−136 to −126) −33.9 623 469 −154 (−163 to −140) −24.7 3 386 255 −131 (−135 to −126) −33.9 614 487 −127 (−135 to −115) −20.7 4 398 260 −139 (−142 to −135) −34.8 642 507 −135 (−141 to −123) −21.0 5 (most diverse) 397 257 −141 (−144 to −137) −35.4 678 525 −153 (−159 to −142) −22.6 Missing 321 212 −108 (−119 to −98) −33.8 558 411 −147 (−172 to −121) −26.3 Note: CI = confidence interval.
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