Characteristics of walk-in clinic physicians and patients in Ontario: Cross-sectional study.

OBJECTIVE

To describe family physicians who primarily practise in a walk-in clinic setting and compare them with family physicians who provide longitudinal care.

DESIGN

A cross-sectional study that linked results from a 2019 physician survey to provincial administrative health care data in Ontario. The characteristics, practice patterns, and patients of physicians primarily working in a walk-in clinic setting were compared with those of family physicians providing longitudinal care.

SETTING

Ontario.

PARTICIPANTS

Physicians who primarily worked in a walk-in clinic setting in 2019, as indicated by an annual physician survey.

MAIN OUTCOME MEASURES

Physician demographic and practice characteristics, as well as their patients' demographic and health care utilization characteristics, were reported according to whether the physician was a walk-in clinic physician or a family physician who provided longitudinal care.

RESULTS

Compared with the 9137 family physicians providing longitudinal care, the 597 physicians who self-identified as practising primarily in walk-in clinics were more frequently male (67% vs 49%) and more likely to speak a language other than English or French (43% vs 32%). Walk-in clinic physicians tended to have more encounters with patients who were younger (mean 37 vs 47 years), who had lower levels of prior health care utilization (15% vs 19% in highest band), who resided in large urban areas (87% vs 77%), and who lived in highly ethnically diverse neighbourhoods (45% vs 35%). Walk-in clinic physicians tended to have more encounters with unattached patients (33% vs 17%) and with patients attached to another physician outside their group (54% vs 18%).

CONCLUSION

Physicians who primarily work in walk-in clinics saw many patients from historically underserved groups and many patients who were attached to another family physician.