{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T01:26:06Z","timestamp":1790385966986,"version":"4.1.0"},"reference-count":65,"publisher":"Public Library of Science (PLoS)","issue":"5","license":[{"start":{"date-parts":[[2024,5,15]],"date-time":"2024-05-15T00:00:00Z","timestamp":1715731200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["175285"],"award-info":[{"award-number":["175285"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["175285"],"award-info":[{"award-number":["175285"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["175285"],"award-info":[{"award-number":["175285"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>High-quality primary care is associated with better health outcomes and more efficient and equitable health system performance. However, the rate of primary care attachment is falling, and timely access to primary care is worsening, driving many patients to use walk-in clinics for their comprehensive primary care needs. This study sought to explore the experiences and perceived roles and responsibilities of walk-in physicians in this current climate. Methods: Qualitative interviews were conducted with nineteen physicians currently providing walk-in care in Ontario, Canada between May and December 2022.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Limited capacity for continuity and comprehensiveness of care were identified as major sources of professional tension for walk-in physicians. Divergent perspectives on their roles were anchored in how physicians viewed their professional identity. Some saw providing continuous and comprehensive care as an infringement on their professional role; others saw their professional role as more flexible and responsive to population needs. Regardless of their professional identity, participants reported feeling ill-equipped to manage the swell of unattached patients, citing a lack of time, resources, connectivity to the system, and remuneration flexibility. Conclusions: As practice demands of walk-in clinics change, an evolution in the professional roles and responsibilities of walk-in physicians follows. However, the resources, structure, and incentives of walk-in care have not evolved to reflect this, leaving physicians to set their own professional boundaries with patients. This results in increasing variations in care and confusion across the primary care sector around who is responsible for what, when, and how.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0303107","type":"journal-article","created":{"date-parts":[[2024,5,15]],"date-time":"2024-05-15T13:37:42Z","timestamp":1715780262000},"page":"e0303107","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":9,"title":["A shifting terrain: Understanding the perspectives of walk-in physicians on their roles amid worsening primary care access in Ontario, Canada"],"prefix":"10.1371","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6770-2715","authenticated-orcid":true,"given":"Braeden 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sectional study.","volume":"12","author":"C Liddy","year":"2011","journal-title":"BMC Fam Pract"},{"key":"pone.0303107.ref005","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1016\/S0168-8510(01)00208-1","article-title":"Policy relevant determinants of health: An international perspective.","volume":"60","author":"B Starfield","year":"2002","journal-title":"Health Policy"},{"key":"pone.0303107.ref006","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1111\/j.1468-0009.2005.00409.x","article-title":"Contribution of primary care to health systems and health.","volume":"83","author":"B Starfield","year":"2005","journal-title":"Milbank Q."},{"key":"pone.0303107.ref007","first-page":"2019","article-title":"Walk-in clinics and primary care: Review of the literature.","volume":"35","author":"GB Miller","year":"1989","journal-title":"Can Fam Physician."},{"issue":"7266","key":"pone.0303107.ref008","doi-asserted-by":"crossref","first-page":"909","DOI":"10.1136\/bmj.321.7266.909","article-title":"The place of walk-in clinics in healthcare systems: Uncertainty about impact demands careful evaluation and policy making","volume":"321","author":"B. 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Qualitative description revisited","volume":"33","author":"M. Sandelowski","year":"2010","journal-title":"Res Nurs Health."},{"issue":"9","key":"pone.0303107.ref033","doi-asserted-by":"crossref","first-page":"1185","DOI":"10.1177\/0193945916645499","article-title":"Distinguishing features and similarities between descriptive phenomenological and qualitative description research.","volume":"38","author":"DG Willis","year":"2016","journal-title":"West J Nurs Res"},{"issue":"4","key":"pone.0303107.ref034","doi-asserted-by":"crossref","first-page":"1893","DOI":"10.1007\/s11135-017-0574-8","article-title":"Saturation in qualitative research: Exploring its conceptualization and operationalization.","volume":"52","author":"B Saunders","year":"2018","journal-title":"Qual Quant."},{"issue":"1","key":"pone.0303107.ref035","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1111\/bld.12071","article-title":"An investigation into the public health roles of community learning disability nurses.","volume":"43","author":"K Mafuba","year":"2013","journal-title":"Br J Learn Disabil"},{"key":"pone.0303107.ref036","volume-title":"Organizational stress: Studies in role conflict and ambiguity","author":"R Kahn","year":"1964"},{"issue":"5","key":"pone.0303107.ref037","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1108\/02689239410073376","article-title":"The clinical director in the NHS: Utilizing a role-theory perspective.","volume":"8","author":"S. Willcocks","year":"1994","journal-title":"J Manag Med."},{"issue":"3","key":"pone.0303107.ref038","doi-asserted-by":"crossref","first-page":"593","DOI":"10.1111\/j.1540-6261.1988.tb04593.x","article-title":"Compensation and incentives: Practice vs. theory","volume":"43","author":"GP Baker","year":"1988","journal-title":"J Finance."},{"issue":"5","key":"pone.0303107.ref039","first-page":"1606","article-title":"Bundled payment vs. fee-for-service: Impact of payment scheme on performance.","volume":"63","author":"E Adida","year":"2016","journal-title":"J Manag Sci"},{"issue":"21","key":"pone.0303107.ref040","doi-asserted-by":"crossref","first-page":"2029","DOI":"10.1056\/NEJMsb1302322","article-title":"Phasing out fee-for-service payment.","volume":"368","author":"SA Schroeder","year":"2013","journal-title":"NEJM"},{"issue":"4","key":"pone.0303107.ref041","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1016\/j.cgh.2015.06.025","article-title":"Shifting away from fee-for-service: 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Campbell","year":"2005","journal-title":"Can Fam Physician"},{"issue":"4","key":"pone.0303107.ref045","doi-asserted-by":"crossref","first-page":"e39","DOI":"10.2196\/medinform.5215","article-title":"Outcomes from health information exchange: Systematic review and future research needs.","volume":"3","author":"WR Hersh","year":"2015","journal-title":"JMIR Med Inform"},{"issue":"10","key":"pone.0303107.ref046","doi-asserted-by":"crossref","first-page":"742","DOI":"10.7326\/0003-4819-144-10-200605160-00125","article-title":"Systematic review: Impact of health information technology on quality, efficiency, and costs of medical care","volume":"144","author":"B Chaudhry","year":"2006","journal-title":"Ann Intern Med"},{"issue":"1","key":"pone.0303107.ref047","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12911-016-0330-3","article-title":"The value of connected health information: Perceptions of electronic health record users in Canada.","volume":"16","author":"S Tharmalingam","year":"2016","journal-title":"BMC Med Inform and Decis Mak"},{"issue":"3","key":"pone.0303107.ref048","doi-asserted-by":"crossref","first-page":"e10184","DOI":"10.2196\/10184","article-title":"Emergency physician use of the Alberta NetCare Portal, a province-wide interoperable electronic health record: Multi-method observational study.","volume":"6","author":"TD Graham","year":"2018","journal-title":"JMIR Med Inform"},{"issue":"8","key":"pone.0303107.ref049","article-title":"Measuring interoperable EHR adoption and maturity: A Canadian example.","volume":"16","author":"B Gheorghiu","year":"2016","journal-title":"BMC Med Inform Decis Mak."},{"issue":"1","key":"pone.0303107.ref050","first-page":"1123","article-title":"Unlocking the potential of electronic health records for health research.","volume":"5","author":"S Lee","year":"2020","journal-title":"Int J Popul Data Sci."},{"issue":"9","key":"pone.0303107.ref051","article-title":"Documenting cannabis use in primary care: A descriptive cross-sectional study using electronic medical record data in Alberta, Canada.","volume":"16","author":"B Soos","year":"2023","journal-title":"BMC Res Notes."},{"issue":"1","key":"pone.0303107.ref052","doi-asserted-by":"crossref","first-page":"e5","DOI":"10.2196\/medinform.6928","article-title":"Progress in the enhanced use of electronic medical records: Data from the Ontario experience","volume":"5","author":"M Jones","year":"2017","journal-title":"JMIR Med Inform"},{"issue":"10","key":"pone.0303107.ref053","article-title":"Impact of electronic medical record on physician practice in office settings: A systematic review.","volume":"12","author":"F Lau","year":"2012","journal-title":"BMC Med Inform Decis Mak."},{"issue":"4","key":"pone.0303107.ref054","doi-asserted-by":"crossref","first-page":"E856","DOI":"10.9778\/cmajo.20170083","article-title":"Identification of physicians providing comprehensive primary care in Ontario: A retrospective analysis using linked 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Kiran","year":"2022","journal-title":"CMAJ"},{"issue":"1","key":"pone.0303107.ref060","doi-asserted-by":"crossref","first-page":"113465","DOI":"10.1016\/j.socscimed.2020.113465","article-title":"Physician remuneration schemes, psychiatric hospitalizations and follow-up care: Evidence from blended fee-for-service and capitation models.","volume":"268","author":"T Vu","year":"2021","journal-title":"Soc Sci Med."},{"issue":"1","key":"pone.0303107.ref061","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1016\/j.jhealeco.2010.10.005","article-title":"Enhanced fee-for-service and physician productivity: Evidence from Family Health Groups in Ontario.","volume":"30","author":"J Kantarevic","year":"2011","journal-title":"J Health Econ."},{"issue":"12","key":"pone.0303107.ref062","doi-asserted-by":"crossref","first-page":"1418","DOI":"10.1002\/hec.3951","article-title":"Production of physician services under fee-for-service and blended fee-for-service: Evidence from Ontario, Canada.","volume":"28","author":"NH Som\u00e9","year":"2019","journal-title":"Health Econ."},{"key":"pone.0303107.ref063","volume-title":"A Vision for Canada: Family Practice\u2013The Patient\u2019s Medical Home","author":"College of Family Physicians of Canada","year":"2011"},{"key":"pone.0303107.ref064","volume-title":"Primary Health Care\u2014Health Care Renewal in Canada: Clearing the Road to Quality","author":"Health Council of Canada","year":"2006"},{"key":"pone.0303107.ref065","volume-title":"Census Profile. 2021 Census of Population","author":"Statistics Canada","year":"2023"}],"container-title":["PLOS ONE"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0303107","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,15]],"date-time":"2024-05-15T13:38:15Z","timestamp":1715780295000},"score":1,"resource":{"primary":{"URL":"https:\/\/dx.plos.org\/10.1371\/journal.pone.0303107"}},"subtitle":[],"editor":[{"given":"Kamal","family":"Gholipour","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2024,5,15]]},"references-count":65,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2024,5,15]]}},"URL":"https:\/\/doi.org\/10.1371\/journal.pone.0303107","relation":{},"ISSN":["1932-6203"],"issn-type":[{"value":"1932-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,15]]}}}