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Table 3 Age-adjusted odds ratios for early retirement planning during the first and third pandemic waves

From: Factors associated with plans for early retirement among Ontario family physicians during the COVID-19 pandemic: a cross-sectional study

Demographic and practice characteristics

First wave (April-June 2020)

Third wave (March-July 2021)

Age-adjusted OR [95% CI]

p value

Age-adjusted OR [95% CI]

p value

Willing to work in-person

0.28 [0.12,0.67]

0.004*

0.56 [0.27,1.20]

0.122

Willing to work virtually

0.96 [0.25,6.29]

0.957

1.04 [0.43,2.77]

0.941

Supported to work in-person

0.38 [0.12,0.98]

0.061

0.37 [0.22,0.60]

< 0.001*

Supported to work virtually

0.39 [0.15,0.91]

0.034*

0.51 [0.31,0.84]

0.008*

Needed improvement

    

Isolation room in clinic

0.99 [0.35,2.50]

0.989

1.72 [0.97,3.01]

0.058

Clinic leadership

1.52 [0.53,3.85]

0.399

1.79 [0.93,3.36]

0.075

Managing COVID testing

1.48 [0.63,3.44]

0.360

1.08 [0.58,1.92]

0.809

Managing potential COVID cases

1.23 [0.52,2.85]

0.634

1.01 [0.58,1.71]

0.971

Using PPE appropriately

0.80 [0.26,2.11]

0.677

1.90 [0.86,4.07]

0.103

Managing staff/personal fear

1.42 [0.61,3.40]

0.418

2.16 [1.28,3.64]

0.004*

Obtaining PPE

0.83 [0.35,2.06]

0.670

2.00 [1.16,3.43]

0.012*

Physical distancing in clinic

1.57 [0.66,3.69]

0.298

1.16 [0.65,2.02]

0.612

Infection control practices in clinic

1.01 [0.43,2.37]

0.976

2.10 [1.12,3.89]

0.019*

Handling increased non-clinical responsibilities

4.27 [1.75,11.54]

0.002*

2.95 [1.79,4.94]

< 0.001*

Felt safe travelling to clinic

0.19 [0.08,0.49]

< 0.001*

0.57 [0.29,1.17]

0.113

Training in infectious disease outbreaks

1.39 [0.43,3.80]

0.550

0.60 [0.28,1.19]

0.166

Experience with infectious disease outbreaks

1.12 [0.43,2.96]

0.820

1.02 [0.60,1.74]

0.939

Frightened of Dealing with COVID-19

2.69 [1.03,8.39]

0.058

2.01 [1.19,3.38]

0.009*

Worried about infecting family

2.24 [0.61,14.44]

0.294

1.35 [0.81,2.29]

0.252

Family worried about getting infected

1.77 [0.67,5.55]

0.281

1.23 [0.75,2.01]

0.409

Felt able to provide good clinical care

1.22 [0.49,3.48]

0.689

0.55 [0.33,0.91]

0.037*

Work during the pandemic was valued

1.01 [0.39,2.92]

0.992

0.52 [0.31,0.87]

0.011*

Satisfied with ability to handle work responsibilities during the pandemic

0.32 [0.13,0.76]

0.010*

0.27 [0.16,0.46]

< 0.001*

Satisfied with ability to handle personal responsibilities during the pandemic

1.24 [0.52,3.18]

0.639

0.59 [0.35,0.97]

0.038*

Duty to provide care during the pandemic

0.22 [0.06,1.07]

0.034*

0.20 [0.07,0.61]

0.004*

Satisfied with public health measures to prevent community spread

0.43 [0.15,1.07]

0.084

0.64 [0.39,1.04]

0.072

Lost Income

1.31 [0.50,3.84]

0.600

1.35 [0.79,2.32]

0.279

Decreased hours

2.16 [0.88,5.10]

0.084

1.32 [0.75,2.29]

0.321

Increased hours

0.54 [0.15,1.49]

0.279

0.84 [0.50,1.38]

0.486

Pregnancy (You or spouse)

2.01 [0.28,9.83]

0.416

0.45 [0.02,2.48]

0.452

Personal medical conditions

1.76 [0.64,4.51]

0.250

1.44 [0.83,2.44]

0.186

Family member with medical conditions

1.56 [0.62,3.72]

0.320

1.08 [0.66,1.76]

0.757

Parent

0.94 [0.36,2.58]

0.907

0.89 [0.52,1.54]

0.680

Care for elderly relative

1.46 [0.39,4.30]

0.528

2.36 [1.39,3.97]

0.001*

Community size (population)

    

Rural (< 10k)

0.43 [0.07,1.69]

0.288

1.43 [0.56,3.40]

0.434

Urban (10-100k)

0.72 [0.19,2.19]

0.590

0.85 [0.41,1.70]

0.650

Urban (100k-1M)

1.19 [0.39,3.31]

0.752

1.13 [0.65,1.97]

0.669

Urban (> 1M)

reference

 

reference

 

Practices outside the GTA

0.55 [0.22,1.27]

0.169

1.04 [0.65,1.68]

0.859

Specialized/focused practice

0.55 [0.23,1.28]

0.162

0.74 [0.46,1.20]

0.227

Any allied health available through office/practice

0.40 [0.16,1.10]

0.060

0.66 [0.38,1.14]

0.128

Number of Physicians in Practice

    

1

reference

 

reference

 

2

0.39 [0.05,1.85]

0.274

1.87 [0.85,4.13]

0.121

3–4

0.07 [0.00,0.44]

0.017*

1.07 [0.50,2.30]

0.853

5–9

0.25 [0.08,0.80]

0.018*

0.75 [0.35,1.57]

0.440

10+

0.28 [0.08,0.95]

0.044*

1.17 [0.54,2.55]

0.688

Payment Model

    

Fee-for-service

reference

 

reference

 

Capitation

1.21 [0.42,4.42]

0.744

0.81 [0.49,1.37]

0.432

Hourly/Sessional fee

2.86 [0.13,24.27]

0.385

0.46 [0.02,2.63]

0.468

Salary

2.22 [0.40,11.18]

0.328

1.22 [0.39,3.46]

0.720

Working Part-time pre-pandemic

2.32 [0.84,5.81]

0.084

0.80 [0.40,1.51]

0.498

Works with Residents

0.80 [0.32,1.88]

0.617

0.87 [0.49,1.50]

0.612

Works in an OHT

0.46 [0.16,1.16]

0.118

0.86 [0.50,1.43]

0.555

Does not use an EMR

6.57 [1.20,30.71]

0.019*

1.49 [0.66,3.22]

0.322

  1. *p < 0.05
  2. OR = odds ratio; CI = confidence interval
  3. PPE = personal protective equipment’; GTA = Greater Toronto Area; OHT = Ontario Health Team; EMR = Electronic Medical Record