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 |