Encounters with Rheumatologists in a Publicly-Funded Canadian Healthcare System: A Population-Based Study

Sunnybrook Research Institute, Holland Bone & Joint Program, Toronto, Ontario, Canada; University of Toronto, Institute of Health Policy, Management & Evaluation, Toronto, Ontario, Canada; ICES, Toronto, Ontario, Canada; McGill University, Department of Epidemiology, Montreal, Quebec, Canada; Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada; William Osler Health System, Brampton, Ontario, Canada; The Cumming School of Medicine, University of Calgary, Alberta, Canada; Arthritis Research Canada; Women’s College Research Institute, Toronto, Ontario, Canada; Sinai Health System, University of Toronto, Ontario, Canada; McMaster University, Department of Family Medicine, Hamilton, Ontario, Canada; Western University, Schulich School of Medicine & Dentistry, London, Ontario, Canada; St Joseph’s Health Care London, Ontario, Canada; Southlake Regional Health Centre, Newmarket, Ontario, Canada. This study was funded by an operating grant from the Canadian Initiative For Outcomes in Rheumatology Care (CIORA), who played no role in the design or conduct of the study, other than providing peer-review of the study proposal. Address correspondence to Jessica Widdifield Holland Bone & Joint Research Program, Sunnybrook Research Institute 2075 Bayview Avenue MG 352, Toronto ON, M4N 3M5. jessica.widdifield@utoronto.ca

Sunnybrook Research Institute, Holland Bone & Joint Program, Toronto, Ontario, Canada; University of Toronto, Institute of Health Policy, Management & Evaluation, Toronto, Ontario, Canada; ICES, Toronto, Ontario, Canada; McGill University, Department of Epidemiology, Montreal, Quebec, Canada; Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada; William Osler Health System, Brampton, Ontario, Canada; The Cumming School of Medicine, University of Calgary, Alberta, Canada; Arthritis Research Canada; Women’s College Research Institute, Toronto, Ontario, Canada; Sinai Health System, University of Toronto, Ontario, Canada; McMaster University, Department of Family Medicine, Hamilton, Ontario, Canada; Western University, Schulich School of Medicine & Dentistry, London, Ontario, Canada; St Joseph’s Health Care London, Ontario, Canada; Southlake Regional Health Centre, Newmarket, Ontario, Canada. This study was funded by an operating grant from the Canadian Initiative For Outcomes in Rheumatology Care (CIORA), who played no role in the design or conduct of the study, other than providing peer-review of the study proposal. Address correspondence to Jessica Widdifield Holland Bone & Joint Research Program, Sunnybrook Research Institute 2075 Bayview Avenue MG 352, Toronto ON, M4N 3M5. jessica.widdifield@utoronto.ca

Sunnybrook Research Institute, Holland Bone & Joint Program, Toronto, Ontario, Canada; University of Toronto, Institute of Health Policy, Management & Evaluation, Toronto, Ontario, Canada; ICES, Toronto, Ontario, Canada; McGill University, Department of Epidemiology, Montreal, Quebec, Canada; Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada; William Osler Health System, Brampton, Ontario, Canada; The Cumming School of Medicine, University of Calgary, Alberta, Canada; Arthritis Research Canada; Women’s College Research Institute, Toronto, Ontario, Canada; Sinai Health System, University of Toronto, Ontario, Canada; McMaster University, Department of Family Medicine, Hamilton, Ontario, Canada; Western University, Schulich School of Medicine & Dentistry, London, Ontario, Canada; St Joseph’s Health Care London, Ontario, Canada; Southlake Regional Health Centre, Newmarket, Ontario, Canada. This study was funded by an operating grant from the Canadian Initiative For Outcomes in Rheumatology Care (CIORA), who played no role in the design or conduct of the study, other than providing peer-review of the study proposal. Address correspondence to Jessica Widdifield Holland Bone & Joint Research Program, Sunnybrook Research Institute 2075 Bayview Avenue MG 352, Toronto ON, M4N 3M5. jessica.widdifield@utoronto.ca

Sunnybrook Research Institute, Holland Bone & Joint Program, Toronto, Ontario, Canada; University of Toronto, Institute of Health Policy, Management & Evaluation, Toronto, Ontario, Canada; ICES, Toronto, Ontario, Canada; McGill University, Department of Epidemiology, Montreal, Quebec, Canada; Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada; William Osler Health System, Brampton, Ontario, Canada; The Cumming School of Medicine, University of Calgary, Alberta, Canada; Arthritis Research Canada; Women’s College Research Institute, Toronto, Ontario, Canada; Sinai Health System, University of Toronto, Ontario, Canada; McMaster University, Department of Family Medicine, Hamilton, Ontario, Canada; Western University, Schulich School of Medicine & Dentistry, London, Ontario, Canada; St Joseph’s Health Care London, Ontario, Canada; Southlake Regional Health Centre, Newmarket, Ontario, Canada. This study was funded by an operating grant from the Canadian Initiative For Outcomes in Rheumatology Care (CIORA), who played no role in the design or conduct of the study, other than providing peer-review of the study proposal. Address correspondence to Jessica Widdifield Holland Bone & Joint Research Program, Sunnybrook Research Institute 2075 Bayview Avenue MG 352, Toronto ON, M4N 3M5. jessica.widdifield@utoronto.ca

Sunnybrook Research Institute, Holland Bone & Joint Program, Toronto, Ontario, Canada; University of Toronto, Institute of Health Policy, Management & Evaluation, Toronto, Ontario, Canada; ICES, Toronto, Ontario, Canada; McGill University, Department of Epidemiology, Montreal, Quebec, Canada; Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada; William Osler Health System, Brampton, Ontario, Canada; The Cumming School of Medicine, University of Calgary, Alberta, Canada; Arthritis Research Canada; Women’s College Research Institute, Toronto, Ontario, Canada; Sinai Health System, University of Toronto, Ontario, Canada; McMaster University, Department of Family Medicine, Hamilton, Ontario, Canada; Western University, Schulich School of Medicine & Dentistry, London, Ontario, Canada; St Joseph’s Health Care London, Ontario, Canada; Southlake Regional Health Centre, Newmarket, Ontario, Canada. This study was funded by an operating grant from the Canadian Initiative For Outcomes in Rheumatology Care (CIORA), who played no role in the design or conduct of the study, other than providing peer-review of the study proposal. Address correspondence to Jessica Widdifield Holland Bone & Joint Research Program, Sunnybrook Research Institute 2075 Bayview Avenue MG 352, Toronto ON, M4N 3M5. jessica.widdifield@utoronto.ca

Sunnybrook Research Institute, Holland Bone & Joint Program, Toronto, Ontario, Canada; University of Toronto, Institute of Health Policy, Management & Evaluation, Toronto, Ontario, Canada; ICES, Toronto, Ontario, Canada; McGill University, Department of Epidemiology, Montreal, Quebec, Canada; Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada; William Osler Health System, Brampton, Ontario, Canada; The Cumming School of Medicine, University of Calgary, Alberta, Canada; Arthritis Research Canada; Women’s College Research Institute, Toronto, Ontario, Canada; Sinai Health System, University of Toronto, Ontario, Canada; McMaster University, Department of Family Medicine, Hamilton, Ontario, Canada; Western University, Schulich School of Medicine & Dentistry, London, Ontario, Canada; St Joseph’s Health Care London, Ontario, Canada; Southlake Regional Health Centre, Newmarket, Ontario, Canada. This study was funded by an operating grant from the Canadian Initiative For Outcomes in Rheumatology Care (CIORA), who played no role in the design or conduct of the study, other than providing peer-review of the study proposal. Address correspondence to Jessica Widdifield Holland Bone & Joint Research Program, Sunnybrook Research Institute 2075 Bayview Avenue MG 352, Toronto ON, M4N 3M5. jessica.widdifield@utoronto.ca

Sunnybrook Research Institute, Holland Bone & Joint Program, Toronto, Ontario, Canada; University of Toronto, Institute of Health Policy, Management & Evaluation, Toronto, Ontario, Canada; ICES, Toronto, Ontario, Canada; McGill University, Department of Epidemiology, Montreal, Quebec, Canada; Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada; William Osler Health System, Brampton, Ontario, Canada; The Cumming School of Medicine, University of Calgary, Alberta, Canada; Arthritis Research Canada; Women’s College Research Institute, Toronto, Ontario, Canada; Sinai Health System, University of Toronto, Ontario, Canada; McMaster University, Department of Family Medicine, Hamilton, Ontario, Canada; Western University, Schulich School of Medicine & Dentistry, London, Ontario, Canada; St Joseph’s Health Care London, Ontario, Canada; Southlake Regional Health Centre, Newmarket, Ontario, Canada. This study was funded by an operating grant from the Canadian Initiative For Outcomes in Rheumatology Care (CIORA), who played no role in the design or conduct of the study, other than providing peer-review of the study proposal. Address correspondence to Jessica Widdifield Holland Bone & Joint Research Program, Sunnybrook Research Institute 2075 Bayview Avenue MG 352, Toronto ON, M4N 3M5. jessica.widdifield@utoronto.ca

Sunnybrook Research Institute, Holland Bone & Joint Program, Toronto, Ontario, Canada; University of Toronto, Institute of Health Policy, Management & Evaluation, Toronto, Ontario, Canada; ICES, Toronto, Ontario, Canada; McGill University, Department of Epidemiology, Montreal, Quebec, Canada; Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada; William Osler Health System, Brampton, Ontario, Canada; The Cumming School of Medicine, University of Calgary, Alberta, Canada; Arthritis Research Canada; Women’s College Research Institute, Toronto, Ontario, Canada; Sinai Health System, University of Toronto, Ontario, Canada; McMaster University, Department of Family Medicine, Hamilton, Ontario, Canada; Western University, Schulich School of Medicine & Dentistry, London, Ontario, Canada; St Joseph’s Health Care London, Ontario, Canada; Southlake Regional Health Centre, Newmarket, Ontario, Canada. This study was funded by an operating grant from the Canadian Initiative For Outcomes in Rheumatology Care (CIORA), who played no role in the design or conduct of the study, other than providing peer-review of the study proposal. Address correspondence to Jessica Widdifield Holland Bone & Joint Research Program, Sunnybrook Research Institute 2075 Bayview Avenue MG 352, Toronto ON, M4N 3M5. jessica.widdifield@utoronto.ca

Sunnybrook Research Institute, Holland Bone & Joint Program, Toronto, Ontario, Canada; University of Toronto, Institute of Health Policy, Management & Evaluation, Toronto, Ontario, Canada; ICES, Toronto, Ontario, Canada; McGill University, Department of Epidemiology, Montreal, Quebec, Canada; Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada; William Osler Health System, Brampton, Ontario, Canada; The Cumming School of Medicine, University of Calgary, Alberta, Canada; Arthritis Research Canada; Women’s College Research Institute, Toronto, Ontario, Canada; Sinai Health System, University of Toronto, Ontario, Canada; McMaster University, Department of Family Medicine, Hamilton, Ontario, Canada; Western University, Schulich School of Medicine & Dentistry, London, Ontario, Canada; St Joseph’s Health Care London, Ontario, Canada; Southlake Regional Health Centre, Newmarket, Ontario, Canada. This study was funded by an operating grant from the Canadian Initiative For Outcomes in Rheumatology Care (CIORA), who played no role in the design or conduct of the study, other than providing peer-review of the study proposal. Address correspondence to Jessica Widdifield Holland Bone & Joint Research Program, Sunnybrook Research Institute 2075 Bayview Avenue MG 352, Toronto ON, M4N 3M5. jessica.widdifield@utoronto.ca

Sunnybrook Research Institute, Holland Bone & Joint Program, Toronto, Ontario, Canada; University of Toronto, Institute of Health Policy, Management & Evaluation, Toronto, Ontario, Canada; ICES, Toronto, Ontario, Canada; McGill University, Department of Epidemiology, Montreal, Quebec, Canada; Research Institute of the McGill University Health Centre, Montreal, Quebec, Canada; William Osler Health System, Brampton, Ontario, Canada; The Cumming School of Medicine, University of Calgary, Alberta, Canada; Arthritis Research Canada; Women’s College Research Institute, Toronto, Ontario, Canada; Sinai Health System, University of Toronto, Ontario, Canada; McMaster University, Department of Family Medicine, Hamilton, Ontario, Canada; Western University, Schulich School of Medicine & Dentistry, London, Ontario, Canada; St Joseph’s Health Care London, Ontario, Canada; Southlake Regional Health Centre, Newmarket, Ontario, Canada. This study was funded by an operating grant from the Canadian Initiative For Outcomes in Rheumatology Care (CIORA), who played no role in the design or conduct of the study, other than providing peer-review of the study proposal. Address correspondence to Jessica Widdifield Holland Bone & Joint Research Program, Sunnybrook Research Institute 2075 Bayview Avenue MG 352, Toronto ON, M4N 3M5. jessica.widdifield@utoronto.ca