TITLE

Family physician workloads and access to care in Winnipeg: 1991 to 2001

AUTHOR(S)
Watson, Diane E.; Katz, Alan; Reid, Robert J.; Bogdanovic, Bogdan; Roos, Noralou; Heppner, Petra
PUB. DATE
August 2004
SOURCE
CMAJ: Canadian Medical Association Journal;8/17/2004, Vol. 171 Issue 4, p339
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Current perceptions of family physician (FP) shortages in Canada have prompted policies to expand medical schools. Our objective was to assess how FP supply, work-loads and access to care have changed over the past decade. Methods: We used an anonymized physician and population registry and administrative health service data from Winnipeg for the period 1991/92 to 2000/01. We calculated the following measures of supply and workload: ratios of FPs to population, of population to FPs and of FP full-time equivalents (FTEs) to population, as well as FP activity ratios (sum of FTEs/number of FPs), annual number of visits per FP and visits per FP per full-time day of work. Trends in FP remuneration were analyzed by age and sex. We also measured standardized visit rates and stratified the analysis by populations deemed at risk of needing FP services. Results: In 2000/01 FPs between 30 and 49 years of age (64% of the workforce) provided 20% fewer visits per year than their same-age peers did 10 years previously. Conversely, FPs 60 to 69 years of age (11% of the workforce) provided 33% more visits per year than the corresponding group a decade earlier. On a per capita basis, the number of FPs declined by 5%, from 97 per 100 000 population in 1991/92 to 92 per 100 000 population in 2000/01, which paralleled changes in national estimates of FP supply. Per capita visit rates among Winnipeg citizens (3.5 per year in 2000/01) and average workloads among FPs (4193 visits per year in 2000/01) were stable over the decade. Interpretation: Despite relative homeostasis in aggregate FP supply and use, there have been substantial temporal shifts in the volume of services provided by FPs of different age groups. Younger FPs are providing many fewer visits and older FPs are providing many more visits than their same-age predecessors did 10 years ago, a finding that was independent of physician sex. Given these data, the perpetual focus of policy-makers and care provides on...
ACCESSION #
14044239

 

Related Articles

  • How satisfied are your patients?  // Family Practice Management;Apr1998, Vol. 5 Issue 4, p80 

    Presents the results of a survey conducted by the American Medical Group Association on the satisfaction of patients with their family practice visits. Personal manner and skill of provider; Explanation of treatment; Length of time at the office and for appointment.

  • LETTERS. Whitecar, Philip S.; Weiss, Judith; Kibbe, David C.; Crownover, B. // Family Practice Management;Feb2002, Vol. 9 Issue 2, p14 

    Comments on the issues related to family medicine. Dismay on the percentage of established visits to family physicians being coded 99214; Gratitude on articles on impending Health Insurance Portability and Accountability Act; Praise for the help with 99214s code.

  • We must act to improve the image of general practice. Howe, Amanda // Pulse;Apr2013, p38 

    In this article, the author presents her views on the workforce problem in general practice. According to her, there have been issues related to the quality of candidates in some training schemes. When a course seeks applicants with the minimum standard for selection, posts remain unfilled. She...

  • Are You Coding Accurately? Nicoletti, Betsy // Family Practice Management;Jun2004, Vol. 11 Issue 6, p20 

    Discusses the importance of physician's evaluation and management (E/M) coding profile to the works of medical personnel. Calculation of frequency percentage of patients visit; Comparison of one's coding profile with national benchmarks; Recommendation to regularly audit one's E/M notes.

  • CODING & DOCUMENTATION. Hughes, Cindy // Family Practice Management;Nov2005, Vol. 12 Issue 10, p24 

    The article presents a question and answer advisory related to coding and documentation in family medicine. It is suggested that a physician should choose the appropriate office or other outpatient consultation code based on the key components or based on time if counseling/coordination of care...

  • What does the feminization of family medicine mean? Biringer, Anne; Carroll, June C. // CMAJ: Canadian Medical Association Journal;10/16/2012, Vol. 184 Issue 15, p1752 

    The authors discuss the feminization of family medicine in Canada. According to them, the female family physicians (FPs) outnumber the male physicians, accounting for 50.6 percent of the specialty. They discuss report from the studies, according to which, the female FPs have longer patient...

  • The Identification of Medical Errors by Family Physicians During Outpatient Visits. Elder, Nancy C.; Meulen, MaryBeth Vonder; Cassedy, Amy // Annals of Family Medicine;Mar/Apr2004, Vol. 2 Issue 2, p125 

    Describes medical errors and preventable adverse events identified by family physicians during outpatient visits. Physicians' perception of patient harm resulting from adverse events; Variation in some error categories; Definition of harm to patients; Effects on the health outcomes of patients.

  • Hospital-owned physician practices often unprofitable.  // hfm (Healthcare Financial Management);Sep97, Vol. 51 Issue 9, p22 

    Provides information on the `1997-98 Physician Practice Acquisition Resource Book' survey on hospital-owned physician practices. Reasons for unprofitable hospital-acquired physician practices; Findings of survey on physicians total purchase price.

  • Physician supply forecast: better than peering in a crystal ball? Roberfroid, Dominique; Leonard, Christian; Stordeur, Sabine // Human Resources for Health;2009, Vol. 7, p1 

    Background: Anticipating physician supply to tackle future health challenges is a crucial but complex task for policy planners. A number of forecasting tools are available, but the methods, advantages and shortcomings of such tools are not straightforward and not always well appraised. Therefore...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics