TITLE

Provision of Orthopaedic Workforce and Implications for Access to Orthopaedic Services in Ontario

AUTHOR(S)
Badley, Elizabeth M.; Canizares, Mayilee; Mahomed, Nizar; Veinot, Paula; Davis, Aileen M.
PUB. DATE
May 2011
SOURCE
Journal of Bone & Joint Surgery, American Volume;5/4/2011, Vol. 93-A Issue 9, p863
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: The aging population and increasing obesity rates will increase the prevalence of musculoskeletal conditions. Reports of orthopaedic surgeon shortages raise concerns about the ability of the health-care system to meet current and future demand in orthopaedics. A survey of all orthopaedic surgeons in Ontario, Canada, was carried out in 2006 to (1) update provision estimates of orthopaedic surgeons; (2) examine practice characteristics and perceived barriers to service; and (3) relate geographic availability of surgeons to population utilization of office-based and surgical orthopaedic services. Methods: A two-part questionnaire was sent to all orthopaedic surgeons in Ontario in 2006. Provision data in hours per week and full-time equivalents and practice patterns were analyzed by health region. Population-based data on the use of orthopaedic services were obtained from health service administrative databases. Results: There were 396 practicing orthopaedic surgeons in Ontario in 2006, equivalent to 2.43 full-time equivalents per 100,000 population, a finding similar to surveys in 1997 and 2000. Most surgeons were male, with a mean age of forty- nine years, with mainly adult practices; 48% reported having a subspecialty. Provision varied across Ontario, with an average of 112 hours per week of direct clinical time per 100,000 population (50% in the office, 30% in the operating room, 20% working on call). Many surgeons also reported time for administration, teaching, and research. Most respondents reported barriers to timely surgery, notably a lack of resources (operating room time, anesthesia, nursing, and! or bed capacity). Low orthopaedic provision was associated with lower utilization of office-based and surgical services, after controlling for neighborhood income and type of residence (urban or rural). Conclusions: Shortages and geographic variation in the supply of surgeons mean that access to care continues to be a challenge in Ontario. In regions with fewer surgeons, residents are more likely to be deprived of office-based services, potentially affecting access to surgery and to orthopaedic expertise. In light of a potential shortage of surgeons, alter- native methods of service provision may be needed to respond to the aging of the baby boomer population and an anticipated growth in the demand for surgery.
ACCESSION #
60581124

 

Related Articles

  • Demonstrating the Value of Orthopaedic Surgery Through Multicenter Trials. Hilibrand, Alan S.; Spindler, Kurt; O'Keefe, Regis J. // Journal of Bone & Joint Surgery, American Volume;4/1/2015, Vol. 97 Issue 7, pe35.1 

    Orthopaedic surgery is expensive and will be carefully scrutinized in the U.S. under health-care reform. Unfortunately, although the orthopaedic literature is replete with clinical outcomes studies, there is still a paucity of meaningful clinical outcomes data that are free from bias. It is...

  • Clients' perceptions of contact with professionals within healthcare and social insurance offices. Östlund, Gunnel M.; Borg, Karin E.; Wide, Peter; Hensing, Gunnel K.E.; Alexanderson, Kristina A. E. // Scandinavian Journal of Public Health;Sep2003, Vol. 31 Issue 4, p275 

    Aims : An increasing number of people interact with professionals within healthcare and social insurance offices during periods of sick leave due to musculoskeletal disorders. Knowledge of clients' perceptions of such contact is scarce. This study analysed clients' perceptions of their contact...

  • A review of musculoskeletal aging and treatment issues in geriatric patients. Gorevic, Peter D. // Geriatrics;Aug2004, Vol. 59 Issue 8, p28 

    Examines several musculoskeletal aging and treatment issues in geriatric patients with osteoarthritis (OA). Scope of the OA problem; Algorithm for managing OA in geriatric patients; Pathologic and radiologic correlates. INSET: Take Home points.

  • Aging of the North American Population: New Challenges for Orthopaedics. Buckwalter, Joseph A.; Heckman, James D.; Petrie, David P. // Journal of Bone & Joint Surgery, American Volume;Apr2003, Vol. 85-A Issue 4, p748 

    Focuses on the challenges faced by orthopedics with regard to the aging of the North American population. Age-related changes in the musculoskeletal system; Causes of age-related changes in musculoskeletal function; Treatment and prevention of age-related musculoskeletal injuries and...

  • Managing the Aging Patient. D'Ambrosia, Robert; Kilpatrick, Jennifer A. // Orthopedics;Jun2003, Vol. 26 Issue 6, p608 

    The article considers the capabilities of orthopedists in the U.S. to handle the special needs of aging patients. Osteoarthritis, osteoporosis, arthritis and other related fractures are a major issue in the aging population. Orthopedists must be equipped with the necessary skills and knowledge...

  • CME Geriatrics Exam.  // Geriatrics;Aug2004, Vol. 59 Issue 8, p35 

    Presents a quiz on several musculoskeletal aging and treatment issues in geriatric patients with osteoarthritis. Key issues of interest; Analysis of pertinent topics and relevant issues; Implications on medical care.

  • Exploring the aggregation of four functional measures in a population of older adults with joint pain and comorbidity. Hermsen, Lotte AH; Leone, Stephanie S; Smalbrugge, Martin; Knol, Dirk L; van der Horst, Henriëtte E; Dekker, Joost // BMC Geriatrics;2013, Vol. 13 Issue 1, p1 

    Background In clinical settings, it is important for health care providers to measure different aspects of functioning in older adults with joint pain and comorbidity. Besides the use of distinct measures, it could also be attractive to have one general measure of functioning that incorporates...

  • Incidence and cost of osteoporotic fractures in France during 2001. A methodological approach by the national hospital database. Maravic, Milka; Bihan, Christine; Landais, Paul; Fardellone, Patrice // Osteoporosis International;Dec2005, Vol. 16 Issue 12, p1475 

    The objective of this study was to describe the hospital incidence rate and the in-patient costs of three peripheral “osteoporotic” fractures (proximal humerus and hip, distal radius and/or ulna) in women and men aged over 45 in France during 2001. Each stay for fracture was selected...

  • Handgrip strength as a measure of sarcopenia in Type 2 Diabetes mellitus. Agrawal, Akanksha // New Indian Journal of Surgery;Oct2011, Vol. 2 Issue 4, p213 

    Diabetes mellitus is a growing cause of morbidity and mortality in India and worldwide. It can be attributed as one of the cause as well as consequence of sarcopenia. There is paucity of data on sarcopenia and its correlation with metabolic control in diabetic patients. Therefore this study was...

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