Family Physician Workloads and Access to Care in Winnipeg: 1991 to 2001.

. 2004 Aug 17;171(4):339-42.

doi: 10.1503/cmaj.1031047.

Family unit medico workloads and access to care in Winnipeg: 1991 to 2001

Affiliations

• PMID: 15313992
• PMCID: PMC509046
• DOI: x.1503/cmaj.1031047

Free PMC article

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

Diane East Watson  et al. CMAJ. 2004 .

Free PMC 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, workloads and access to care have changed over the by 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 total-time equivalents (FTEs) to population, likewise as FP action ratios (sum of FTEs/number of FPs), annual number of visits per FP and visits per FP per full-fourth dimension day of work. Trends in FP remuneration were analyzed past historic period and sexual activity. 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 aforementioned-age peers did ten years previously. Conversely, FPs 60 to 69 years of historic period (11% of the workforce) provided 33% more visits per twelvemonth than the respective group a decade earlier. On a per capita footing, the number of FPs declined by v%, 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.five per year in 2000/01) and average workloads amongst FPs (4193 visits per year in 2000/01) were stable over the decade.

Estimation: Despite relative homeostasis in aggregate FP supply and use, there take been substantial temporal shifts in the volume of services provided by FPs of different historic period 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 providers on increasing numbers of FPs will non aid in diagnosing or treating issues of supply, workloads and access to care.

Figures

Fig. 1: Number of Winnipeg family physicians (FPs) by 10-yr age group in 1991/92 (A) and 2000/01 (B), and mean annual number of visits provided per FPs past dr. age, 1991/92 and 2000/01 (C). Fig. 1C likewise presents the pct alter in number of visits for each dr. age group from 1991/92 to 2000/01 (these calculations are based on the rough data for 2000/01). Photo: Chesley Sheppard

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Source: https://pubmed.ncbi.nlm.nih.gov/15313992/

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