Critical shortage of orthopaedic services in Ontario, Canada

Journal of Bone and Joint Surgery

Volumn 85, Issue 9, 2003, Pages 1710-1715

  Shipton, Deborah ^a   Badley, Elizabeth M ^a   Mahomed, Nizar N ^b  

^a UNIVERSITY HEALTH NETWORK   (Canada)

^b TORONTO WESTERN HOSPITAL   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CANADA; HEALTH SERVICE; ORTHOPEDIC SURGERY; PATIENT CARE; PRIORITY JOURNAL; QUESTIONNAIRE; SURGEON; WORKLOAD;

EID: 0141786900     PISSN: 00219355     EISSN: None     Source Type: Journal    
DOI: 10.2106/00004623-200309000-00009     Document Type: Article

References (24)

1. Badley EM, Wang PP. Arthritis and the aging population: projections of arthritis prevalence in Canada 1991 to 2031. J Rheumatol. 1998;25:138-44.
2. Helmick CG, Lawrence RC, Pollard RA, Lloyd E, Heyse SP. Arthritis and other rheumatic conditions: who is affected now, who will be affected later? National Arthritis Data Workgroup. Arthritis Care Res. 1995;8:203-11.
3. McKendry R. Physicians for Ontario: too many? Too few? For 2000 and beyond. Ontario Ministry of Health and Long-Term Care; December 1999. www.health.gov.on.ca/english/public/pub/ministry_reports/mckendry/mckendry.html
4. Hawker GA, Wright JG, Coyte PC, Williams JI, Harvey B, Glazier R, Badley EM. Differences between men and women in the rate of use of hip and knee arthroplasty. N Engl J Med. 2000;342:1016-22.
5. Hawker GA, Badley EM. The provision of specialist rheumatology care: implications from a survey of rheumatologists in Ontario, Canada. J Rheumatol. 1995;22:959-66.
6. Canadian medical directory. 47th ed. Toronto: Don Mills, Seccombe House; 2001.
7. Badley EM, Rothman L, Stephens MR, Wong M. Availability of services for people with arthritis. In: Badley EM, Williams JI, editors. Patterns of health care in Ontario - arthritis and related conditions. Toronto: ICES; 1998. p 35-62. Atlas reports. www.ices.on.ca
8. United States Department of Health and Human Services Public Health Service. Summary report of the Graduate Medical Education National Advisory Committee. To the Secretary, Department of Health and Human Services Publication 81-651-657, Volume VIII, Washington, DC: United States Department of Health and Human Services; 1980. p 150.
9. Lee PP, Jackson CA, Relles DA. Demand-based assessment of workforce requirements for orthopaedic services. J Bone Joint Surg Am. 1998;80:313-26.
10. Clawson DK. Orthopaedic manpower: an overview. Clin Orthop. 2001;385:7-12.
11. Mulhausen R, McGee J. Physician need. An alternative projection from a study of large, prepaid group practices. JAMA. 1989;261:1930-4.
12. Tarlov AR. Estimating physician workforce requirements. The devil is in the assumptions. JAMA. 1995;274:1558-60.
13. Lurie JD, Weinstein JN. Shared decision-making and the orthopaedic workforce. Clin Orthop. 2001;385:68-75.
14. van Walraven CV, Peterson JM, Kapral M, Chan B, Bell M, Hawker G, Gollish J, Schatzker J, Williams JI, Naylor CD. Appropriateness of primary total hip and knee replacements in regions of Ontario with high and low utilization rates. CMAJ. 1996;155:697-706.
15. Hawker GA, Wright JG, Coyte PC, Williams JI, Harvey B, Glazier R, Wilkins A, Badley EM. Determining the need for hip and knee arthroplasty: the role of clinical severity and patients' preferences. Med Care. 2001;39:206-16.
16. Wright JG, Coyte P, Hawker G, Bombardler C, Cooke D, Heck D, Dittus R, Freund D. Variation in orthopedic surgeons' perceptions of the indications for and outcomes of knee replacement. CMAJ. 1995;152:687-97.
17. Coyte PC, Hawker G, Croxford R, Attard C, Wright JG. Variation in rheumatologists' and family physicians' perceptions of the indications for and outcomes of knee replacement surgery. J Rheumatol. 1996;23:730-8.
18. Wright JG, Hawker GA, Bombardler C, Croxford R, Dittus RS, Freund DA, Coyte PC. Physician enthusiasm as an explanation for area variation in the utilization of knee replacement surgery. Med Care. 1999;37:946-56.
19. Chan B. Supply of physicians' services in Ontario. Atlas reports: module 2 - uses of health services. Report 1. Toronto: ICES; 1999. www.ices.on.ca/pdfs/atlasreports/mod2rpt.pdf
20. Coyte PC, Hawker G, Wright JG. Variations in knee replacement utilization rates and the supply of health professionals in Ontario, Canada. J Rheumatol. 1996;23:1214-20.
21. Coyte P, Wang PP, Hawker G, Wright JG. The relationship between variations in knee replacement utilization rates and the reported prevalence of arthritis in Ontario, Canada. J Rheumatol. 1997;24:2403-12.
22. Tosl LL, Mankin HJ. Ensuring the success of women in academic orthopaedics. Clin Orthop. 1998;356:254-63.
23. Cooper RA. Seeking a balanced physician workforce for the 21st century. JAMA. 1994;272:680-7.
24. Lanska MJ, Lanska DJ, Rimm AA. Effect of rising percentage of female physicians on projections of physician supply. J Med Educ. 1984;59:849-55.