Primary care physician supply and children's health care use, access, and outcomes: Findings from Canada

Pediatrics

Volumn 125, Issue 6, 2010, Pages 1119-1126

  Guttmann, Astrid ^a,b,c   Shipman, Scott A ^d,e   Lam, Kelvin ^a   Goodman, David C ^d,e   Stukel, Therese A ^a,c  

^a INSTITUTE FOR CLINICAL EVALUATIVE SCIENCES   (Canada)

^b HOSPITAL FOR SICK CHILDREN   (Canada)

^c UNIVERSITY OF TORONTO   (Canada)

^d DARTMOUTH INSTITUTE FOR HEALTH POLICY AND CLINICAL PRACTICE   (United States)

^e DARTMOUTH MEDICAL SCHOOL   (United States)

Author keywords

Ambulatory care sensitive conditions; Primary care physician supply

Indexed keywords

ADOLESCENT; AMBULATORY CARE; ARTICLE; ASTHMA; CANADA; CHILD; CHILD HEALTH CARE; CONTROLLED STUDY; CROSS-SECTIONAL STUDY; DIABETES MELLITUS; EMERGENCY WARD; FOLLOW UP; HEALTH CARE ACCESS; HEALTH CARE DELIVERY; HEALTH CARE MANAGEMENT; HEALTH CARE UTILIZATION; HEALTH INSURANCE; HEALTH SURVEY; HOSPITAL ADMISSION; HOSPITALIZATION; HUMAN; INCOME; INFANT; MAJOR CLINICAL STUDY; NEWBORN; OUTCOME ASSESSMENT; PATIENT CARE; PHYSICIAN; POPULATION BASED CASE CONTROL STUDY; PRESCHOOL CHILD; PRIMARY MEDICAL CARE; PRIORITY JOURNAL; SCHOOL CHILD; SELF REPORT;

CHILD; CHILD HEALTH SERVICES; CROSS-SECTIONAL STUDIES; EMERGENCY SERVICE, HOSPITAL; HEALTH SERVICES ACCESSIBILITY; HEALTH SERVICES RESEARCH; HUMANS; ODDS RATIO; ONTARIO; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); PHYSICIANS; PRIMARY HEALTH CARE;

EID: 77953059288     PISSN: 00314005     EISSN: 10984275     Source Type: Journal    
DOI: 10.1542/peds.2009-2821     Document Type: Article

References (37)

1. Shi L, Starfield B. Primary care, income inequality, and self-rated health in the United States: a mixed-level analysis. Int J Health Serv. 2000;30(3):541-555
2. Shi L, Macinko J, Starfield B, et al. Primary care, infant mortality, and low birth weight in the states of the USA. J Epidemiol Community Health. 2004;58(5):374-380
3. Starfield B, Shi L, Macinko J. Contribution of primary care to health systems and health. Milbank Q. 2005;83(3): 457-502 (Pubitemid 41551756)
4. Macinko J, Starfield B, Shi L. Quantifying the health benefits of primary care physician supply in the United States. Int J Health Serv. 2007;37(1):111-126 (Pubitemid 47258144)
5. Shipman SA, Lurie JD, Goodman DC. The general pediatrician: projecting future workforce supply and requirements. Pediatrics. 2004;113(3 pt 1):435-442
6. Goodman DC. The pediatrician workforce: current status and future prospects. Pediatrics. 2005;116(1). Available at: www. pediatrics.org/cgi/ content/full/116/1/e156
7. Biola H, Green LA, Phillips RL, Guirguis-Blake J, Fryer GE. The US primary care physician workforce: persistently declining interest in primary care medical specialties. Am Fam Physician. 2003;68(8):1484
8. Phillips RL Jr, Bazemore AW, Dodoo MS, Shipman SA, Green LA. Family physicians in the child health care workforce: opportunities for collaboration in improving the health of children. Pediatrics. 2006;118(3): 1200-1206
9. Shipman S, Goodman D, Bethell C, Newton K. Pediatric workforce maldistribution: examining the scope of the problem [abstract]. Presented at Pediatric Academic Societies Meeting; April 29-May 2, 2006; San Francisco, CA.
10. Chan B. Supply of Physicians' Services in Ontario. Toronto, Ontario, Canada: Institute for Clinical Evaluative Sciences; 1999
11. Watson D, Black C, Reid R. Primary Health Care in BC: Physician Supply, Distribution and Practice Collocation (1996/97 to 2004/ 05). Vancouver, British Columbia, Canada: UBC Centre for Health Services and Policy Research; 2006
12. Buske L. Projections of physician supply in Canada. Canadian Collaborative Centre for Physician Resources, Canadian Medical Association, May 2009:1-6
13. To T, Dell S, Dick PT, et al. Case verification of children with asthma in Ontario. Pediatr Allergy Immunol. 2006;17(1):69-76
14. Guttmann A, Nakhla M, Henderson M, et al. Validation of a health administrative data algorithm for assessing the epidemiology of diabetes in Canadian children. Pediatr Diabetes. 2009;11(2):122-128
15. Guttmann A, Lam K, Schultz SE, Jaakkimainen L. Primary Care for Children. Toronto, Ontario, Canada: Institute for Clinical Evaluative Sciences; 2006
16. Jaakkimainen L, Upshur R, Klein-Geltink JE, Leong A, Maaten S, Schultz SE, eds. Primary care in Ontario: ICES atlas. Institute for Clinical Evaluative Sciences. Available at: www.ices.on.ca/webpage.cfm?site-id=1&org-id= 67&morg-id=0&gsec-id=0& item-id=3655&type=atlas. Accessed August 1, 2008
17. Canadian Institute for Health Information. Full-time Equivalent Physicians Report, Canada, 1989/90 to 1993/94. Ottawa, Ontario, Canada: Canadian Institute for Health Information; 1998
18. Facilitating discharge home following a normal term birth: a joint statement with the Canadian Paediatric Society, Society of Obstetricians and Gynaecologists of Canada, and Society of Obstetricians and Gynaecologists of Canada. 1996. Available at: www.cps.ca/ENGLISH/statements/FN/ fn96-02.htm. Accessed October 5, 2009
19. Stenstrom R, Grafstein EJ, Innes GD, Christenson JM. The predictive validity of the Canadian Triage and Acuity Scale (CTAS). Acad Emerg Med. 2009;10(5):512
20. Agency for Healthcare Research and Quality. AHRQ Quality Indicators. Available at: www.qualityindicators.ahrq.gov. Accessed May 28, 2007
21. Shwartz M, Pekoz EA, Ash AS, Posner MA, Restuccia JD, Iezzoni LI. Do variations in disease prevalence limit the usefulness of population-based hospitalization rates for studying variations in hospital admissions? Med Care. 2005;43(1):4-11 (Pubitemid 40137608)
22. Wilkins R. PCCF+ Version 3G User's Guide (Geocodes/PCCF): Automated Geographic Coding Based on the Statistics Canada Postal Code Conversion Files, Including Postal Codes to June 2001. Ottawa, Ontario, Canada: Health Analysis and Modeling Group, Social and Economic Studies Division, Statistics Canada; 2001. Catalog No. 82F0086-XDB
23. US Department of Health and Human Services. Shortage designation: HPSAs, MUAs and MUPs. 2009. Available at: http:// bhpr.hrsa.gov/shortage/hpsacrit.htm. Accessed August 11, 2009
24. Laditka JN. Physician supply, physician diversity, and outcomes of primary health care for older persons in the United States. Health Place. 2004;10(3):231-244
25. Krakauer H, Jacoby I, Millman M, Lukomnik JE. Physician impact on hospital admission and on mortality rates in the Medicare population. Health Serv Res. 1996;31(2):191-211 (Pubitemid 126424585)
26. Laditka JN, Laditka SB, Probst JC. More may be better: evidence of a negative relationship between physician supply and hospitalization for ambulatory care sensitive conditions. Health Serv Res. 2005;40(4): 1148-1166
27. Agha MM, Glazier RH, Guttmann A. Relationship between social inequalities and ambulatory care-sensitive hospitalizations persists for up to 9 years among children born in a major Canadian urban center. Ambul Pediatr. 2007;7(3):258-262
28. Roos LL, Walld R, Uhanova J, Bond R. Physician visits, hospitalizations, and socioeconomic status: ambulatory care sensitive conditions in a Canadian setting. Health Serv Res. 2005;40(4):1167-1185
29. Simoens S, Hurst J. The supply of physician services in OECD countries. OECD Health working papers No. 21. Available at: www. oecd.org/dataoecd/27/22/ 35987490.pdf. Accessed October 5, 2009
30. Fisher ES, Wennberg DE, Stukel TA, Gottlieb DJ, Lucas FL, Pinder EL. The implications of regional variations in Medicare spending, part 2: health outcomes and satisfaction with care. Ann Intern Med. 2003;138(4):288-298
31. Fisher ES, Wennberg JE. Health care quality, geographic variations, and the challenge of supply-sensitive care. Perspect Biol Med. 2003;46(1):69-79
32. Freed GL, Stockman JA. Oversimplifying primary care supply and shortages. JAMA. 2009;301(18):1920-1922
33. Goodman DC. Twenty-year trends in regional variations in the U.S. physician workforce. Health Aff (Millwood). 2004;(suppl Web exclusives):VAR90- VAR97
34. Tepper JD, Schultz SE, Rothwell DM, Chan BTB. Physician Services in Rural and Northern Ontario: ICES Investigative Report. Toronto, Ontario, Canada: Institute for Clinical Evaluative Sciences; 2005
35. Gulli C, Lunau K. Adding fuel to the doctor crisis. Available at: www2.macleans.ca/ 2008/01/02/adding-fuel-to-the-doctorcrisis. Accessed October 5, 2009
36. Goodman DC. Do we need more physicians? Health Aff (Millwood). 2004. Available at http://content.healthaffairs.org/cgi/ content/full/hlthaff.w4.67v1/ DC1. Accessed October 5, 2009
37. Schultz S, Tepper J, Jaakkimainen L, Guttmann A. Characteristics of Primary Care Practice. Toronto, Ontario, Canada: Institute for Clinical Evaluative Sciences; 2006