2005/06至2017/18年间安大略省和阿尔伯塔省家庭医生数量和服务提供:一项横断面研究。

CMAJ open Pub Date : 2023-11-28 Print Date: 2023-11-01 DOI:10.9778/cmajo.20220201
Terrence McDonald, Susan E Schultz, Lee A Green, Brendan Cord Lethebe, Richard H Glazier
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引用次数: 0

摘要

背景:500万加拿大人缺乏家庭医生或初级保健团队。我们的目标是研究安大略省和阿尔伯塔省家庭医生劳动力和服务提供的趋势,以期为初级保健供应和服务提供的政策讨论提供信息。方法:我们采用安大略省和阿尔伯塔省2005/06年、2012/13年和2017/18年的横断面分析,按提供者人口统计学特征和地理位置检查家庭医生提供服务的天数。服务日的定义是在同一日历日进行10次或以上的诊所访问,价值20美元或以上。我们纳入了所有活跃的家庭医生,他们在分析的每个财政年度都有账单的证据。结果:2005/06 - 2017/18年,安大略省家庭医生人数增长35.3%,阿尔伯塔省家庭医生人数增长48.7%;然而,每位医生的年平均服务天数在安大略省下降了10.6%,在阿尔伯塔省下降了5.9%。安大略省的平均每日患者数量保持稳定,阿尔伯塔省则有所下降,两省的人均服务与人口增长保持适度同步。农村地区的医生数量增幅最小,而每位医生的年平均服务天数降幅最大。2017/18年度,两省至少30年前从医学院毕业的医生占劳动力的三分之一以上。解释:安大略省和阿尔伯塔省的家庭医生数量增长迅速,其中职业生涯后期的增幅最大,农村地区的增幅最低。在这两个省的医生的整体和亚组服务提供的下降突出了衡量活动的重要性,以告知劳动力规划。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Family physician count and service provision in Ontario and Alberta between 2005/06 and 2017/18: a cross-sectional study.

Background: Five million Canadians lack a family doctor or primary care team. Our goal was to examine trends over time in family physician workforce and service provision in Ontario and Alberta, with a view to informing policy discussions on primary care supply and delivery of services.

Methods: We used cross-sectional analyses in Ontario and Alberta for 2005/06, 2012/13 and 2017/18 to examine family physician provision of service days by provider demographic characteristics and geographic location. A service day was defined as 10 or more clinic visits worth $20 or more on the same calendar day. We included all active family physicians who had evidence of billing in each fiscal year analyzed.

Results: From 2005/06 to 2017/18, the number of family physicians increased by 35.3% in Ontario and 48.7% in Alberta; however, annual average service days per physician declined by 10.6% in Ontario and 5.9% in Alberta. The average daily patient volume remained stable in Ontario and declined in Alberta, and services per population kept pace modestly with population growth in both provinces. Rural areas had the smallest increases in physician counts and largest declines in average annual service days per physician. Physicians in both provinces who had graduated from medical school at least 30 years earlier accounted for more than one-third of the workforce in 2017/18.

Interpretation: Ontario and Alberta experienced rapid growth in the number of family physicians, with the largest increases among those in late career and the lowest increases in rural areas. The decline in service provision among physicians overall and in subgroups in both provinces highlights the importance of measuring activity to inform workforce planning.

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