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Needs-based planning for generalist physicians.

N P Roos1, R Fransoo, B Bogdanovic

  • 1Department of Community Health Sciences, Faculty of Medicine, University of Manitoba, Winnipeg, Canada.

Medical Care
|July 17, 1999
PubMed
Summary
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Manitoba does not have a widespread physician shortage. Analysis revealed specific high-need areas and a surplus of generalist physicians in Winnipeg, challenging common beliefs about physician distribution.

Area of Science:

  • Health Services Research
  • Health Policy Analysis
  • Physician Workforce Planning

Background:

  • Provincial physician resource assessments are crucial for equitable healthcare distribution.
  • Understanding physician supply and utilization is key to effective health policy.
  • The Manitoba Centre for Health Policy and Evaluation (MCHPE) initiated this study to address concerns about physician resources.

Purpose of the Study:

  • To assess provincial physician resources in Manitoba.
  • To evaluate the relationship between physician supply, population health, and healthcare utilization.
  • To identify factors influencing physician contact rates, particularly for patients with chronic conditions.

Main Methods:

  • Employed map-based analyses of physician supply and patient contacts.

Related Experiment Videos

  • Compared physician distribution with local population health and socioeconomic data.
  • Utilized a needs-based, regression-based approach for physician resource planning.
  • Analyzed visit patterns of hypertensive patients to understand drivers of physician contact.

    • Main Results:

    • Challenged the notion of a general physician shortage in Manitoba.
    • Identified specific areas with high health needs but low physician supply and utilization.
    • Revealed a surplus of generalist physicians in Winnipeg.
    • Found no correlation between physician supply and population health characteristics or hospital use.
    • Determined that patient medical complexity and primary care physician recall rates significantly influence visit frequency.

    Conclusions:

    • Physician resource distribution in Manitoba is uneven, with pockets of undersupply and an urban surplus.
    • Healthcare planning should focus on targeted interventions for high-need areas rather than broad-stroke solutions.
    • Patient factors, including medical complexity and physician engagement strategies, play a significant role in healthcare utilization patterns.