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Paediatrician human resource planning in Canada: A 10-year follow-up
Jamie A Seabrook1, Victoria Cukiernik, Doreen Matsui
1Departments of Paediatrics and.
Insights
Canadian paediatrician demographics shifted towards an older, more female workforce between 1987 and 1997. Despite workforce changes, paediatrician shortages in rural areas persist, impacting child care.
Area of Science:
- Medical Workforce Analysis
- Paediatrician Demographics
- Healthcare Planning
Background:
- Canadian paediatrician human resource planning faces significant challenges.
- Optimal physician practice mix and geographical distribution remain debated.
Purpose of the Study:
- To analyze 10-year trends (1987-1997) in Canadian paediatric practice.
- To compare changes in paediatrician age, sex, and tertiary care practice.
Main Methods:
- Utilized national survey data from 1987 and 1997 on Canadian paediatricians.
- Examined demographic and practice pattern information.
Main Results:
- The percentage of female paediatricians increased from 26.2% to 38.5%.
- The proportion of paediatricians aged 25-34 decreased significantly.
- Tertiary care practice remained stable, but these specialists concentrated in larger urban areas.
Conclusions:
- The Canadian paediatric workforce is aging, increasingly female, and concentrated in urban centers.
- Persistent shortages of paediatricians in rural and remote areas remain a critical concern.
- Future assessment of the impact on child-care service delivery and quality is necessary.
Background:
Paediatrician human resource planning in Canada is currently a major concern. The optimal mix of physicians by type of practice and geographical distribution also remains controversial for many groups of physicians.
Objective:
To compare 10-year trends (1987 to 1997) in paediatric practice with respect to age, sex and percentage of paediatricians practicing tertiary care.
Methods:
Information on the demographics and practice patterns of Canadian paediatricians obtained from national surveys conducted in 1987 and 1997 was examined.
Results:
In the 1987 survey, 1960 paediatricians were mailed a questionnaire, and 1352 questionnaires were returned (response rate of 69%). In the 1997 survey, 1706 of 2337 paediatricians returned the completed questionnaire (response rate of 73%). In 1987, 26.2% of paediatricians were women compared with 38.5% in 1997 (P<0.0001). When men and women were combined, 14.5% of paediatricians were in the 25- to 34-year age bracket in 1987, compared with only 9.7% in 1997 (P=0.0002). In 1987, 37.7% of paediatricians reported practicing tertiary care versus 38.7% in 1997 (P=0.61). In addition, tertiary care paediatricians have become more centralized in communities with more than 100,000 people.
Conclusions:
The results confirm that the paediatric workforce is aging, located primarily in large urban areas and shifting toward more women. Shortages of paediatricians, especially in remote and rural areas, continue to be a major concern and show no signs of improvement. The potential impact of these changes on delivery and quality of child-care services in the future needs to be assessed.
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