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Classifying physician practice style: a new approach using administrative data in British Columbia
Kimberlyn McGrail1, Ruth Lavergne, Steven J Lewis
1*UBC Centre for Health Services and Policy Research, The University of British Columbia, Vancouver †Faculty of Health Sciences, Simon Fraser University, Burnaby, BC ‡Access Consulting Ltd, Saskatoon, SK §Department of Family Medicine, The University of Alberta, Edmonton, AB, Canada.
Medical Care
|January 31, 2015
Summary
Primary care physician practice patterns significantly impact healthcare delivery. A study found over a third of physicians in British Columbia function as "low responsibility," affecting access to quality care.
Area of Science:
- Primary care medicine
- Health services research
- Physician practice patterns
Background:
- Primary medical care delivery is evolving due to factors like increased female providers, work-life balance desires, and walk-in clinics.
- Understanding service availability necessitates analyzing family physicians' practice patterns, not solely physician numbers.
Purpose of the Study:
- To introduce a novel methodology for characterizing primary care physician practice habits.
- To analyze physician practice styles using administrative health data.
Main Methods:
- Utilized British Columbia administrative health care data (2007/2008–2011/2012).
- Developed five variables: referrals, oversight, screening, initial long-term prescribing, and repeat visits.
- Employed cluster analysis to identify distinct physician groups based on practice style.
Main Results:
- Cluster analysis identified three physician groups: high-responsibility (24%), low-responsibility (36%), and mixed-practice (39%).
- Significant differences observed in practice variables between high and low-responsibility groups.
- Sensitivity analyses confirmed the reliability of these findings.
Conclusions:
- Physician practice patterns are critical determinants of primary care supply.
- The substantial proportion of "low responsibility" physicians in British Columbia raises concerns for consistent and comprehensive patient care access.
- Findings highlight the need to consider practice styles in primary care planning and quality assurance.
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