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High-volume general practitioners in Alberta: a descriptive analysis.

Terrence McDonald1, Judy E Seidel2, Alka B Patel2

  • 1Departments of Family Medicine (McDonald, McBrien) and Community Health Sciences (Seidel, Patel, McBrien), University of Calgary, Calgary, Alta.; Department of Family Medicine (Bailey, Green), University of Alberta, Edmonton, Alta.; Alberta Health Services (Seidel, Patel, Zhu), Calgary, Alta. Terrence.McDonald@ucalgary.ca.

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Area of Science:

  • Health Services Research
  • Physician Practice Patterns
  • Primary Care Policy

Background:

  • Alberta is evaluating caps on daily fee-for-service physician billings.
  • Understanding high-volume general practice is crucial for policy decisions.
  • This study analyzes general practitioners' patient volumes and billing in Alberta.

Purpose of the Study:

  • To describe patient volumes and billing practices of Alberta general practitioners.
  • To identify characteristics associated with high-volume (> 50 visits/day) practice.
  • To inform potential changes to physician payment systems.

Main Methods:

  • Retrospective analysis of 2011-2016 Alberta fee-for-service general practice billing data.
  • Examined associations between practitioner characteristics (sex, years in practice, location, IMG status) and high-volume practice.
  • Compared service code utilization by volume status, adjusting for demographics and geography.

Main Results:

  • 6.7% of 3465 general practitioners were high-volume providers.
  • Longer practice duration and international medical graduate status were linked to higher volumes.
  • Female physicians and rural locations were less likely to be high-volume.

Conclusions:

  • Physician characteristics influence high-volume practice patterns in Alberta.
  • Findings can guide policymakers considering fee-for-service payment reforms.
  • Future research will link high-volume practice to patient health outcomes.