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Needs-based planning: the case of Manitoba

N P Roos1, R Fransoo, K C Carrière

  • 1Department of Community Health Sciences, University of Manitoba.

CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne
|November 15, 1997
PubMed
Summary

Needs-based planning can identify physician surpluses and deficits in provincial healthcare systems. This approach helps manage physician numbers and expenditures effectively, especially during funding constraints.

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Area of Science:

  • Health Services Research
  • Medical Economics
  • Healthcare Management

Background:

  • Provincial governments and medical associations face increasing funding constraints for physician services.
  • Accurate identification of physician distribution and resource allocation is crucial for efficient healthcare delivery.

Purpose of the Study:

  • To demonstrate the utility of needs-based planning in identifying physician surpluses and deficits.
  • To highlight resource misallocations within a provincial medical system.

Main Methods:

  • Analysis of resident physician visit rates across four regions in Manitoba.
  • Estimation of residents' need for physician contact using statistical analysis of age, sex, and health indicators.
  • Comparison of physician visits needed versus those actually made.

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Main Results:

  • Physician surpluses were observed in most urban areas of Manitoba, contrasting with deficits in northern and some rural southern regions.
  • General internists and pediatricians in Winnipeg contribute significantly to ambulatory care, a role typically filled by general practitioners elsewhere.
  • Provincial spending per resident is higher in areas with physician surpluses than in deficit areas, though inconsistently.

Conclusions:

  • Needs-based planning is a feasible strategy for provincial healthcare systems.
  • Provinces aiming to control physician numbers and expenditures should actively manage the implications of these controls.